| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,785 |
16,352 |
$2.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,636 |
11,689 |
$1.24M |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,084 |
1,515 |
$182K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,833 |
1,568 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,435 |
$135K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,143 |
1,106 |
$81K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
932 |
864 |
$52K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,797 |
1,133 |
$49K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
917 |
877 |
$45K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
483 |
471 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
405 |
394 |
$35K |
| D0140 |
Limited oral evaluation - problem focused |
741 |
608 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
344 |
342 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
411 |
386 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
270 |
267 |
$24K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
445 |
441 |
$22K |
| 90632 |
|
353 |
352 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,881 |
2,818 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
252 |
249 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
208 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,379 |
1,344 |
$18K |
| 80053 |
Comprehensive metabolic panel |
1,913 |
1,874 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
490 |
413 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
803 |
770 |
$15K |
| 90670 |
|
195 |
195 |
$15K |
| D7140 |
Extraction, erupted tooth or exposed root |
248 |
156 |
$14K |
| 81025 |
|
2,214 |
2,135 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
192 |
188 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
176 |
173 |
$13K |
| 87660 |
|
699 |
687 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
164 |
147 |
$12K |
| 87480 |
|
665 |
653 |
$11K |
| 87510 |
|
665 |
653 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
140 |
76 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
219 |
212 |
$11K |
| 90633 |
|
153 |
151 |
$10K |
| 86780 |
|
831 |
822 |
$9K |
| 86803 |
|
762 |
754 |
$9K |
| D0330 |
Panoramic radiographic image |
306 |
260 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
5,282 |
4,820 |
$9K |
| 80061 |
Lipid panel |
822 |
810 |
$8K |
| 81003 |
|
6,577 |
4,572 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
102 |
102 |
$8K |
| 90686 |
|
66 |
61 |
$7K |
| 90715 |
|
101 |
97 |
$7K |
| 90710 |
|
85 |
82 |
$6K |
| 87340 |
|
722 |
715 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
251 |
246 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
65 |
65 |
$6K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
84 |
80 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
252 |
247 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
103 |
100 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
87 |
69 |
$6K |
| 90688 |
|
40 |
38 |
$5K |
| 90734 |
|
73 |
70 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
68 |
65 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
570 |
559 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
249 |
247 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
87 |
$4K |
| 90648 |
|
67 |
67 |
$4K |
| 90651 |
|
61 |
57 |
$4K |
| 76830 |
Ultrasound, transvaginal |
70 |
69 |
$4K |
| 80050 |
General health panel |
63 |
63 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
47 |
38 |
$3K |
| 83655 |
|
340 |
334 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
394 |
285 |
$3K |
| 90473 |
|
52 |
52 |
$3K |
| 90746 |
|
69 |
68 |
$3K |
| 90723 |
|
66 |
66 |
$3K |
| 86762 |
|
259 |
256 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
42 |
41 |
$3K |
| 90685 |
|
16 |
16 |
$3K |
| 90698 |
|
59 |
59 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
77 |
$3K |
| 87807 |
|
239 |
231 |
$2K |
| 90680 |
|
52 |
52 |
$2K |
| 36416 |
|
933 |
913 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
54 |
54 |
$2K |
| D9995 |
|
75 |
50 |
$2K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
40 |
29 |
$2K |
| 11981 |
|
31 |
31 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
40 |
40 |
$2K |
| 90744 |
|
33 |
33 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
26 |
$1K |
| D1110 |
Prophylaxis - adult |
133 |
85 |
$1K |
| 85018 |
|
621 |
613 |
$1K |
| 69209 |
|
14 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
30 |
$1K |
| D1120 |
Prophylaxis - child |
83 |
67 |
$1K |
| D0272 |
Bitewings - two radiographic images |
250 |
175 |
$1K |
| 84439 |
|
32 |
32 |
$1K |
| 58300 |
|
13 |
13 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
194 |
137 |
$875.85 |
| 90700 |
|
12 |
12 |
$867.05 |
| 90474 |
|
14 |
14 |
$867.05 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
15 |
14 |
$867.05 |
| 82607 |
|
12 |
12 |
$702.93 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
14 |
13 |
$694.64 |
| 99385 |
|
13 |
13 |
$623.71 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
16 |
$587.36 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
13 |
$409.36 |
| 87486 |
|
14 |
13 |
$409.36 |
| 87581 |
|
14 |
13 |
$409.36 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
33 |
17 |
$400.32 |
| 87653 |
|
38 |
37 |
$368.88 |
| 86777 |
|
25 |
25 |
$355.44 |
| 82043 |
|
17 |
17 |
$354.44 |
| 86580 |
|
13 |
13 |
$346.82 |
| 84702 |
|
21 |
12 |
$294.31 |
| 87081 |
|
38 |
37 |
$290.95 |
| 82950 |
|
74 |
74 |
$261.81 |
| 82570 |
|
19 |
19 |
$233.90 |
| 83540 |
|
15 |
15 |
$232.63 |
| 92551 |
|
26 |
26 |
$206.70 |
| 87800 |
|
15 |
15 |
$186.21 |
| 83735 |
|
12 |
12 |
$162.13 |
| 83550 |
|
12 |
12 |
$148.83 |
| D0230 |
Intraoral - periapical each additional radiographic image |
85 |
26 |
$51.84 |
| G0435 |
Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening |
196 |
193 |
$0.00 |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
288 |
284 |
$0.00 |