| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,628 |
25,298 |
$6.37M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,159 |
1,646 |
$131K |
| D1351 |
Sealant - per tooth |
4,530 |
556 |
$81K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
4,766 |
3,006 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,465 |
8,265 |
$42K |
| D1120 |
Prophylaxis - child |
848 |
795 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
954 |
893 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,428 |
8,421 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,739 |
2,210 |
$6K |
| 80305 |
|
814 |
578 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
454 |
234 |
$5K |
| 90686 |
|
840 |
683 |
$4K |
| H0038 |
Self-help/peer services, per 15 minutes |
52 |
36 |
$2K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
553 |
544 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,873 |
1,489 |
$1K |
| 96127 |
|
1,395 |
999 |
$956.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
226 |
150 |
$449.36 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$401.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
37 |
$231.72 |
| 90461 |
|
326 |
246 |
$230.86 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
156 |
59 |
$189.42 |
| 97802 |
|
13 |
13 |
$172.88 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,257 |
834 |
$161.21 |
| 90832 |
Psychotherapy, 30 minutes with patient |
242 |
177 |
$161.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
17 |
$140.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
215 |
179 |
$126.44 |
| 99442 |
|
41 |
31 |
$107.10 |
| 36415 |
Collection of venous blood by venipuncture |
617 |
538 |
$87.32 |
| 99177 |
|
15 |
15 |
$82.92 |
| 99000 |
|
2,897 |
2,322 |
$69.50 |
| 87400 |
|
18 |
18 |
$64.30 |
| 92551 |
|
15 |
15 |
$45.00 |
| 90656 |
|
82 |
78 |
$14.54 |
| 85018 |
|
18 |
12 |
$11.05 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
19 |
15 |
$1.10 |
| 36416 |
|
48 |
40 |
$0.00 |
| 99406 |
|
16 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
50 |
36 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
21 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
56 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$0.00 |
| 99173 |
|
14 |
12 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
20 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
36 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
20 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |