| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,519 |
6,677 |
$1.79M |
| D0999 |
Unspecified diagnostic procedure, by report |
847 |
777 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,598 |
3,193 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,526 |
1,426 |
$73K |
| 90837 |
Psychotherapy, 53 minutes with patient |
181 |
86 |
$19K |
| 87428 |
|
855 |
815 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
503 |
468 |
$16K |
| 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 |
453 |
406 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,055 |
992 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
80 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
88 |
$6K |
| 99000 |
|
1,019 |
964 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
85 |
60 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
385 |
352 |
$2K |
| 99215 |
Prolong outpt/office vis |
43 |
39 |
$2K |
| 90686 |
|
460 |
448 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
12 |
$872.48 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$731.34 |
| 87807 |
|
60 |
59 |
$374.00 |
| D1110 |
Prophylaxis - adult |
37 |
37 |
$215.15 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
243 |
223 |
$205.32 |
| D1208 |
Topical application of fluoride, excluding varnish |
257 |
247 |
$117.60 |
| D0220 |
Intraoral - periapical first radiographic image |
118 |
109 |
$113.32 |
| 90658 |
|
44 |
44 |
$80.60 |
| D0120 |
Periodic oral evaluation - established patient |
151 |
143 |
$77.97 |
| D0274 |
Bitewings - four radiographic images |
56 |
55 |
$67.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
659 |
639 |
$56.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
184 |
182 |
$51.66 |
| 81002 |
|
95 |
89 |
$46.72 |
| D0230 |
Intraoral - periapical each additional radiographic image |
136 |
57 |
$31.72 |
| 81025 |
|
36 |
36 |
$28.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
38 |
$16.52 |
| 90620 |
|
13 |
13 |
$0.04 |
| 80305 |
|
74 |
72 |
$0.00 |
| 99173 |
|
113 |
107 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
82 |
79 |
$0.00 |
| 90715 |
|
15 |
12 |
$0.00 |
| 92552 |
|
14 |
14 |
$0.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$0.00 |
| 90734 |
|
17 |
14 |
$0.00 |
| 82962 |
|
413 |
387 |
$0.00 |
| 3008F |
|
143 |
136 |
$0.00 |
| 36416 |
|
185 |
183 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
825 |
783 |
$0.00 |
| D0602 |
|
182 |
180 |
$0.00 |
| D0603 |
|
90 |
84 |
$0.00 |