| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
78,326 |
4,151 |
$15.31M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
46,480 |
11,244 |
$4.53M |
| H0038 |
Self-help/peer services, per 15 minutes |
28,991 |
11,408 |
$3.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,956 |
11,452 |
$2.05M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
16,984 |
9,432 |
$1.95M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
9,045 |
3,275 |
$1.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,185 |
6,123 |
$1.18M |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,833 |
4,593 |
$731K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,759 |
3,117 |
$651K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,698 |
1,511 |
$241K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
7,908 |
3,572 |
$193K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,199 |
861 |
$123K |
| 99215 |
Prolong outpt/office vis |
490 |
443 |
$98K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
509 |
488 |
$75K |
| 97810 |
|
948 |
475 |
$60K |
| 0403T |
|
290 |
87 |
$58K |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
521 |
262 |
$55K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
322 |
117 |
$47K |
| 0064A |
|
244 |
231 |
$45K |
| D0140 |
Limited oral evaluation - problem focused |
392 |
368 |
$38K |
| D7140 |
Extraction, erupted tooth or exposed root |
250 |
135 |
$31K |
| D0191 |
|
143 |
143 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
176 |
157 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,349 |
553 |
$26K |
| D1110 |
Prophylaxis - adult |
203 |
197 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
136 |
119 |
$19K |
| 0011A |
|
141 |
127 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
389 |
372 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
96 |
$15K |
| 0134A |
|
87 |
82 |
$14K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
150 |
103 |
$13K |
| D9995 |
|
47 |
46 |
$11K |
| 0012A |
|
110 |
107 |
$10K |
| 0124A |
|
93 |
83 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
59 |
$9K |
| D1120 |
Prophylaxis - child |
127 |
125 |
$9K |
| 90480 |
|
81 |
77 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
128 |
126 |
$8K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
94 |
73 |
$8K |
| 0072A |
|
38 |
38 |
$8K |
| 96127 |
|
65 |
55 |
$8K |
| H2014 |
Skills training and development, per 15 minutes |
225 |
136 |
$7K |
| 97802 |
|
84 |
78 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
187 |
161 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,612 |
2,315 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
348 |
333 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
66 |
61 |
$5K |
| 0054A |
|
26 |
25 |
$5K |
| 96156 |
|
163 |
125 |
$5K |
| 90686 |
|
316 |
307 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
1,064 |
967 |
$5K |
| D1351 |
Sealant - per tooth |
389 |
79 |
$5K |
| H0031 |
Mental health assessment, by non-physician |
24 |
24 |
$3K |
| 90849 |
|
32 |
24 |
$3K |
| 97803 |
|
83 |
69 |
$3K |
| 96158 |
|
73 |
56 |
$3K |
| 0004A |
|
14 |
14 |
$3K |
| 0002A |
|
15 |
15 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
187 |
185 |
$2K |
| 99412 |
|
12 |
12 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
362 |
269 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
57 |
54 |
$2K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
77 |
44 |
$1K |
| 82948 |
|
466 |
390 |
$1K |
| D1206 |
Topical application of fluoride varnish |
132 |
129 |
$1K |
| D0274 |
Bitewings - four radiographic images |
70 |
69 |
$1K |
| 99000 |
|
4,923 |
3,530 |
$969.00 |
| D1354 |
|
81 |
18 |
$423.89 |
| 91306 |
|
86 |
79 |
$392.16 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$321.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
57 |
54 |
$265.51 |
| 99188 |
|
13 |
13 |
$168.61 |
| D0270 |
|
33 |
32 |
$116.00 |
| 81002 |
|
29 |
26 |
$65.00 |
| D0603 |
|
94 |
93 |
$35.00 |
| 82962 |
|
15 |
14 |
$23.43 |
| D0601 |
|
12 |
12 |
$13.00 |
| D1310 |
|
63 |
62 |
$0.00 |
| 91301 |
|
146 |
144 |
$0.00 |
| D1330 |
|
116 |
112 |
$0.00 |
| 91305 |
|
40 |
40 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| H2023 |
Supported employment, per 15 minutes |
269 |
103 |
$0.00 |
| 91312 |
|
67 |
63 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 91300 |
|
43 |
40 |
$0.00 |
| 91313 |
|
41 |
40 |
$0.00 |