| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
406,251 |
47,304 |
$186.63M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
298,296 |
18,856 |
$4.91M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
24,046 |
15,917 |
$1.55M |
| 96153 |
|
15,959 |
2,709 |
$529K |
| 96165 |
|
20,405 |
4,540 |
$445K |
| 96164 |
|
20,581 |
4,603 |
$388K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,018 |
8,717 |
$317K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,519 |
1,958 |
$265K |
| H0001 |
Alcohol and/or drug assessment |
1,761 |
1,657 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,072 |
4,005 |
$192K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,155 |
1,554 |
$119K |
| H0033 |
Oral medication administration, direct observation |
9,405 |
659 |
$118K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,438 |
1,039 |
$66K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,160 |
2,344 |
$58K |
| 93000 |
|
1,629 |
1,399 |
$13K |
| 99215 |
Prolong outpt/office vis |
136 |
113 |
$11K |
| H0038 |
Self-help/peer services, per 15 minutes |
206 |
159 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
276 |
260 |
$10K |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
485 |
130 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
139 |
28 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,002 |
1,873 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
128 |
125 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
42 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
51 |
48 |
$3K |
| D0330 |
Panoramic radiographic image |
110 |
106 |
$3K |
| 86703 |
|
261 |
239 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$3K |
| 0031A |
|
60 |
60 |
$2K |
| 0012A |
|
105 |
103 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
193 |
187 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
142 |
54 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
12 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
34 |
28 |
$1K |
| D1206 |
Topical application of fluoride varnish |
107 |
102 |
$1K |
| 90636 |
|
12 |
12 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
89 |
88 |
$1K |
| 0011A |
|
111 |
110 |
$1K |
| G2078 |
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
282 |
73 |
$956.67 |
| 81025 |
|
110 |
99 |
$814.38 |
| 90661 |
|
20 |
20 |
$737.00 |
| 90686 |
|
29 |
29 |
$618.45 |
| D0210 |
Intraoral - complete series of radiographic images |
77 |
75 |
$579.60 |
| 90674 |
|
18 |
18 |
$509.22 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$275.04 |
| 36416 |
|
18 |
18 |
$45.28 |
| 91301 |
|
222 |
219 |
$0.00 |
| 91303 |
|
60 |
60 |
$0.00 |
| D0350 |
|
104 |
101 |
$0.00 |