| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
364,198 |
270,786 |
$67.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159,506 |
131,612 |
$6.36M |
| D0999 |
Unspecified diagnostic procedure, by report |
26,702 |
23,622 |
$6.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,674 |
58,242 |
$3.31M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22,898 |
20,699 |
$1.60M |
| 90832 |
Psychotherapy, 30 minutes with patient |
24,005 |
20,131 |
$1.38M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19,800 |
19,484 |
$1.25M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16,131 |
15,789 |
$1.07M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,343 |
12,005 |
$885K |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,858 |
6,840 |
$665K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13,407 |
12,900 |
$410K |
| 99460 |
|
3,949 |
3,905 |
$308K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,313 |
5,200 |
$303K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,650 |
2,635 |
$282K |
| 59430 |
|
3,906 |
3,365 |
$225K |
| 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 |
5,966 |
5,221 |
$169K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
293 |
289 |
$168K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,955 |
3,816 |
$145K |
| 99462 |
|
2,458 |
2,009 |
$93K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,174 |
1,085 |
$91K |
| D0120 |
Periodic oral evaluation - established patient |
11,504 |
11,084 |
$89K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,578 |
2,251 |
$64K |
| 99222 |
Initial hospital care, per day, moderate complexity |
801 |
730 |
$63K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
60 |
57 |
$43K |
| 99223 |
Prolong inpt eval add15 m |
370 |
348 |
$40K |
| 90837 |
Psychotherapy, 53 minutes with patient |
426 |
297 |
$39K |
| 99219 |
|
586 |
507 |
$39K |
| 99215 |
Prolong outpt/office vis |
511 |
493 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
598 |
571 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
615 |
563 |
$28K |
| 54150 |
|
303 |
301 |
$23K |
| 0001A |
|
1,651 |
1,441 |
$22K |
| 0002A |
|
1,224 |
1,202 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,273 |
3,703 |
$22K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,504 |
1,309 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
482 |
477 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,342 |
1,333 |
$16K |
| 80053 |
Comprehensive metabolic panel |
2,321 |
2,160 |
$15K |
| 81001 |
|
3,957 |
3,133 |
$15K |
| 59514 |
|
32 |
24 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
450 |
118 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,958 |
1,883 |
$13K |
| 0071A |
|
469 |
467 |
$13K |
| 0072A |
|
384 |
384 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,239 |
614 |
$11K |
| 80061 |
Lipid panel |
1,166 |
1,115 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
120 |
$10K |
| 99383 |
|
140 |
134 |
$9K |
| 99384 |
|
137 |
125 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
126 |
125 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
195 |
187 |
$7K |
| 81025 |
|
1,172 |
1,055 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
352 |
281 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,386 |
1,228 |
$6K |
| 0011A |
|
704 |
544 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
573 |
523 |
$5K |
| 0012A |
|
321 |
281 |
$5K |
| D0330 |
Panoramic radiographic image |
2,281 |
2,196 |
$5K |
| 0004A |
|
120 |
120 |
$4K |
| D1120 |
Prophylaxis - child |
4,696 |
4,580 |
$4K |
| 90670 |
|
9,034 |
8,912 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
187 |
171 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
187 |
171 |
$3K |
| 86592 |
|
1,238 |
1,072 |
$3K |
| D0274 |
Bitewings - four radiographic images |
3,275 |
3,179 |
$3K |
| 0054A |
|
122 |
121 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
6,215 |
5,955 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
40 |
38 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
450 |
377 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,155 |
1,141 |
$2K |
| 11981 |
|
42 |
40 |
$2K |
| 80050 |
General health panel |
83 |
83 |
$2K |
| D1110 |
Prophylaxis - adult |
2,066 |
2,021 |
$2K |
| 0064A |
|
40 |
40 |
$2K |
| 0124A |
|
66 |
66 |
$2K |
| 81002 |
|
1,686 |
1,075 |
$1K |
| D1206 |
Topical application of fluoride varnish |
8,504 |
8,233 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
33 |
12 |
$1K |
| 90677 |
|
1,871 |
1,834 |
$1K |
| 86762 |
|
195 |
158 |
$1K |
| 99221 |
|
25 |
24 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
213 |
197 |
$1K |
| 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 |
58 |
51 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103,434 |
44,346 |
$946.60 |
| 90656 |
|
68 |
66 |
$936.42 |
| 76801 |
|
26 |
25 |
$935.92 |
| 87340 |
|
162 |
131 |
$917.76 |
| 82950 |
|
132 |
128 |
$871.94 |
| D1351 |
Sealant - per tooth |
8,488 |
1,904 |
$825.00 |
| 86803 |
|
131 |
113 |
$683.89 |
| D0272 |
Bitewings - two radiographic images |
4,406 |
4,309 |
$633.74 |
| 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 |
43 |
43 |
$612.36 |
| 0051A |
|
36 |
34 |
$488.35 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
24 |
12 |
$472.67 |
| 0052A |
|
67 |
64 |
$360.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,353 |
2,207 |
$297.51 |
| 90461 |
|
26,036 |
25,580 |
$257.94 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
333 |
266 |
$201.02 |
| 0031A |
|
32 |
23 |
$198.73 |
| 90480 |
|
143 |
141 |
$150.31 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
26 |
24 |
$127.98 |
| 82728 |
|
12 |
12 |
$103.05 |
| 90686 |
|
15,264 |
14,999 |
$62.06 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
107 |
107 |
$41.00 |
| 84439 |
|
13 |
12 |
$37.90 |
| D0140 |
Limited oral evaluation - problem focused |
42 |
41 |
$37.56 |
| 81003 |
|
41 |
26 |
$20.00 |
| 90619 |
|
1,948 |
1,918 |
$10.03 |
| 90621 |
|
330 |
322 |
$1.70 |
| 90620 |
|
41 |
39 |
$0.29 |
| 90623 |
|
27 |
27 |
$0.11 |
| 90651 |
|
3,960 |
3,859 |
$0.03 |
| 90715 |
|
1,659 |
1,630 |
$0.01 |
| 90710 |
|
6,060 |
5,972 |
$0.01 |
| 90734 |
|
1,729 |
1,688 |
$0.01 |
| 90744 |
|
1,680 |
1,667 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,103 |
1,072 |
$0.00 |
| 90680 |
|
9,532 |
9,423 |
$0.00 |
| D0603 |
|
11,637 |
11,089 |
$0.00 |
| D0601 |
|
1,292 |
1,257 |
$0.00 |
| D0602 |
|
2,044 |
1,987 |
$0.00 |
| 90697 |
|
5,424 |
5,344 |
$0.00 |
| 91307 |
|
556 |
531 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| 90723 |
|
17 |
17 |
$0.00 |
| 90698 |
|
2,776 |
2,757 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,002 |
964 |
$0.00 |
| 90381 |
|
91 |
90 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
172 |
130 |
$0.00 |
| 99318 |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
55 |
55 |
$0.00 |
| 90716 |
|
46 |
46 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$0.00 |
| 90657 |
|
18 |
18 |
$0.00 |
| 90700 |
|
2,415 |
2,376 |
$0.00 |
| 90633 |
|
6,738 |
6,635 |
$0.00 |
| 90648 |
|
2,041 |
2,001 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
2,666 |
2,582 |
$0.00 |
| 90707 |
|
49 |
49 |
$0.00 |
| 90661 |
|
1,861 |
1,839 |
$0.00 |
| 90671 |
|
2,382 |
2,372 |
$0.00 |
| 0353U |
|
200 |
191 |
$0.00 |
| 91300 |
|
250 |
240 |
$0.00 |
| 99307 |
|
68 |
66 |
$0.00 |
| 91308 |
|
13 |
13 |
$0.00 |
| 91312 |
|
32 |
32 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |