| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,367 |
17,319 |
$3.14M |
| 00003 |
Internal/system code - not a standard HCPCS code |
14,317 |
11,275 |
$2.88M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,351 |
1,498 |
$68K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,916 |
740 |
$61K |
| 59425 |
|
434 |
280 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,438 |
10,012 |
$25K |
| 97802 |
|
1,104 |
700 |
$20K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
264 |
202 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,822 |
1,211 |
$3K |
| 90686 |
|
158 |
133 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
21 |
$995.80 |
| 90744 |
|
117 |
97 |
$846.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
111 |
106 |
$824.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
720 |
464 |
$721.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
38 |
$656.25 |
| 92621 |
|
122 |
64 |
$596.49 |
| 90713 |
|
48 |
41 |
$360.00 |
| 90651 |
|
15 |
12 |
$310.82 |
| 90698 |
|
57 |
38 |
$288.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
58 |
$261.73 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
24 |
$242.83 |
| 90633 |
|
28 |
26 |
$207.00 |
| 80305 |
|
26 |
13 |
$155.61 |
| 90715 |
|
15 |
12 |
$108.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
13 |
$101.13 |
| 85018 |
|
593 |
365 |
$91.77 |
| 90670 |
|
22 |
13 |
$90.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,080 |
1,661 |
$67.56 |
| 92552 |
|
42 |
22 |
$67.32 |
| 96127 |
|
25 |
13 |
$57.72 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
13 |
$54.83 |
| 81002 |
|
303 |
168 |
$53.57 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
87 |
77 |
$38.71 |
| 81025 |
|
20 |
12 |
$27.48 |
| D0460 |
|
154 |
89 |
$0.00 |
| D1110 |
Prophylaxis - adult |
477 |
475 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
560 |
537 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
158 |
124 |
$0.00 |
| 99173 |
|
115 |
115 |
$0.00 |
| D0270 |
|
117 |
113 |
$0.00 |
| D1120 |
Prophylaxis - child |
324 |
322 |
$0.00 |
| 99401 |
|
47 |
47 |
$0.00 |
| D4341 |
|
51 |
26 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$0.00 |
| 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 |
1,007 |
828 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
43 |
39 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
396 |
254 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
540 |
535 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
412 |
411 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
583 |
569 |
$0.00 |
| Z1034 |
|
230 |
144 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
229 |
188 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
394 |
390 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
172 |
114 |
$0.00 |
| D4355 |
|
15 |
15 |
$0.00 |
| D0603 |
|
123 |
123 |
$0.00 |
| D0602 |
|
25 |
25 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
21 |
17 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
40 |
25 |
$0.00 |