| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
178,054 |
139,639 |
$33.27M |
| T1016 |
Case management, each 15 minutes |
9,970 |
6,729 |
$234K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
18,236 |
8,929 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82,265 |
68,787 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,107 |
30,177 |
$10K |
| H0038 |
Self-help/peer services, per 15 minutes |
219 |
186 |
$3K |
| 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 |
2,657 |
2,006 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,914 |
1,781 |
$2K |
| 0012A |
|
708 |
705 |
$1K |
| T1002 |
Rn services, up to 15 minutes |
99 |
67 |
$963.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,637 |
3,066 |
$879.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,907 |
7,208 |
$814.60 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,096 |
1,909 |
$626.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,594 |
4,112 |
$617.38 |
| 0011A |
|
712 |
707 |
$536.94 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
339 |
305 |
$521.36 |
| 90686 |
|
4,715 |
4,138 |
$509.54 |
| H2014 |
Skills training and development, per 15 minutes |
1,523 |
726 |
$496.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,828 |
1,676 |
$483.32 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,134 |
1,026 |
$481.13 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,244 |
1,140 |
$444.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,957 |
5,265 |
$373.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
650 |
531 |
$332.05 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
694 |
341 |
$313.93 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,665 |
1,558 |
$312.62 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,056 |
1,896 |
$311.28 |
| 36415 |
Collection of venous blood by venipuncture |
10,210 |
9,070 |
$302.54 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
248 |
204 |
$300.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
536 |
179 |
$256.69 |
| 0031A |
|
102 |
100 |
$240.00 |
| 90685 |
|
175 |
161 |
$181.68 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
536 |
179 |
$171.33 |
| 0071A |
|
37 |
37 |
$166.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,057 |
1,876 |
$164.17 |
| 90651 |
|
548 |
471 |
$157.92 |
| D1110 |
Prophylaxis - adult |
3,242 |
2,788 |
$95.12 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
845 |
789 |
$93.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
203 |
155 |
$89.42 |
| 93000 |
|
324 |
272 |
$89.13 |
| 90662 |
|
268 |
236 |
$76.70 |
| D0210 |
Intraoral - complete series of radiographic images |
1,144 |
961 |
$63.25 |
| 90633 |
|
341 |
295 |
$60.07 |
| 80061 |
Lipid panel |
586 |
540 |
$54.93 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
367 |
279 |
$50.61 |
| 73562 |
|
54 |
38 |
$45.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
36 |
$43.64 |
| 80053 |
Comprehensive metabolic panel |
430 |
395 |
$43.34 |
| 81025 |
|
1,139 |
1,001 |
$40.93 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,210 |
1,864 |
$40.49 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,320 |
1,228 |
$39.83 |
| 96150 |
|
404 |
324 |
$38.75 |
| D0140 |
Limited oral evaluation - problem focused |
3,815 |
3,141 |
$34.44 |
| D0120 |
Periodic oral evaluation - established patient |
2,794 |
2,435 |
$26.02 |
| 84439 |
|
191 |
176 |
$21.32 |
| 85610 |
|
115 |
80 |
$18.60 |
| 71046 |
Radiologic examination, chest; 2 views |
396 |
341 |
$17.45 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,692 |
1,510 |
$15.94 |
| 81002 |
|
1,879 |
1,625 |
$15.91 |
| 90648 |
|
312 |
278 |
$15.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
470 |
395 |
$15.23 |
| D0220 |
Intraoral - periapical first radiographic image |
3,364 |
2,781 |
$13.02 |
| 96158 |
|
96 |
73 |
$10.25 |
| 86580 |
|
32 |
28 |
$7.05 |
| 3074F |
|
22,845 |
19,181 |
$1.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
974 |
810 |
$1.46 |
| 3075F |
|
6,817 |
5,840 |
$0.37 |
| 3077F |
|
6,439 |
5,264 |
$0.14 |
| 3044F |
|
2,762 |
2,417 |
$0.01 |
| 3078F |
|
19,896 |
16,721 |
$0.00 |
| D0330 |
Panoramic radiographic image |
1,692 |
1,393 |
$0.00 |
| 3050F |
|
1,687 |
1,508 |
$0.00 |
| 90715 |
|
1,053 |
936 |
$0.00 |
| 0003A |
|
70 |
69 |
$0.00 |
| 83013 |
|
24 |
24 |
$0.00 |
| 90670 |
|
1,141 |
1,034 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,697 |
959 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
3,676 |
2,973 |
$0.00 |
| 90461 |
|
1,459 |
1,388 |
$0.00 |
| D1120 |
Prophylaxis - child |
3,070 |
2,700 |
$0.00 |
| 90658 |
|
156 |
143 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
2,572 |
2,250 |
$0.00 |
| 90710 |
|
108 |
94 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,309 |
1,262 |
$0.00 |
| 90734 |
|
263 |
228 |
$0.00 |
| 80305 |
|
502 |
337 |
$0.00 |
| 3725F |
|
767 |
707 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
41 |
26 |
$0.00 |
| 3046F |
|
1,058 |
923 |
$0.00 |
| 91300 |
|
47 |
46 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
273 |
231 |
$0.00 |
| 3051F |
|
736 |
638 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
273 |
267 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
192 |
182 |
$0.00 |
| 90649 |
|
18 |
15 |
$0.00 |
| 91313 |
|
17 |
17 |
$0.00 |
| 90671 |
|
55 |
54 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
161 |
53 |
$0.00 |
| 81003 |
|
14 |
13 |
$0.00 |
| D0190 |
|
76 |
75 |
$0.00 |
| 73630 |
|
28 |
24 |
$0.00 |
| 0013A |
|
67 |
67 |
$0.00 |
| 90714 |
|
43 |
33 |
$0.00 |
| D4910 |
|
53 |
43 |
$0.00 |
| 96152 |
|
51 |
34 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
42 |
29 |
$0.00 |
| D2950 |
|
94 |
63 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$0.00 |
| 0002A |
|
38 |
38 |
$0.00 |
| 1158F |
|
32 |
28 |
$0.00 |
| 99382 |
|
13 |
12 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
394 |
353 |
$0.00 |
| 3080F |
|
3,791 |
3,156 |
$0.00 |
| 3052F |
|
465 |
403 |
$0.00 |
| 90732 |
|
35 |
29 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
3,702 |
3,282 |
$0.00 |
| 3079F |
|
13,543 |
11,411 |
$0.00 |
| 96156 |
|
82 |
82 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,829 |
1,523 |
$0.00 |
| 3008F |
|
26,572 |
22,643 |
$0.00 |
| 90680 |
|
250 |
233 |
$0.00 |
| D1351 |
Sealant - per tooth |
749 |
224 |
$0.00 |
| 80050 |
General health panel |
140 |
131 |
$0.00 |
| 3049F |
|
2,799 |
2,508 |
$0.00 |
| D0171 |
|
1,319 |
993 |
$0.00 |
| 3048F |
|
3,564 |
3,181 |
$0.00 |
| 3060F |
|
618 |
517 |
$0.00 |
| 91303 |
|
90 |
87 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
219 |
177 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
284 |
258 |
$0.00 |
| 0001A |
|
47 |
47 |
$0.00 |
| 0072A |
|
33 |
33 |
$0.00 |
| 99381 |
|
58 |
57 |
$0.00 |
| 0064A |
|
182 |
179 |
$0.00 |
| 99441 |
|
175 |
169 |
$0.00 |
| 99000 |
|
648 |
625 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
2,402 |
1,110 |
$0.00 |
| 90698 |
|
127 |
125 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
198 |
122 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
850 |
742 |
$0.00 |
| 90688 |
|
149 |
135 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
319 |
310 |
$0.00 |
| 96127 |
|
486 |
472 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
30 |
25 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15 |
15 |
$0.00 |
| 1170F |
|
105 |
96 |
$0.00 |
| 91301 |
|
1,235 |
1,165 |
$0.00 |
| 3014F |
|
79 |
77 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
387 |
333 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
360 |
259 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
146 |
127 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
33 |
32 |
$0.00 |
| 1126F |
|
60 |
56 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 87807 |
|
15 |
15 |
$0.00 |
| 99383 |
|
45 |
44 |
$0.00 |
| 90723 |
|
73 |
69 |
$0.00 |
| 91307 |
|
40 |
35 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
12 |
$0.00 |
| 1157F |
|
32 |
28 |
$0.00 |
| 0134A |
|
42 |
42 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
72 |
69 |
$0.00 |
| D8670 |
Periodic orthodontic treatment visit |
30 |
25 |
$0.00 |
| 90697 |
|
17 |
16 |
$0.00 |
| 90656 |
|
52 |
50 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| 99406 |
|
13 |
12 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
17 |
12 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |
| D9995 |
|
64 |
52 |
$0.00 |
| 91306 |
|
13 |
12 |
$0.00 |