| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
409,164 |
326,710 |
$73.41M |
| D9430 |
|
32,306 |
20,038 |
$4.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
183,806 |
153,454 |
$148K |
| 90670 |
|
15,684 |
14,755 |
$116K |
| 90723 |
|
14,290 |
13,477 |
$106K |
| 90686 |
|
13,407 |
12,806 |
$103K |
| 90647 |
|
13,776 |
13,003 |
$102K |
| 90680 |
|
10,628 |
10,023 |
$79K |
| 90633 |
|
10,138 |
9,478 |
$74K |
| 90651 |
|
6,884 |
6,445 |
$57K |
| 90734 |
|
5,719 |
5,335 |
$44K |
| 90671 |
|
4,068 |
3,081 |
$22K |
| 90716 |
|
2,588 |
2,405 |
$19K |
| 90688 |
|
2,161 |
2,082 |
$18K |
| 90707 |
|
2,464 |
2,293 |
$18K |
| 90700 |
|
2,036 |
1,926 |
$15K |
| 90710 |
|
1,958 |
1,845 |
$14K |
| 90715 |
|
1,817 |
1,671 |
$13K |
| 90696 |
|
1,635 |
1,543 |
$12K |
| 92551 |
|
37,764 |
33,419 |
$11K |
| 90620 |
|
1,257 |
1,168 |
$10K |
| 90685 |
|
1,028 |
948 |
$7K |
| 90656 |
|
927 |
711 |
$6K |
| 90674 |
|
732 |
700 |
$5K |
| 90672 |
|
729 |
682 |
$5K |
| 90677 |
|
657 |
594 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,909 |
25,081 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15,665 |
13,861 |
$3K |
| 99173 |
|
42,136 |
36,877 |
$2K |
| 90649 |
|
321 |
301 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19,905 |
18,028 |
$2K |
| 81003 |
|
8,924 |
5,980 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
324 |
288 |
$2K |
| 90687 |
|
191 |
184 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,766 |
6,849 |
$1K |
| 90461 |
|
82 |
52 |
$648.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25,854 |
23,065 |
$645.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,655 |
7,779 |
$549.00 |
| 90655 |
|
80 |
58 |
$464.00 |
| 90713 |
|
58 |
48 |
$384.00 |
| 90744 |
|
45 |
40 |
$296.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43,251 |
35,187 |
$277.45 |
| 90648 |
|
34 |
34 |
$272.00 |
| D0120 |
Periodic oral evaluation - established patient |
15,098 |
9,808 |
$243.00 |
| 90621 |
|
28 |
27 |
$192.00 |
| D1120 |
Prophylaxis - child |
13,476 |
8,848 |
$190.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
17,225 |
11,070 |
$162.00 |
| 90658 |
|
35 |
26 |
$160.00 |
| 90681 |
|
19 |
19 |
$152.00 |
| 81025 |
|
16,443 |
12,134 |
$122.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
34 |
29 |
$118.64 |
| D1110 |
Prophylaxis - adult |
3,601 |
2,372 |
$100.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,686 |
1,680 |
$82.00 |
| D1330 |
|
620 |
522 |
$0.00 |
| 87807 |
|
1,079 |
942 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,441 |
1,468 |
$0.00 |
| D0603 |
|
317 |
268 |
$0.00 |
| D1310 |
|
278 |
275 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
6,958 |
4,652 |
$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 |
1,735 |
1,497 |
$0.00 |
| 82962 |
|
1,661 |
1,403 |
$0.00 |
| 1126F |
|
1,235 |
1,100 |
$0.00 |
| 92250 |
|
1,567 |
1,077 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,837 |
1,472 |
$0.00 |
| 3079F |
|
949 |
620 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
529 |
375 |
$0.00 |
| 3074F |
|
8,708 |
6,256 |
$0.00 |
| 94760 |
|
190 |
181 |
$0.00 |
| 3008F |
|
11,512 |
8,005 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,890 |
1,321 |
$0.00 |
| D1351 |
Sealant - per tooth |
2,697 |
717 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,031 |
1,776 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
136 |
118 |
$0.00 |
| 86580 |
|
706 |
539 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,220 |
1,779 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,641 |
1,321 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
487 |
311 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| 99460 |
|
65 |
49 |
$0.00 |
| 86880 |
|
135 |
131 |
$0.00 |
| 96127 |
|
78 |
51 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
111 |
88 |
$0.00 |
| 3075F |
|
20 |
17 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
13 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
303 |
242 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
289 |
222 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
227 |
129 |
$0.00 |
| 99462 |
|
130 |
54 |
$0.00 |
| 99383 |
|
16 |
15 |
$0.00 |
| 81001 |
|
104 |
94 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
31 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
25 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$0.00 |
| D0601 |
|
28 |
24 |
$0.00 |
| 99384 |
|
32 |
28 |
$0.00 |
| D0602 |
|
33 |
30 |
$0.00 |
| 92285 |
|
15 |
12 |
$0.00 |
| D1320 |
|
38 |
21 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
24 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
16 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
23,609 |
20,993 |
$0.00 |
| 3725F |
|
427 |
363 |
$0.00 |
| D0330 |
Panoramic radiographic image |
877 |
584 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,882 |
1,119 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,355 |
2,082 |
$0.00 |
| 92020 |
|
803 |
581 |
$0.00 |
| 3078F |
|
7,511 |
5,442 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
1,887 |
1,269 |
$0.00 |
| 92015 |
Determination of refractive state |
6,513 |
5,863 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
5,781 |
3,978 |
$0.00 |
| 76514 |
|
202 |
164 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,411 |
879 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
107 |
70 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,749 |
3,453 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
49 |
44 |
$0.00 |
| 92083 |
|
196 |
158 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,814 |
5,076 |
$0.00 |
| 92134 |
|
113 |
85 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
703 |
559 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
372 |
127 |
$0.00 |
| 3077F |
|
167 |
74 |
$0.00 |
| 92341 |
|
157 |
141 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
173 |
$0.00 |
| 90785 |
|
195 |
57 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
46 |
43 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
98 |
66 |
$0.00 |
| 83655 |
|
31 |
25 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
24 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
38 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
17 |
15 |
$0.00 |
| 87210 |
|
29 |
17 |
$0.00 |
| 80061 |
Lipid panel |
32 |
26 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
14 |
$0.00 |