| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,060 |
11,440 |
$10.93M |
| 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 |
2,072 |
1,196 |
$613K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,099 |
6,761 |
$278K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,525 |
1,423 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,189 |
1,866 |
$77K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,530 |
908 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
989 |
833 |
$34K |
| 90832 |
Psychotherapy, 30 minutes with patient |
253 |
188 |
$10K |
| D1330 |
|
854 |
665 |
$5K |
| 80305 |
|
1,434 |
969 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
497 |
486 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
113 |
102 |
$3K |
| 0002A |
|
108 |
105 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
108 |
102 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
89 |
85 |
$2K |
| 0001A |
|
95 |
95 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
159 |
147 |
$2K |
| 0012A |
|
55 |
54 |
$2K |
| 0071A |
|
43 |
43 |
$2K |
| 0072A |
|
43 |
43 |
$2K |
| D1110 |
Prophylaxis - adult |
119 |
97 |
$1K |
| 99215 |
Prolong outpt/office vis |
228 |
204 |
$1K |
| 0011A |
|
61 |
59 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
483 |
460 |
$946.30 |
| D1120 |
Prophylaxis - child |
505 |
424 |
$703.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$654.00 |
| 90791 |
Psychiatric diagnostic evaluation |
18 |
17 |
$610.46 |
| 99000 |
|
161 |
150 |
$586.04 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
22 |
15 |
$519.00 |
| D0140 |
Limited oral evaluation - problem focused |
96 |
92 |
$516.00 |
| 0064A |
|
14 |
14 |
$447.48 |
| 0003A |
|
12 |
12 |
$410.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
342 |
319 |
$360.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
360 |
339 |
$327.88 |
| 90686 |
|
40 |
39 |
$126.20 |
| D1206 |
Topical application of fluoride varnish |
790 |
643 |
$0.00 |
| 36416 |
|
134 |
117 |
$0.00 |
| 99441 |
|
32 |
28 |
$0.00 |
| 91301 |
|
126 |
119 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$0.00 |
| D1310 |
|
165 |
153 |
$0.00 |
| 82962 |
|
91 |
81 |
$0.00 |
| 96127 |
|
259 |
231 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
125 |
124 |
$0.00 |
| 91307 |
|
92 |
89 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 97124 |
|
37 |
28 |
$0.00 |
| 90674 |
|
52 |
51 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| 92227 |
|
13 |
13 |
$0.00 |
| D1351 |
Sealant - per tooth |
19 |
17 |
$0.00 |
| 81003 |
|
136 |
130 |
$0.00 |
| 80061 |
Lipid panel |
40 |
40 |
$0.00 |
| 91300 |
|
293 |
273 |
$0.00 |
| 99442 |
|
64 |
56 |
$0.00 |
| D0330 |
Panoramic radiographic image |
45 |
42 |
$0.00 |
| 98940 |
|
108 |
74 |
$0.00 |
| 81025 |
|
15 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
18 |
18 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
104 |
36 |
$0.00 |