| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,709 |
12,046 |
$2.05M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
8,423 |
1,408 |
$1.91M |
| D0999 |
Unspecified diagnostic procedure, by report |
8,356 |
6,801 |
$1.61M |
| H2015 |
Comprehensive community support services, per 15 minutes |
8,110 |
3,133 |
$1.39M |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,910 |
6,478 |
$1.30M |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,007 |
3,270 |
$620K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,381 |
4,764 |
$580K |
| 99215 |
Prolong outpt/office vis |
3,338 |
3,138 |
$480K |
| 90791 |
Psychiatric diagnostic evaluation |
2,156 |
2,128 |
$347K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,783 |
1,629 |
$297K |
| 1000F |
|
4,071 |
3,428 |
$99K |
| 1126F |
|
6,383 |
5,300 |
$63K |
| 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 |
3,444 |
2,968 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
211 |
192 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
196 |
196 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
132 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
129 |
$23K |
| 1125F |
|
988 |
905 |
$10K |
| 1220F |
|
1,904 |
1,692 |
$9K |
| 1159F |
|
5,956 |
4,931 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
24 |
13 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
13 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
325 |
320 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
185 |
$540.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
868 |
867 |
$395.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
401 |
393 |
$391.41 |
| 3044F |
|
527 |
469 |
$388.78 |
| 2000F |
|
5,850 |
5,011 |
$385.66 |
| 90461 |
|
486 |
479 |
$383.91 |
| 2001F |
|
6,988 |
5,820 |
$191.31 |
| 3008F |
|
6,082 |
5,180 |
$183.91 |
| 3078F |
|
3,962 |
3,433 |
$183.64 |
| 3077F |
|
477 |
457 |
$183.45 |
| 90686 |
|
308 |
298 |
$165.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
62 |
$136.12 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
37 |
$86.69 |
| 1170F |
|
130 |
130 |
$40.56 |
| 1101F |
|
15 |
15 |
$22.17 |
| 1160F |
|
5,950 |
4,926 |
$0.46 |
| 3074F |
|
4,588 |
3,919 |
$0.34 |
| 3079F |
|
1,529 |
1,436 |
$0.16 |
| 4000F |
|
2,575 |
2,286 |
$0.12 |
| 3080F |
|
319 |
310 |
$0.11 |
| 3075F |
|
589 |
567 |
$0.08 |
| D0274 |
Bitewings - four radiographic images |
615 |
613 |
$0.00 |
| D1120 |
Prophylaxis - child |
389 |
389 |
$0.00 |
| 3210F |
|
185 |
154 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,339 |
1,312 |
$0.00 |
| D0330 |
Panoramic radiographic image |
74 |
74 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
30 |
24 |
$0.00 |
| D1110 |
Prophylaxis - adult |
143 |
143 |
$0.00 |
| 3288F |
|
64 |
63 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
215 |
215 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
831 |
815 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
741 |
703 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
154 |
154 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
382 |
380 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
177 |
177 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
73 |
73 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
115 |
113 |
$0.00 |
| 90656 |
|
40 |
37 |
$0.00 |