| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
391,817 |
299,913 |
$49.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151,163 |
125,485 |
$732K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
9,302 |
6,190 |
$406K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
6,035 |
5,594 |
$384K |
| 99442 |
|
43,089 |
34,553 |
$94K |
| 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 |
20,433 |
16,559 |
$79K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,638 |
7,828 |
$54K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
3,496 |
1,646 |
$48K |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,603 |
5,634 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,931 |
7,984 |
$41K |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,138 |
6,400 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,759 |
7,523 |
$26K |
| 99443 |
|
7,865 |
6,630 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
543 |
372 |
$18K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
156 |
65 |
$10K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
139 |
128 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,094 |
1,023 |
$3K |
| 97803 |
|
2,428 |
2,120 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
2,237 |
1,815 |
$3K |
| 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 |
332 |
245 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,158 |
1,074 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
452 |
374 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,142 |
1,078 |
$912.07 |
| 11721 |
|
9,639 |
9,096 |
$910.33 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,018 |
1,878 |
$890.61 |
| 98968 |
|
588 |
333 |
$847.66 |
| 99441 |
|
760 |
652 |
$678.70 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
171 |
169 |
$587.67 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,982 |
1,984 |
$443.49 |
| 97802 |
|
847 |
758 |
$339.85 |
| 98967 |
|
272 |
186 |
$323.52 |
| 96127 |
|
12,950 |
12,105 |
$192.72 |
| 11720 |
|
2,293 |
2,137 |
$186.83 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
11,367 |
4,619 |
$148.56 |
| D0140 |
Limited oral evaluation - problem focused |
10,383 |
8,394 |
$144.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
524 |
429 |
$122.62 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
470 |
432 |
$79.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,466 |
1,405 |
$35.41 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
318 |
312 |
$30.62 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,739 |
1,625 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,800 |
5,484 |
$0.00 |
| D1120 |
Prophylaxis - child |
11,520 |
9,756 |
$0.00 |
| 90671 |
|
260 |
244 |
$0.00 |
| 99173 |
|
12,153 |
11,424 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,973 |
4,463 |
$0.00 |
| D1110 |
Prophylaxis - adult |
16,534 |
13,867 |
$0.00 |
| 86689 |
|
510 |
485 |
$0.00 |
| 81003 |
|
5,852 |
4,749 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,151 |
14,841 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
14,463 |
11,073 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15,390 |
10,818 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
281 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,627 |
3,431 |
$0.00 |
| 90670 |
|
3,048 |
2,817 |
$0.00 |
| 0071A |
|
123 |
119 |
$0.00 |
| 81025 |
|
2,776 |
2,541 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
698 |
499 |
$0.00 |
| D0330 |
Panoramic radiographic image |
757 |
574 |
$0.00 |
| 90461 |
|
9,058 |
8,407 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
595 |
418 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
175 |
161 |
$0.00 |
| V2020 |
Frames, purchases |
722 |
559 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,376 |
6,055 |
$0.00 |
| 92015 |
Determination of refractive state |
2,822 |
2,665 |
$0.00 |
| 90681 |
|
807 |
728 |
$0.00 |
| 90633 |
|
1,638 |
1,542 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
202 |
$0.00 |
| 90734 |
|
588 |
547 |
$0.00 |
| D2140 |
|
41 |
30 |
$0.00 |
| 87631 |
|
15 |
14 |
$0.00 |
| 90648 |
|
92 |
88 |
$0.00 |
| 90710 |
|
309 |
288 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
74 |
$0.00 |
| 90655 |
|
131 |
124 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
193 |
185 |
$0.00 |
| 11056 |
|
246 |
230 |
$0.00 |
| 91300 |
|
55 |
54 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
38 |
28 |
$0.00 |
| 90700 |
|
64 |
62 |
$0.00 |
| D0270 |
|
17 |
16 |
$0.00 |
| 90715 |
|
207 |
184 |
$0.00 |
| 96160 |
|
146 |
135 |
$0.00 |
| 92553 |
|
17 |
15 |
$0.00 |
| 4004F |
|
51 |
49 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 87634 |
|
13 |
12 |
$0.00 |
| 59425 |
|
40 |
33 |
$0.00 |
| 92341 |
|
31 |
16 |
$0.00 |
| 90661 |
|
37 |
37 |
$0.00 |
| 99382 |
|
15 |
12 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
12 |
$0.00 |
| 97035 |
|
1,473 |
723 |
$0.00 |
| 92551 |
|
11,203 |
10,518 |
$0.00 |
| 90686 |
|
8,724 |
8,206 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
10,219 |
8,694 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
543 |
525 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
17,439 |
13,692 |
$0.00 |
| 90651 |
|
1,129 |
1,060 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
11,781 |
5,576 |
$0.00 |
| 97014 |
|
8,098 |
3,293 |
$0.00 |
| 97010 |
|
3,163 |
1,340 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,407 |
2,563 |
$0.00 |
| 11055 |
|
793 |
765 |
$0.00 |
| 90677 |
|
225 |
221 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
732 |
318 |
$0.00 |
| 91301 |
|
720 |
676 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,016 |
772 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,360 |
1,004 |
$0.00 |
| D1351 |
Sealant - per tooth |
1,445 |
381 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
966 |
737 |
$0.00 |
| 99406 |
|
291 |
269 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,532 |
10,889 |
$0.00 |
| 90656 |
|
623 |
584 |
$0.00 |
| 0011A |
|
514 |
478 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
102 |
99 |
$0.00 |
| 90698 |
|
2,305 |
2,118 |
$0.00 |
| 93000 |
|
279 |
263 |
$0.00 |
| 90674 |
|
949 |
899 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,655 |
2,492 |
$0.00 |
| 99381 |
|
67 |
48 |
$0.00 |
| 90744 |
|
969 |
893 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
3,847 |
1,655 |
$0.00 |
| 90697 |
|
75 |
73 |
$0.00 |
| D5899 |
|
894 |
594 |
$0.00 |
| 85018 |
|
170 |
161 |
$0.00 |
| 0072A |
|
150 |
144 |
$0.00 |
| D0603 |
|
32 |
29 |
$0.00 |
| D1330 |
|
161 |
149 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
577 |
528 |
$0.00 |
| 91307 |
|
390 |
367 |
$0.00 |
| 91303 |
|
47 |
40 |
$0.00 |
| D2331 |
|
20 |
15 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
748 |
301 |
$0.00 |
| D0602 |
|
13 |
13 |
$0.00 |
| 99407 |
|
243 |
222 |
$0.00 |
| 90474 |
|
110 |
100 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
72 |
66 |
$0.00 |
| 0012A |
|
332 |
298 |
$0.00 |
| 90619 |
|
48 |
40 |
$0.00 |
| 99241 |
|
29 |
28 |
$0.00 |
| 99385 |
|
18 |
18 |
$0.00 |
| 90696 |
|
28 |
26 |
$0.00 |
| 36416 |
|
32 |
28 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
42 |
24 |
$0.00 |
| 0031A |
|
51 |
40 |
$0.00 |
| D2330 |
|
16 |
12 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
19 |
14 |
$0.00 |
| 29540 |
|
28 |
27 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |