| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
57,394 |
42,291 |
$6.74M |
| H2020 |
Therapeutic behavioral services, per diem |
36,057 |
24,321 |
$3.76M |
| D0999 |
Unspecified diagnostic procedure, by report |
6,191 |
4,587 |
$583K |
| 99051 |
|
992 |
760 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,935 |
43,466 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
12,064 |
9,290 |
$210.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,661 |
1,262 |
$112.05 |
| 90791 |
Psychiatric diagnostic evaluation |
1,754 |
1,285 |
$102.85 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,838 |
1,498 |
$94.74 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,059 |
743 |
$56.16 |
| D0140 |
Limited oral evaluation - problem focused |
441 |
372 |
$42.21 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,669 |
2,137 |
$36.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,829 |
4,463 |
$19.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
317 |
265 |
$10.76 |
| 82962 |
|
5,080 |
3,796 |
$8.10 |
| 36415 |
Collection of venous blood by venipuncture |
5,738 |
4,461 |
$6.02 |
| 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 |
3,217 |
2,281 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,179 |
12,013 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,798 |
2,046 |
$0.00 |
| D0603 |
|
223 |
170 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
503 |
415 |
$0.00 |
| 85018 |
|
368 |
284 |
$0.00 |
| D1330 |
|
68 |
51 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
699 |
627 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,845 |
1,320 |
$0.00 |
| 90686 |
|
87 |
79 |
$0.00 |
| 87807 |
|
1,152 |
914 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
1,044 |
547 |
$0.00 |
| 90697 |
|
412 |
311 |
$0.00 |
| 90680 |
|
567 |
456 |
$0.00 |
| 87276 |
|
329 |
296 |
$0.00 |
| 90698 |
|
345 |
320 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
364 |
328 |
$0.00 |
| 4000F |
|
29 |
24 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
321 |
271 |
$0.00 |
| 90744 |
|
75 |
71 |
$0.00 |
| 97802 |
|
808 |
651 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
19 |
15 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
439 |
342 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
96 |
79 |
$0.00 |
| D0602 |
|
35 |
17 |
$0.00 |
| D0601 |
|
26 |
26 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
39 |
27 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
27 |
23 |
$0.00 |
| 81001 |
|
84 |
58 |
$0.00 |
| 86769 |
|
53 |
43 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
91 |
68 |
$0.00 |
| 90716 |
|
16 |
12 |
$0.00 |
| 90688 |
|
13 |
12 |
$0.00 |
| 99381 |
|
26 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,673 |
1,378 |
$0.00 |
| D0330 |
Panoramic radiographic image |
1,646 |
1,346 |
$0.00 |
| 90473 |
|
89 |
85 |
$0.00 |
| 90671 |
|
357 |
286 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
681 |
592 |
$0.00 |
| 90461 |
|
1,532 |
1,244 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,987 |
1,515 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,220 |
2,550 |
$0.00 |
| D1110 |
Prophylaxis - adult |
533 |
442 |
$0.00 |
| 90670 |
|
777 |
647 |
$0.00 |
| 83655 |
|
44 |
29 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,440 |
1,024 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
305 |
267 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,047 |
1,607 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
2,045 |
1,744 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,480 |
1,288 |
$0.00 |
| 90863 |
|
2,949 |
2,229 |
$0.00 |
| D0270 |
|
294 |
244 |
$0.00 |
| 81003 |
|
266 |
214 |
$0.00 |
| 90633 |
|
314 |
271 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
383 |
312 |
$0.00 |
| 82948 |
|
986 |
754 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
422 |
383 |
$0.00 |
| 82947 |
|
949 |
846 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
45 |
39 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
13 |
$0.00 |
| 90658 |
|
48 |
42 |
$0.00 |
| 87275 |
|
360 |
322 |
$0.00 |
| 90715 |
|
32 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
58 |
$0.00 |
| 90734 |
|
18 |
16 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
20 |
13 |
$0.00 |