| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
141,769 |
96,606 |
$17.33M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,331 |
62,583 |
$1.45M |
| D0999 |
Unspecified diagnostic procedure, by report |
2,931 |
2,547 |
$638K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,168 |
24,858 |
$604K |
| 90832 |
Psychotherapy, 30 minutes with patient |
24,475 |
12,086 |
$482K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18,582 |
11,305 |
$340K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,152 |
4,940 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,487 |
2,006 |
$48K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,089 |
1,009 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,320 |
1,034 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,495 |
1,310 |
$27K |
| 90837 |
Psychotherapy, 53 minutes with patient |
950 |
603 |
$19K |
| D1110 |
Prophylaxis - adult |
1,393 |
1,335 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
618 |
437 |
$15K |
| H0031 |
Mental health assessment, by non-physician |
905 |
750 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
887 |
740 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
627 |
592 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
851 |
832 |
$10K |
| 76801 |
|
159 |
138 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
1,041 |
991 |
$8K |
| 99215 |
Prolong outpt/office vis |
283 |
225 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
83 |
72 |
$7K |
| 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 |
1,185 |
1,024 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
129 |
67 |
$6K |
| D7140 |
Extraction, erupted tooth or exposed root |
951 |
455 |
$5K |
| 76830 |
Ultrasound, transvaginal |
73 |
71 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
58 |
51 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
232 |
203 |
$4K |
| D0274 |
Bitewings - four radiographic images |
922 |
881 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
338 |
319 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
251 |
220 |
$4K |
| D9999 |
Unspecified adjunctive procedure, by report |
14 |
14 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
364 |
185 |
$3K |
| 59025 |
Fetal non-stress test |
116 |
63 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
801 |
740 |
$2K |
| D1120 |
Prophylaxis - child |
256 |
237 |
$2K |
| 59430 |
|
17 |
17 |
$2K |
| 90686 |
|
276 |
275 |
$2K |
| D1206 |
Topical application of fluoride varnish |
445 |
412 |
$1K |
| 81002 |
|
691 |
621 |
$1K |
| 99234 |
|
20 |
17 |
$995.04 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
16 |
$755.79 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$717.70 |
| 3044F |
|
36 |
29 |
$610.09 |
| D0330 |
Panoramic radiographic image |
188 |
183 |
$602.16 |
| 99442 |
|
46 |
31 |
$480.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
55 |
54 |
$436.48 |
| 4004F |
|
14 |
13 |
$413.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$383.58 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
243 |
233 |
$316.20 |
| 81025 |
|
37 |
37 |
$209.25 |
| 99188 |
|
13 |
12 |
$169.50 |
| 80305 |
|
20 |
13 |
$157.55 |
| 99490 |
Ccm add 20min |
25 |
24 |
$147.76 |
| D0140 |
Limited oral evaluation - problem focused |
66 |
58 |
$112.90 |
| 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 |
300 |
296 |
$71.71 |
| 97802 |
|
392 |
380 |
$63.61 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
56 |
55 |
$58.72 |
| 96158 |
|
35 |
27 |
$21.21 |
| D0220 |
Intraoral - periapical first radiographic image |
61 |
55 |
$15.00 |
| 99406 |
|
108 |
98 |
$0.74 |
| 3074F |
|
12 |
12 |
$0.09 |
| 90734 |
|
18 |
18 |
$0.04 |
| 90715 |
|
14 |
14 |
$0.03 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
13 |
13 |
$0.00 |
| 99496 |
|
122 |
116 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
45 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
25 |
23 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
34 |
32 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,900 |
1,765 |
$0.00 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
17 |
16 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
40 |
39 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
39 |
39 |
$0.00 |
| 90836 |
|
149 |
95 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
31 |
31 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
44 |
30 |
$0.00 |