| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,255 |
21,355 |
$6.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,059 |
11,000 |
$602K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,245 |
1,121 |
$314K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,459 |
3,128 |
$180K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,437 |
860 |
$86K |
| 90837 |
Psychotherapy, 53 minutes with patient |
882 |
555 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,224 |
1,105 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,548 |
1,369 |
$79K |
| 90791 |
Psychiatric diagnostic evaluation |
789 |
744 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
965 |
911 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
865 |
810 |
$65K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,185 |
798 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,204 |
2,803 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
559 |
501 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
299 |
279 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
530 |
511 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
996 |
963 |
$15K |
| 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 |
431 |
390 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,669 |
1,569 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
943 |
899 |
$11K |
| 99384 |
|
113 |
108 |
$9K |
| 90461 |
|
2,104 |
1,496 |
$7K |
| 99383 |
|
39 |
39 |
$3K |
| 81025 |
|
632 |
576 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
413 |
388 |
$3K |
| 81003 |
|
2,113 |
1,661 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
46 |
$3K |
| 90651 |
|
613 |
550 |
$2K |
| 90686 |
|
721 |
661 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
49 |
45 |
$921.19 |
| D1110 |
Prophylaxis - adult |
138 |
134 |
$640.34 |
| 87807 |
|
76 |
65 |
$400.00 |
| D0274 |
Bitewings - four radiographic images |
173 |
166 |
$371.75 |
| D0120 |
Periodic oral evaluation - established patient |
422 |
407 |
$337.82 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
337 |
210 |
$153.51 |
| D0220 |
Intraoral - periapical first radiographic image |
95 |
92 |
$145.90 |
| 90715 |
|
220 |
216 |
$109.91 |
| 90734 |
|
250 |
246 |
$52.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
62 |
59 |
$43.36 |
| 99000 |
|
351 |
330 |
$43.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
91 |
$34.04 |
| D0272 |
Bitewings - two radiographic images |
41 |
39 |
$24.00 |
| 85018 |
|
99 |
97 |
$3.98 |
| 90670 |
|
451 |
431 |
$0.00 |
| 90710 |
|
108 |
100 |
$0.00 |
| D1120 |
Prophylaxis - child |
79 |
76 |
$0.00 |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$0.00 |
| 99490 |
Ccm add 20min |
91 |
88 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90671 |
|
49 |
34 |
$0.00 |
| 90680 |
|
62 |
55 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,904 |
2,699 |
$0.00 |
| D0603 |
|
278 |
268 |
$0.00 |
| 90634 |
|
192 |
178 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
218 |
211 |
$0.00 |
| D0602 |
|
72 |
66 |
$0.00 |
| 90696 |
|
41 |
36 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 90697 |
|
16 |
12 |
$0.00 |