| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,052 |
18,586 |
$2.96M |
| H2020 |
Therapeutic behavioral services, per diem |
6,280 |
3,535 |
$780K |
| D0999 |
Unspecified diagnostic procedure, by report |
2,266 |
1,917 |
$319K |
| D1110 |
Prophylaxis - adult |
522 |
502 |
$324.01 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,729 |
7,591 |
$84.51 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
84 |
$71.16 |
| 92552 |
|
168 |
133 |
$32.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
461 |
416 |
$10.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,167 |
2,679 |
$9.66 |
| 81001 |
|
78 |
66 |
$6.32 |
| 96127 |
|
568 |
374 |
$6.22 |
| 99173 |
|
430 |
349 |
$3.82 |
| 82962 |
|
3,431 |
2,923 |
$2.70 |
| 36416 |
|
2,032 |
1,745 |
$2.53 |
| 36415 |
Collection of venous blood by venipuncture |
3,047 |
2,640 |
$2.15 |
| 90674 |
|
423 |
383 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,921 |
6,131 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
207 |
178 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,915 |
1,891 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
716 |
618 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
346 |
331 |
$0.00 |
| 90697 |
|
59 |
54 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
145 |
141 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
366 |
350 |
$0.00 |
| 99381 |
|
28 |
28 |
$0.00 |
| 92551 |
|
210 |
172 |
$0.00 |
| 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 |
97 |
77 |
$0.00 |
| 90680 |
|
145 |
135 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
43 |
42 |
$0.00 |
| 90651 |
|
17 |
13 |
$0.00 |
| 99385 |
|
27 |
25 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
49 |
$0.00 |
| 90619 |
|
21 |
18 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
333 |
297 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,570 |
1,349 |
$0.00 |
| 11056 |
|
660 |
601 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
104 |
97 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,032 |
641 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
152 |
140 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
83 |
$0.00 |
| 11721 |
|
930 |
856 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
679 |
569 |
$0.00 |
| 81003 |
|
49 |
41 |
$0.00 |
| 96160 |
|
43 |
35 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
101 |
$0.00 |
| 90671 |
|
223 |
199 |
$0.00 |
| 90461 |
|
308 |
272 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
342 |
296 |
$0.00 |
| 90715 |
|
156 |
139 |
$0.00 |
| 81025 |
|
23 |
17 |
$0.00 |
| 99382 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 11720 |
|
17 |
12 |
$0.00 |
| 2028F |
|
18 |
12 |
$0.00 |
| 90661 |
|
46 |
39 |
$0.00 |