| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,845 |
6,265 |
$2.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,848 |
4,796 |
$1.69M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,157 |
1,001 |
$592K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,560 |
725 |
$556K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,439 |
943 |
$525K |
| H0006 |
Alcohol and/or drug services; case management |
1,512 |
720 |
$373K |
| 98968 |
|
872 |
354 |
$223K |
| D0140 |
Limited oral evaluation - problem focused |
491 |
433 |
$210K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
375 |
363 |
$207K |
| 90832 |
Psychotherapy, 30 minutes with patient |
889 |
461 |
$195K |
| 98967 |
|
696 |
361 |
$194K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
843 |
684 |
$147K |
| H0032 |
Mental health service plan development by non-physician |
466 |
455 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
357 |
314 |
$136K |
| D0120 |
Periodic oral evaluation - established patient |
335 |
312 |
$120K |
| D1120 |
Prophylaxis - child |
305 |
275 |
$98K |
| 90834 |
Psychotherapy, 45 minutes with patient |
314 |
184 |
$86K |
| 90837 |
Psychotherapy, 53 minutes with patient |
286 |
113 |
$73K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
472 |
79 |
$70K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
157 |
140 |
$60K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
719 |
671 |
$32K |
| 98966 |
|
89 |
56 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
51 |
49 |
$22K |
| D1110 |
Prophylaxis - adult |
53 |
52 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
39 |
39 |
$16K |
| D1354 |
|
14 |
13 |
$10K |
| H0038 |
Self-help/peer services, per 15 minutes |
27 |
15 |
$8K |
| 99215 |
Prolong outpt/office vis |
31 |
25 |
$8K |
| G0659 |
Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes |
213 |
128 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
14 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
12 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$3K |
| 90686 |
|
177 |
171 |
$2K |
| T1016 |
Case management, each 15 minutes |
69 |
40 |
$2K |
| 92015 |
Determination of refractive state |
93 |
91 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
182 |
50 |
$2K |
| D1351 |
Sealant - per tooth |
30 |
12 |
$1K |
| 0064A |
|
14 |
14 |
$480.14 |
| S0215 |
Non-emergency transportation; mileage, per mile |
49 |
26 |
$458.70 |
| 90480 |
|
12 |
12 |
$166.52 |
| D1206 |
Topical application of fluoride varnish |
118 |
101 |
$142.70 |
| 90863 |
|
16 |
12 |
$118.17 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
13 |
$12.60 |
| 91306 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 0011A |
|
14 |
14 |
$0.00 |