| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118,318 |
94,350 |
$4.40M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
167,257 |
15,611 |
$3.19M |
| 90832 |
Psychotherapy, 30 minutes with patient |
37,490 |
24,998 |
$2.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91,660 |
77,459 |
$2.28M |
| 90837 |
Psychotherapy, 53 minutes with patient |
9,444 |
5,643 |
$1.16M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
15,818 |
12,494 |
$935K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,960 |
3,453 |
$438K |
| D0191 |
|
40,224 |
39,617 |
$340K |
| H0038 |
Self-help/peer services, per 15 minutes |
8,614 |
4,067 |
$315K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
9,003 |
4,242 |
$311K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,969 |
3,888 |
$273K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,873 |
2,398 |
$272K |
| H2014 |
Skills training and development, per 15 minutes |
6,097 |
3,345 |
$248K |
| 99215 |
Prolong outpt/office vis |
9,609 |
8,091 |
$236K |
| D1206 |
Topical application of fluoride varnish |
40,850 |
40,261 |
$234K |
| T1016 |
Case management, each 15 minutes |
5,000 |
2,532 |
$219K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
20,280 |
13,320 |
$218K |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
8,790 |
4,834 |
$216K |
| 97810 |
|
8,841 |
4,548 |
$205K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,818 |
13,443 |
$187K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,356 |
2,319 |
$176K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,811 |
2,287 |
$172K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,169 |
2,125 |
$151K |
| 90686 |
|
7,138 |
6,993 |
$137K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
1,486 |
1,454 |
$137K |
| 90688 |
|
8,653 |
8,121 |
$108K |
| 90791 |
Psychiatric diagnostic evaluation |
954 |
906 |
$106K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
632 |
364 |
$90K |
| H2010 |
Comprehensive medication services, per 15 minutes |
3,255 |
2,568 |
$89K |
| 96127 |
|
28,034 |
25,795 |
$76K |
| 99443 |
|
2,139 |
1,905 |
$65K |
| D1351 |
Sealant - per tooth |
7,840 |
2,740 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,458 |
1,309 |
$60K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
389 |
345 |
$52K |
| 98968 |
|
1,256 |
878 |
$51K |
| 97811 |
|
2,864 |
1,656 |
$50K |
| 0012A |
|
1,715 |
1,694 |
$44K |
| 0011A |
|
1,662 |
1,641 |
$43K |
| 99442 |
|
4,233 |
4,005 |
$42K |
| 91322 |
|
604 |
572 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
633 |
585 |
$40K |
| 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 |
52,436 |
28,072 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,480 |
2,330 |
$31K |
| D1330 |
|
15,240 |
14,917 |
$30K |
| 90882 |
|
472 |
214 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
640 |
551 |
$27K |
| 90651 |
|
741 |
731 |
$18K |
| 90715 |
|
650 |
642 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,734 |
1,476 |
$17K |
| 0134A |
|
566 |
557 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
434 |
419 |
$15K |
| 90746 |
|
358 |
352 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,439 |
3,084 |
$15K |
| H0031 |
Mental health assessment, by non-physician |
113 |
112 |
$14K |
| 90480 |
|
745 |
713 |
$14K |
| 92551 |
|
2,584 |
2,548 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,339 |
2,027 |
$12K |
| 0064A |
|
322 |
317 |
$10K |
| 99385 |
|
124 |
110 |
$10K |
| 99173 |
|
4,187 |
4,133 |
$9K |
| 98967 |
|
408 |
274 |
$9K |
| 80305 |
|
1,546 |
1,381 |
$9K |
| 90633 |
|
325 |
320 |
$7K |
| 96160 |
|
3,031 |
2,652 |
$7K |
| 90677 |
|
37 |
35 |
$7K |
| 99383 |
|
85 |
84 |
$7K |
| 99441 |
|
1,054 |
982 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
753 |
618 |
$6K |
| 36416 |
|
7,906 |
6,808 |
$6K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
2,365 |
992 |
$6K |
| 90734 |
|
225 |
224 |
$5K |
| H0006 |
Alcohol and/or drug services; case management |
156 |
87 |
$5K |
| 90670 |
|
227 |
226 |
$5K |
| 90648 |
|
186 |
186 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
240 |
163 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
51 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
428 |
411 |
$3K |
| 99406 |
|
448 |
428 |
$3K |
| 0001A |
|
115 |
114 |
$3K |
| 0002A |
|
132 |
120 |
$3K |
| 99606 |
|
221 |
175 |
$3K |
| 85018 |
|
1,552 |
1,518 |
$3K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
116 |
62 |
$2K |
| 99205 |
Prolong outpt/office vis |
133 |
114 |
$2K |
| 90710 |
|
104 |
102 |
$2K |
| 90707 |
|
57 |
57 |
$2K |
| 90732 |
|
25 |
25 |
$2K |
| 90662 |
|
96 |
79 |
$2K |
| 86701 |
|
306 |
274 |
$2K |
| 99607 |
|
399 |
234 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
830 |
749 |
$1K |
| 90723 |
|
62 |
62 |
$1K |
| 90696 |
|
68 |
67 |
$1K |
| 83655 |
|
164 |
162 |
$1K |
| H0032 |
Mental health service plan development by non-physician |
12 |
12 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 98960 |
|
147 |
118 |
$1K |
| 82962 |
|
761 |
659 |
$979.21 |
| 0071A |
|
30 |
30 |
$972.00 |
| 90716 |
|
29 |
29 |
$922.37 |
| 90658 |
|
59 |
58 |
$910.72 |
| 99417 |
Prolong home eval add 15m |
43 |
42 |
$893.10 |
| 97813 |
|
36 |
24 |
$860.20 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
133 |
124 |
$847.13 |
| 86580 |
|
51 |
49 |
$811.83 |
| 91321 |
|
44 |
44 |
$718.00 |
| 90744 |
|
31 |
30 |
$625.48 |
| 86592 |
|
211 |
194 |
$587.75 |
| 90656 |
|
29 |
29 |
$558.48 |
| G0008 |
Administration of influenza virus vaccine |
634 |
446 |
$495.68 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
6,883 |
3,928 |
$493.15 |
| 90713 |
|
24 |
24 |
$471.60 |
| 81025 |
|
88 |
86 |
$455.54 |
| 0124A |
|
19 |
17 |
$450.00 |
| 0004A |
|
12 |
12 |
$408.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$366.40 |
| D0145 |
Oral evaluation for a patient under three years of age |
173 |
159 |
$343.00 |
| 90680 |
|
12 |
12 |
$241.52 |
| 81003 |
|
133 |
117 |
$229.66 |
| 98966 |
|
20 |
12 |
$229.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
115 |
105 |
$198.38 |
| 85610 |
|
71 |
26 |
$175.27 |
| 90671 |
|
13 |
13 |
$138.32 |
| 99605 |
|
13 |
13 |
$126.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
120 |
112 |
$78.75 |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
416 |
126 |
$22.42 |
| 3017F |
|
30 |
28 |
$0.00 |
| D1355 |
|
49 |
12 |
$0.00 |
| 91307 |
|
67 |
64 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38 |
38 |
$0.00 |