| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Foster care, therapeutic, child; per diem |
46,219 |
1,816 |
$5.40M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
25,706 |
2,775 |
$1.56M |
| H1000 |
Prenatal care, at-risk assessment |
16,522 |
12,829 |
$1.37M |
| T1015 |
Clinic visit/encounter, all-inclusive |
27,175 |
23,030 |
$1.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,908 |
23,295 |
$620K |
| H0032 |
Mental health service plan development by non-physician |
10,141 |
8,917 |
$469K |
| T1017 |
Targeted case management, each 15 minutes |
12,368 |
3,743 |
$428K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
10,033 |
6,679 |
$362K |
| H0031 |
Mental health assessment, by non-physician |
12,761 |
10,474 |
$299K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,960 |
9,534 |
$275K |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,584 |
1,407 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,131 |
3,854 |
$213K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,833 |
3,627 |
$206K |
| 59410 |
|
256 |
192 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,217 |
1,160 |
$73K |
| D0210 |
Intraoral - complete series of radiographic images |
2,462 |
2,391 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,191 |
1,020 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
626 |
567 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,232 |
12,175 |
$31K |
| 90671 |
|
554 |
504 |
$28K |
| D1110 |
Prophylaxis - adult |
1,845 |
1,770 |
$27K |
| 59430 |
|
542 |
466 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,519 |
3,373 |
$24K |
| 90670 |
|
2,106 |
1,959 |
$21K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
975 |
766 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,479 |
5,947 |
$20K |
| D1330 |
|
1,180 |
1,115 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
331 |
277 |
$17K |
| 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 |
6,635 |
4,707 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
199 |
199 |
$15K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
963 |
397 |
$15K |
| H0046 |
Mental health services, not otherwise specified |
627 |
309 |
$15K |
| 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 |
3,539 |
2,372 |
$14K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
323 |
272 |
$11K |
| D7140 |
Extraction, erupted tooth or exposed root |
555 |
349 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
176 |
145 |
$11K |
| D1120 |
Prophylaxis - child |
825 |
791 |
$10K |
| 2001F |
|
57,766 |
47,758 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
924 |
769 |
$9K |
| D4355 |
|
426 |
398 |
$8K |
| D0330 |
Panoramic radiographic image |
375 |
369 |
$8K |
| H0001 |
Alcohol and/or drug assessment |
316 |
304 |
$8K |
| 99442 |
|
1,174 |
1,077 |
$7K |
| 99381 |
|
82 |
77 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
213 |
166 |
$7K |
| 99401 |
|
689 |
587 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
588 |
569 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
88 |
80 |
$6K |
| 0012A |
|
179 |
173 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
116 |
105 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
745 |
640 |
$4K |
| D1351 |
Sealant - per tooth |
286 |
122 |
$4K |
| 0011A |
|
175 |
168 |
$4K |
| 1126F |
|
35,410 |
29,716 |
$3K |
| 90686 |
|
3,754 |
3,547 |
$3K |
| 3074F |
|
23,378 |
18,773 |
$3K |
| 90651 |
|
217 |
187 |
$3K |
| 3008F |
|
51,572 |
42,801 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
6,490 |
5,195 |
$3K |
| 99441 |
|
706 |
663 |
$3K |
| D0274 |
Bitewings - four radiographic images |
132 |
127 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
53 |
43 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
449 |
353 |
$2K |
| 0031A |
|
55 |
53 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
14 |
$1K |
| 90710 |
|
177 |
152 |
$1K |
| 76818 |
|
72 |
51 |
$1K |
| S9485 |
Crisis intervention mental health services, per diem |
91 |
26 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
72 |
$977.41 |
| D0220 |
Intraoral - periapical first radiographic image |
2,152 |
1,964 |
$963.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
95 |
88 |
$935.04 |
| D1206 |
Topical application of fluoride varnish |
242 |
232 |
$921.63 |
| 1157F |
|
2,455 |
808 |
$903.08 |
| 90474 |
|
489 |
450 |
$900.00 |
| D4346 |
|
87 |
78 |
$834.66 |
| D1208 |
Topical application of fluoride, excluding varnish |
648 |
624 |
$825.15 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
18 |
14 |
$779.24 |
| 0001A |
|
30 |
29 |
$769.60 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
545 |
374 |
$766.48 |
| 1036F |
|
8,979 |
7,455 |
$761.03 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
25 |
$649.47 |
| 0002A |
|
23 |
20 |
$646.40 |
| 90633 |
|
794 |
733 |
$613.54 |
| 97802 |
|
298 |
199 |
$563.00 |
| 3078F |
|
21,238 |
16,753 |
$550.16 |
| 86703 |
|
206 |
117 |
$501.06 |
| 90715 |
|
179 |
168 |
$481.75 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
14 |
$459.90 |
| 1220F |
|
40,799 |
33,656 |
$432.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
504 |
241 |
$414.16 |
| 0072A |
|
15 |
15 |
$361.60 |
| 3351F |
|
3,473 |
3,036 |
$349.00 |
| S9083 |
Global fee urgent care centers |
15 |
14 |
$270.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
97 |
$268.27 |
| 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 |
208 |
128 |
$262.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
72 |
$259.32 |
| 99408 |
|
62 |
58 |
$253.36 |
| 0013A |
|
14 |
14 |
$237.20 |
| 0502F |
|
1,648 |
1,387 |
$200.66 |
| 90723 |
|
152 |
144 |
$190.00 |
| 1159F |
|
22,012 |
17,760 |
$187.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
203 |
98 |
$173.76 |
| 90648 |
|
535 |
508 |
$171.47 |
| 3075F |
|
1,096 |
872 |
$125.00 |
| 87340 |
|
41 |
24 |
$110.41 |
| 90688 |
|
59 |
55 |
$86.66 |
| 80061 |
Lipid panel |
63 |
47 |
$83.79 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
56 |
27 |
$83.40 |
| 90473 |
|
76 |
72 |
$80.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
32 |
26 |
$78.03 |
| 80053 |
Comprehensive metabolic panel |
126 |
45 |
$64.80 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$63.19 |
| 1000F |
|
23,492 |
19,372 |
$56.73 |
| 90656 |
|
195 |
194 |
$54.19 |
| D0190 |
|
14 |
14 |
$52.25 |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$47.25 |
| 2022F |
|
21 |
16 |
$43.30 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$42.54 |
| 81002 |
|
14 |
13 |
$41.60 |
| 90681 |
|
495 |
449 |
$40.00 |
| 1030F |
|
6,141 |
5,223 |
$38.38 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
13 |
13 |
$35.10 |
| 81025 |
|
12 |
12 |
$31.68 |
| 90698 |
|
55 |
52 |
$30.00 |
| 90697 |
|
324 |
295 |
$30.00 |
| 86592 |
|
30 |
25 |
$21.00 |
| 81003 |
|
19 |
17 |
$12.12 |
| 85660 |
|
12 |
12 |
$11.01 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
15 |
13 |
$9.46 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
159 |
135 |
$6.20 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
53 |
$6.20 |
| 81001 |
|
115 |
36 |
$6.00 |
| 99173 |
|
29 |
29 |
$2.90 |
| 85018 |
|
55 |
13 |
$1.00 |
| 1125F |
|
3,046 |
2,537 |
$0.15 |
| 1022F |
|
2,415 |
1,939 |
$0.14 |
| 3079F |
|
4,338 |
3,262 |
$0.08 |
| 3077F |
|
782 |
569 |
$0.04 |
| 3015F |
|
71 |
68 |
$0.01 |
| 1034F |
|
469 |
386 |
$0.01 |
| 1160F |
|
11,417 |
9,013 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 3725F |
|
89 |
73 |
$0.00 |
| 1033F |
|
150 |
108 |
$0.00 |
| 4004F |
|
73 |
71 |
$0.00 |
| 3210F |
|
122 |
96 |
$0.00 |
| 3293F |
|
110 |
105 |
$0.00 |
| 0518F |
|
26 |
25 |
$0.00 |
| H2013 |
Psychiatric health facility service, per diem |
28 |
14 |
$0.00 |
| 90734 |
|
57 |
38 |
$0.00 |
| 92015 |
Determination of refractive state |
17 |
14 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 2000F |
|
23,357 |
17,705 |
$0.00 |
| 91307 |
|
24 |
21 |
$0.00 |
| 3352F |
|
1,779 |
1,448 |
$0.00 |
| 4000F |
|
4,964 |
4,089 |
$0.00 |
| 3080F |
|
203 |
150 |
$0.00 |
| 3044F |
|
316 |
279 |
$0.00 |
| 4037F |
|
169 |
168 |
$0.00 |
| 3014F |
|
13 |
13 |
$0.00 |
| 3292F |
|
456 |
422 |
$0.00 |
| 4010F |
|
212 |
105 |
$0.00 |
| 1101F |
|
95 |
87 |
$0.00 |
| 0500F |
|
144 |
134 |
$0.00 |
| 1055F |
|
13 |
13 |
$0.00 |
| 92551 |
|
24 |
24 |
$0.00 |
| 36416 |
|
15 |
14 |
$0.00 |
| 3049F |
|
28 |
19 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 3048F |
|
37 |
23 |
$0.00 |