| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,081 |
11,860 |
$1.73M |
| H2020 |
Therapeutic behavioral services, per diem |
9,323 |
4,836 |
$770K |
| D0999 |
Unspecified diagnostic procedure, by report |
5,485 |
3,619 |
$503K |
| 98960 |
|
718 |
551 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,632 |
673 |
$517.27 |
| D0330 |
Panoramic radiographic image |
641 |
496 |
$456.96 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,823 |
12,894 |
$447.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
929 |
726 |
$284.22 |
| D1110 |
Prophylaxis - adult |
123 |
88 |
$240.05 |
| D0120 |
Periodic oral evaluation - established patient |
57 |
48 |
$81.72 |
| 99051 |
|
56 |
37 |
$24.08 |
| D0220 |
Intraoral - periapical first radiographic image |
939 |
693 |
$20.93 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,165 |
958 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,834 |
1,991 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
373 |
280 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,604 |
918 |
$0.00 |
| 90658 |
|
30 |
29 |
$0.00 |
| 90863 |
|
295 |
260 |
$0.00 |
| 1160F |
|
232 |
192 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
369 |
179 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
103 |
85 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
101 |
62 |
$0.00 |
| 82274 |
|
42 |
41 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
65 |
$0.00 |
| D1999 |
|
18 |
18 |
$0.00 |
| 81003 |
|
97 |
85 |
$0.00 |
| 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 |
136 |
132 |
$0.00 |
| 90661 |
|
22 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
119 |
100 |
$0.00 |
| D1120 |
Prophylaxis - child |
121 |
89 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
28 |
$0.00 |
| 1159F |
|
84 |
65 |
$0.00 |
| 82043 |
|
46 |
42 |
$0.00 |
| 99406 |
|
735 |
558 |
$0.00 |
| 82962 |
|
1,525 |
1,229 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
946 |
527 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
34 |
29 |
$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 |
941 |
851 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
264 |
239 |
$0.00 |
| 2000F |
|
227 |
190 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
79 |
57 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
945 |
707 |
$0.00 |
| 2010F |
|
227 |
189 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,393 |
498 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
875 |
708 |
$0.00 |
| 98961 |
|
246 |
206 |
$0.00 |
| 3008F |
|
224 |
187 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
215 |
157 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
179 |
81 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
352 |
251 |
$0.00 |
| 90656 |
|
93 |
71 |
$0.00 |
| 1125F |
|
95 |
83 |
$0.00 |
| 2001F |
|
145 |
124 |
$0.00 |
| 97802 |
|
131 |
104 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
62 |
50 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
103 |
88 |
$0.00 |
| 81000 |
|
17 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
70 |
60 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
47 |
40 |
$0.00 |
| 99496 |
|
13 |
12 |
$0.00 |
| 90686 |
|
85 |
56 |
$0.00 |
| 1111F |
|
15 |
13 |
$0.00 |
| 1126F |
|
106 |
89 |
$0.00 |
| 91301 |
|
15 |
15 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
101 |
69 |
$0.00 |
| 0012A |
|
13 |
13 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$0.00 |
| 3075F |
|
35 |
30 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
12 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$0.00 |