| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
108,680 |
89,061 |
$13.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,768 |
35,461 |
$1.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,573 |
26,022 |
$1.57M |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,763 |
4,184 |
$561K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,722 |
1,700 |
$103K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,113 |
1,082 |
$64K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
519 |
499 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,090 |
7,651 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,652 |
1,550 |
$51K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,928 |
3,833 |
$45K |
| 90791 |
Psychiatric diagnostic evaluation |
267 |
264 |
$33K |
| 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 |
202 |
181 |
$33K |
| 87428 |
|
664 |
639 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
559 |
438 |
$29K |
| 90837 |
Psychotherapy, 53 minutes with patient |
297 |
187 |
$28K |
| 82962 |
|
2,295 |
2,235 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
146 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
753 |
722 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
153 |
145 |
$7K |
| 99442 |
|
265 |
255 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
368 |
335 |
$7K |
| 0002A |
|
129 |
128 |
$4K |
| 0001A |
|
142 |
139 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
316 |
253 |
$4K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$2K |
| 0012A |
|
70 |
70 |
$2K |
| 85018 |
|
1,140 |
1,096 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
158 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
45 |
44 |
$1K |
| 0011A |
|
68 |
67 |
$1K |
| 81002 |
|
621 |
589 |
$1K |
| 0031A |
|
38 |
35 |
$799.07 |
| 81025 |
|
176 |
154 |
$765.29 |
| 0071A |
|
16 |
16 |
$566.24 |
| 90694 |
|
20 |
19 |
$499.02 |
| 0013A |
|
13 |
13 |
$463.81 |
| 0072A |
|
12 |
12 |
$424.68 |
| 90480 |
|
13 |
13 |
$309.19 |
| 99441 |
|
12 |
12 |
$164.77 |
| 90686 |
|
31 |
31 |
$31.59 |
| 90674 |
|
32 |
17 |
$14.00 |
| 90661 |
|
12 |
12 |
$6.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
295 |
262 |
$0.00 |
| D1110 |
Prophylaxis - adult |
28,060 |
24,256 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
8,019 |
5,580 |
$0.00 |
| D1120 |
Prophylaxis - child |
7,421 |
6,525 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12,356 |
11,041 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
9,772 |
6,543 |
$0.00 |
| D0431 |
|
511 |
482 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
45 |
41 |
$0.00 |
| D4341 |
|
55 |
28 |
$0.00 |
| TPC0M |
|
13 |
13 |
$0.00 |
| D0270 |
|
67 |
62 |
$0.00 |
| D2950 |
|
109 |
102 |
$0.00 |
| D2140 |
|
13 |
13 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
3,525 |
2,405 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
8,277 |
7,704 |
$0.00 |
| D4999 |
|
1,491 |
804 |
$0.00 |
| D1351 |
Sealant - per tooth |
4,791 |
1,413 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
6,944 |
6,353 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
8,097 |
6,320 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
16,682 |
15,222 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
8,655 |
7,497 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
418 |
365 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
8,501 |
7,758 |
$0.00 |
| D2331 |
|
455 |
362 |
$0.00 |
| D2335 |
|
14 |
12 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
254 |
215 |
$0.00 |
| D1330 |
|
228 |
227 |
$0.00 |
| D9210 |
|
119 |
113 |
$0.00 |
| D2330 |
|
66 |
52 |
$0.00 |
| D9992 |
|
847 |
609 |
$0.00 |
| D1310 |
|
74 |
74 |
$0.00 |
| D9310 |
|
67 |
36 |
$0.00 |