| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,927 |
26,240 |
$19.13M |
| D0999 |
Unspecified diagnostic procedure, by report |
11,097 |
10,567 |
$5.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,622 |
10,635 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,663 |
10,708 |
$105K |
| 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 |
4,583 |
3,344 |
$105K |
| 36415 |
Collection of venous blood by venipuncture |
5,267 |
4,933 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,730 |
1,606 |
$24K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,575 |
1,087 |
$18K |
| 80053 |
Comprehensive metabolic panel |
3,184 |
3,055 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,708 |
1,706 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,495 |
3,339 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,563 |
2,557 |
$11K |
| 87400 |
|
2,554 |
2,429 |
$10K |
| 98940 |
|
1,039 |
727 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,241 |
1,122 |
$8K |
| 92015 |
Determination of refractive state |
1,473 |
1,468 |
$8K |
| 80061 |
Lipid panel |
2,005 |
2,000 |
$8K |
| 87430 |
|
1,471 |
1,404 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,948 |
1,941 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
817 |
717 |
$6K |
| 81001 |
|
1,057 |
1,004 |
$5K |
| 87081 |
|
586 |
562 |
$3K |
| 81003 |
|
940 |
914 |
$3K |
| D1999 |
|
1,089 |
1,047 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
795 |
789 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
359 |
278 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
491 |
489 |
$685.90 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
13 |
13 |
$601.30 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$596.36 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
584 |
557 |
$476.57 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
61 |
61 |
$476.18 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$464.62 |
| 98943 |
|
248 |
185 |
$239.50 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,148 |
2,038 |
$234.89 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
142 |
134 |
$233.85 |
| 81025 |
|
381 |
364 |
$225.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$176.56 |
| 99215 |
Prolong outpt/office vis |
1,140 |
1,073 |
$141.16 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
12 |
$109.34 |
| D0330 |
Panoramic radiographic image |
369 |
368 |
$25.60 |
| 90688 |
|
181 |
181 |
$17.65 |
| D0274 |
Bitewings - four radiographic images |
1,269 |
1,264 |
$0.00 |
| D1110 |
Prophylaxis - adult |
1,474 |
1,469 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$0.00 |
| D1120 |
Prophylaxis - child |
99 |
99 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
60 |
40 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
65 |
64 |
$0.00 |
| D4910 |
|
90 |
89 |
$0.00 |
| 86708 |
|
51 |
51 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
58 |
$0.00 |
| 96158 |
|
79 |
74 |
$0.00 |
| 90461 |
|
107 |
105 |
$0.00 |
| 80348 |
|
50 |
38 |
$0.00 |
| 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 |
15 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 91313 |
|
12 |
12 |
$0.00 |
| 91322 |
|
17 |
17 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
982 |
979 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,813 |
1,809 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
464 |
449 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
24 |
24 |
$0.00 |
| 86706 |
|
51 |
51 |
$0.00 |
| 86803 |
|
179 |
178 |
$0.00 |
| 86704 |
|
50 |
50 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
74 |
54 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
428 |
425 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
184 |
183 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 87340 |
|
64 |
64 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
65 |
64 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
151 |
138 |
$0.00 |
| 0134A |
|
13 |
13 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
54 |
25 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
56 |
56 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
36 |
36 |
$0.00 |
| 90480 |
|
18 |
18 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
3,964 |
3,877 |
$-1038.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,323 |
2,232 |
$-1678.00 |