| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
95,210 |
66,629 |
$20.27M |
| 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 |
18,521 |
13,485 |
$1.29M |
| 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 |
3,815 |
3,139 |
$472K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,668 |
39,960 |
$147K |
| 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 |
884 |
865 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,802 |
11,999 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,271 |
12,081 |
$38K |
| 98940 |
|
9,319 |
5,814 |
$22K |
| 99406 |
|
1,048 |
941 |
$11K |
| D1206 |
Topical application of fluoride varnish |
2,615 |
2,539 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,473 |
693 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,225 |
1,071 |
$9K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
119 |
51 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,215 |
3,964 |
$8K |
| G0008 |
Administration of influenza virus vaccine |
1,063 |
1,004 |
$7K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,958 |
1,719 |
$6K |
| 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 |
392 |
390 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,099 |
1,051 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,009 |
549 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,282 |
1,212 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
7,628 |
6,872 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
763 |
719 |
$3K |
| 81002 |
|
2,949 |
2,613 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
2,163 |
2,036 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
926 |
864 |
$2K |
| 11721 |
|
1,481 |
1,288 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
362 |
166 |
$2K |
| D1120 |
Prophylaxis - child |
1,599 |
1,549 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
652 |
620 |
$1K |
| 80305 |
|
314 |
274 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
217 |
189 |
$1K |
| 92551 |
|
4,393 |
4,204 |
$1K |
| 3078F |
|
5,490 |
4,635 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
419 |
404 |
$1K |
| G0009 |
Administration of pneumococcal vaccine |
150 |
147 |
$990.53 |
| 90688 |
|
198 |
186 |
$987.16 |
| D1110 |
Prophylaxis - adult |
1,100 |
1,070 |
$958.11 |
| 3725F |
|
926 |
796 |
$799.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,881 |
5,439 |
$762.74 |
| 99173 |
|
3,172 |
3,083 |
$709.64 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
83 |
78 |
$631.33 |
| 3080F |
|
290 |
247 |
$600.15 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
731 |
632 |
$573.20 |
| 3079F |
|
2,366 |
1,984 |
$557.42 |
| D0330 |
Panoramic radiographic image |
651 |
634 |
$535.20 |
| D0120 |
Periodic oral evaluation - established patient |
970 |
945 |
$475.17 |
| 99215 |
Prolong outpt/office vis |
141 |
132 |
$437.69 |
| 99188 |
|
70 |
62 |
$325.61 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
282 |
277 |
$309.19 |
| 96127 |
|
5,371 |
4,039 |
$287.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,084 |
979 |
$286.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,697 |
1,581 |
$254.50 |
| D0274 |
Bitewings - four radiographic images |
210 |
196 |
$252.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
868 |
716 |
$246.43 |
| D0272 |
Bitewings - two radiographic images |
592 |
577 |
$238.14 |
| D0220 |
Intraoral - periapical first radiographic image |
1,371 |
1,288 |
$235.14 |
| G0127 |
Trimming of dystrophic nails, any number |
279 |
275 |
$230.25 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,085 |
1,033 |
$229.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,935 |
1,830 |
$119.52 |
| 90686 |
|
178 |
156 |
$94.21 |
| 0134A |
|
37 |
35 |
$63.43 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,272 |
2,059 |
$27.48 |
| 93000 |
|
77 |
66 |
$20.70 |
| 81025 |
|
129 |
123 |
$14.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
453 |
429 |
$5.78 |
| 1160F |
|
4,750 |
4,067 |
$0.81 |
| 3008F |
|
8,823 |
7,369 |
$0.51 |
| 3074F |
|
6,195 |
5,190 |
$0.41 |
| 2028F |
|
360 |
315 |
$0.24 |
| 3075F |
|
1,494 |
1,257 |
$0.12 |
| 3077F |
|
492 |
431 |
$0.04 |
| D0145 |
Oral evaluation for a patient under three years of age |
309 |
306 |
$0.00 |
| 11719 |
|
1,191 |
1,057 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16 |
15 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
317 |
294 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
970 |
941 |
$0.00 |
| 11056 |
|
13 |
12 |
$0.00 |
| 90863 |
|
65 |
65 |
$0.00 |
| 0013A |
|
26 |
26 |
$0.00 |
| 99401 |
|
42 |
40 |
$0.00 |
| 69209 |
|
29 |
25 |
$0.00 |
| 91313 |
|
16 |
16 |
$0.00 |
| 92015 |
Determination of refractive state |
14 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
521 |
458 |
$0.00 |
| 1036F |
|
112 |
90 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
62 |
57 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
277 |
275 |
$0.00 |
| D1351 |
Sealant - per tooth |
86 |
83 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
86 |
81 |
$0.00 |
| 91301 |
|
27 |
27 |
$0.00 |
| 36416 |
|
44 |
40 |
$0.00 |
| 99070 |
|
54 |
50 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$0.00 |
| 97162 |
|
13 |
13 |
$0.00 |