| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
90,649 |
66,929 |
$10.69M |
| H2020 |
Therapeutic behavioral services, per diem |
18,726 |
9,560 |
$1.66M |
| D0999 |
Unspecified diagnostic procedure, by report |
9,815 |
5,482 |
$799K |
| 98960 |
|
3,790 |
2,482 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,255 |
681 |
$1K |
| 99051 |
|
338 |
275 |
$988.70 |
| D0330 |
Panoramic radiographic image |
1,124 |
707 |
$808.36 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,401 |
889 |
$473.08 |
| 3079F |
|
2,829 |
2,338 |
$365.00 |
| 3077F |
|
1,769 |
1,430 |
$260.00 |
| 3080F |
|
1,059 |
853 |
$175.00 |
| D0120 |
Periodic oral evaluation - established patient |
457 |
308 |
$136.20 |
| 3046F |
|
32 |
29 |
$110.00 |
| 3075F |
|
1,117 |
979 |
$95.00 |
| 3044F |
|
65 |
64 |
$90.00 |
| D1110 |
Prophylaxis - adult |
466 |
298 |
$47.29 |
| D0220 |
Intraoral - periapical first radiographic image |
1,629 |
1,041 |
$32.50 |
| 3074F |
|
38 |
37 |
$30.00 |
| D0272 |
Bitewings - two radiographic images |
38 |
12 |
$21.43 |
| 3051F |
|
74 |
52 |
$10.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,409 |
3,332 |
$0.01 |
| 81025 |
|
2,556 |
2,005 |
$0.01 |
| 82962 |
|
1,540 |
1,282 |
$0.01 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,672 |
37,667 |
$0.01 |
| D0270 |
|
773 |
527 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
792 |
497 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,971 |
1,359 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,222 |
2,978 |
$0.00 |
| 81003 |
|
1,163 |
652 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,877 |
5,425 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,762 |
1,541 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,065 |
1,821 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,042 |
2,176 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,114 |
2,576 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,515 |
1,211 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,815 |
1,395 |
$0.00 |
| 90863 |
|
975 |
870 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
461 |
104 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,564 |
1,285 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,613 |
2,784 |
$0.00 |
| D1120 |
Prophylaxis - child |
384 |
337 |
$0.00 |
| 1003F |
|
429 |
366 |
$0.00 |
| 1160F |
|
1,006 |
858 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,582 |
1,283 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
2,182 |
1,089 |
$0.00 |
| 90670 |
|
851 |
741 |
$0.00 |
| 90461 |
|
1,766 |
1,377 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,236 |
876 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,236 |
948 |
$0.00 |
| 99173 |
|
1,104 |
794 |
$0.00 |
| 84520 |
|
456 |
340 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,076 |
829 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
406 |
329 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
395 |
356 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
637 |
528 |
$0.00 |
| 99497 |
|
850 |
752 |
$0.00 |
| 99408 |
|
18 |
16 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
832 |
467 |
$0.00 |
| 82947 |
|
459 |
340 |
$0.00 |
| 90661 |
|
232 |
173 |
$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 |
284 |
161 |
$0.00 |
| 90734 |
|
181 |
141 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
18 |
17 |
$0.00 |
| 90633 |
|
462 |
373 |
$0.00 |
| 82565 |
|
459 |
340 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
975 |
692 |
$0.00 |
| 90681 |
|
88 |
64 |
$0.00 |
| 4004F |
|
63 |
56 |
$0.00 |
| 1159F |
|
877 |
738 |
$0.00 |
| 96160 |
|
135 |
124 |
$0.00 |
| 86709 |
|
30 |
24 |
$0.00 |
| 90655 |
|
166 |
137 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
298 |
266 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
332 |
176 |
$0.00 |
| 90662 |
|
73 |
41 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
76 |
64 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
96 |
90 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
263 |
202 |
$0.00 |
| 90700 |
|
34 |
12 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
88 |
82 |
$0.00 |
| 99401 |
|
35 |
30 |
$0.00 |
| 99080 |
|
41 |
32 |
$0.00 |
| 80074 |
|
82 |
56 |
$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 |
167 |
166 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
184 |
168 |
$0.00 |
| 90715 |
|
30 |
25 |
$0.00 |
| 82274 |
|
12 |
12 |
$0.00 |
| 83655 |
|
37 |
25 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
29 |
13 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
25 |
24 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
28 |
25 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
13 |
13 |
$0.00 |
| 83020 |
|
16 |
13 |
$0.00 |
| 1158F |
|
18 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,523 |
11,632 |
$0.00 |
| 97802 |
|
3,640 |
2,667 |
$0.00 |
| 1036F |
|
1,467 |
1,327 |
$0.00 |
| 2000F |
|
968 |
821 |
$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 |
3,260 |
2,763 |
$0.00 |
| 88142 |
|
294 |
259 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,639 |
915 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
887 |
465 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
904 |
724 |
$0.00 |
| 85018 |
|
185 |
111 |
$0.00 |
| 92551 |
|
3,644 |
2,662 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,389 |
1,183 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
392 |
308 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
337 |
241 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
540 |
419 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
1,703 |
1,117 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
325 |
276 |
$0.00 |
| D1310 |
|
214 |
175 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,085 |
850 |
$0.00 |
| 90677 |
|
249 |
209 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
403 |
302 |
$0.00 |
| 99406 |
|
906 |
716 |
$0.00 |
| 81000 |
|
245 |
144 |
$0.00 |
| D0603 |
|
796 |
517 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
803 |
671 |
$0.00 |
| D1330 |
|
771 |
542 |
$0.00 |
| 87807 |
|
333 |
241 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,178 |
933 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
719 |
556 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
152 |
136 |
$0.00 |
| 2010F |
|
708 |
585 |
$0.00 |
| 96127 |
|
168 |
109 |
$0.00 |
| 81001 |
|
409 |
268 |
$0.00 |
| 1000F |
|
256 |
228 |
$0.00 |
| 3008F |
|
979 |
831 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,631 |
1,474 |
$0.00 |
| 99386 |
|
49 |
40 |
$0.00 |
| 90651 |
|
490 |
352 |
$0.00 |
| 1125F |
|
443 |
363 |
$0.00 |
| 90656 |
|
861 |
646 |
$0.00 |
| 90686 |
|
360 |
300 |
$0.00 |
| 1126F |
|
485 |
427 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
693 |
623 |
$0.00 |
| 82043 |
|
373 |
331 |
$0.00 |
| 80051 |
|
447 |
333 |
$0.00 |
| D0602 |
|
37 |
27 |
$0.00 |
| 3017F |
|
15 |
15 |
$0.00 |
| 2001F |
|
713 |
621 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
123 |
93 |
$0.00 |
| 90744 |
|
91 |
82 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
65 |
42 |
$0.00 |
| 90698 |
|
291 |
255 |
$0.00 |
| 1170F |
|
86 |
79 |
$0.00 |
| D0171 |
|
95 |
61 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
243 |
198 |
$0.00 |
| 90620 |
|
166 |
116 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
39 |
28 |
$0.00 |
| 90697 |
|
183 |
145 |
$0.00 |
| 1101F |
|
157 |
144 |
$0.00 |
| 99383 |
|
24 |
12 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
201 |
140 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
25 |
25 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
102 |
88 |
$0.00 |
| 1034F |
|
27 |
26 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
29 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 3014F |
|
17 |
13 |
$0.00 |
| 99462 |
|
83 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
16 |
14 |
$0.00 |
| 99460 |
|
71 |
13 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |