| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
53,708 |
30,971 |
$8.77M |
| D9999 |
Unspecified adjunctive procedure, by report |
220 |
180 |
$31K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,372 |
486 |
$21K |
| 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 |
1,084 |
857 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
274 |
227 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,105 |
18,572 |
$2K |
| 72100 |
|
76 |
67 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,495 |
2,422 |
$558.33 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,437 |
2,331 |
$509.82 |
| D0140 |
Limited oral evaluation - problem focused |
65 |
60 |
$385.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$265.53 |
| 92228 |
|
30 |
30 |
$257.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
14 |
$77.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
414 |
299 |
$12.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,962 |
1,161 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
306 |
191 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
192 |
142 |
$0.00 |
| 81025 |
|
122 |
75 |
$0.00 |
| 81003 |
|
357 |
242 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
29 |
$0.00 |
| 98940 |
|
1,590 |
429 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
57 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
211 |
134 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
20 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
476 |
326 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
46 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
14 |
$0.00 |
| 90671 |
|
18 |
14 |
$0.00 |
| 90648 |
|
15 |
13 |
$0.00 |
| 90662 |
|
55 |
51 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
15 |
$0.00 |
| D1120 |
Prophylaxis - child |
14 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
12 |
$0.00 |
| 90715 |
|
27 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,367 |
1,676 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
80 |
75 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
508 |
382 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
320 |
102 |
$0.00 |
| 90656 |
|
25 |
25 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
13 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
19 |
16 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$0.00 |