| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
578,480 |
323,295 |
$82.80M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
60,309 |
10,259 |
$9.27M |
| T1017 |
Targeted case management, each 15 minutes |
33,137 |
8,671 |
$2.00M |
| S9485 |
Crisis intervention mental health services, per diem |
9,711 |
8,722 |
$1.49M |
| H2012 |
Behavioral health day treatment, per hour |
20,859 |
2,658 |
$1.46M |
| 90791 |
Psychiatric diagnostic evaluation |
39,268 |
29,078 |
$1.39M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
29,294 |
20,972 |
$733K |
| 90832 |
Psychotherapy, 30 minutes with patient |
165,219 |
99,189 |
$686K |
| 90834 |
Psychotherapy, 45 minutes with patient |
58,527 |
39,324 |
$661K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
36,558 |
9,767 |
$573K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,153 |
44,915 |
$532K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,227 |
18,420 |
$291K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
67,374 |
31,130 |
$274K |
| S9484 |
Crisis intervention mental health services, per hour |
2,480 |
1,706 |
$157K |
| 90837 |
Psychotherapy, 53 minutes with patient |
26,341 |
17,801 |
$131K |
| 98968 |
|
3,492 |
2,342 |
$58K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
8,777 |
7,051 |
$51K |
| 0359T |
|
60 |
36 |
$49K |
| 98967 |
|
2,589 |
1,830 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,254 |
5,550 |
$38K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
4,830 |
1,249 |
$30K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
641 |
535 |
$18K |
| 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 |
2,635 |
1,938 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,323 |
1,517 |
$4K |
| 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 |
1,337 |
1,234 |
$1K |
| 90849 |
|
14 |
12 |
$255.92 |
| 80305 |
|
229 |
184 |
$226.60 |
| D0330 |
Panoramic radiographic image |
1,526 |
1,362 |
$0.00 |
| D1120 |
Prophylaxis - child |
1,957 |
1,837 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
2,117 |
1,856 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
199 |
$0.00 |
| D1110 |
Prophylaxis - adult |
2,497 |
2,239 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
547 |
355 |
$0.00 |
| 90670 |
|
152 |
149 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
77 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
536 |
466 |
$0.00 |
| 99201 |
|
66 |
59 |
$0.00 |
| 90633 |
|
91 |
91 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
32 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 99173 |
|
211 |
210 |
$0.00 |
| 99382 |
|
152 |
148 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
21 |
$0.00 |
| D2140 |
|
35 |
27 |
$0.00 |
| 90648 |
|
100 |
99 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
264 |
196 |
$0.00 |
| 90681 |
|
31 |
30 |
$0.00 |
| 90655 |
|
58 |
58 |
$0.00 |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit |
16 |
15 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
94 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
21 |
17 |
$0.00 |
| 90700 |
|
14 |
13 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19 |
13 |
$0.00 |
| 90649 |
|
50 |
50 |
$0.00 |
| 90715 |
|
27 |
26 |
$0.00 |
| D2940 |
|
17 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$0.00 |
| 90734 |
|
52 |
50 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| D0602 |
|
52 |
47 |
$0.00 |
| D0601 |
|
40 |
36 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
845 |
777 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
3,008 |
2,619 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
401 |
397 |
$0.00 |
| D0603 |
|
101 |
62 |
$0.00 |
| 90716 |
|
15 |
14 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
748 |
228 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,486 |
1,364 |
$0.00 |
| 96127 |
|
303 |
293 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
237 |
234 |
$0.00 |
| 99381 |
|
48 |
47 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
382 |
217 |
$0.00 |
| 90723 |
|
96 |
94 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 99406 |
|
234 |
206 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
161 |
128 |
$0.00 |
| 90656 |
|
173 |
162 |
$0.00 |
| 99384 |
|
96 |
92 |
$0.00 |
| D1351 |
Sealant - per tooth |
42 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$0.00 |
| 99383 |
|
222 |
214 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
70 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
37 |
$0.00 |