| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,382 |
23,346 |
$3.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,659 |
18,993 |
$957K |
| T2022 |
Case management, per month |
7,031 |
6,851 |
$877K |
| T1016 |
Case management, each 15 minutes |
16,853 |
6,489 |
$816K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,854 |
7,913 |
$507K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,484 |
3,532 |
$365K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,918 |
2,084 |
$135K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,717 |
3,352 |
$120K |
| 90837 |
Psychotherapy, 53 minutes with patient |
846 |
558 |
$78K |
| 90791 |
Psychiatric diagnostic evaluation |
428 |
398 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,527 |
4,128 |
$35K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
229 |
216 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
239 |
215 |
$25K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,240 |
788 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
146 |
$16K |
| 99215 |
Prolong outpt/office vis |
215 |
199 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
140 |
$15K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
411 |
351 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
184 |
176 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
715 |
692 |
$10K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
226 |
105 |
$9K |
| 0011A |
|
251 |
241 |
$8K |
| 0012A |
|
182 |
177 |
$7K |
| 80305 |
|
761 |
722 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
54 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$5K |
| T1017 |
Targeted case management, each 15 minutes |
169 |
106 |
$4K |
| 97802 |
|
100 |
100 |
$3K |
| 99383 |
|
26 |
24 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
38 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
181 |
173 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
106 |
104 |
$1K |
| 99385 |
|
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
54 |
$818.01 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$786.31 |
| 0001A |
|
16 |
16 |
$666.08 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
75 |
72 |
$612.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,190 |
918 |
$605.00 |
| 90461 |
|
40 |
37 |
$587.52 |
| 99442 |
|
19 |
19 |
$550.43 |
| 97803 |
|
15 |
13 |
$532.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$465.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$433.57 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,989 |
2,825 |
$400.00 |
| D1110 |
Prophylaxis - adult |
5,822 |
5,540 |
$371.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$336.16 |
| D1206 |
Topical application of fluoride varnish |
3,400 |
3,255 |
$286.00 |
| 86703 |
|
15 |
15 |
$159.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
25 |
$157.38 |
| 81025 |
|
27 |
26 |
$131.00 |
| D0140 |
Limited oral evaluation - problem focused |
2,276 |
2,165 |
$126.00 |
| 90473 |
|
12 |
12 |
$124.42 |
| 92551 |
|
20 |
20 |
$111.52 |
| 90686 |
|
105 |
61 |
$52.50 |
| 81002 |
|
16 |
16 |
$29.68 |
| D1120 |
Prophylaxis - child |
2,007 |
1,920 |
$22.00 |
| D0272 |
Bitewings - two radiographic images |
323 |
319 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
4,374 |
4,165 |
$0.00 |
| 91301 |
|
19 |
18 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
1,844 |
1,738 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
994 |
872 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
61 |
40 |
$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 |
58 |
56 |
$0.00 |
| D9310 |
|
20 |
14 |
$0.00 |
| D2331 |
|
76 |
67 |
$0.00 |
| D2330 |
|
15 |
13 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
17 |
14 |
$0.00 |
| D1351 |
Sealant - per tooth |
506 |
152 |
$0.00 |
| D9992 |
|
14 |
13 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,830 |
1,721 |
$0.00 |
| D2140 |
|
104 |
88 |
$0.00 |
| D0330 |
Panoramic radiographic image |
435 |
416 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
2,881 |
2,743 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
200 |
176 |
$0.00 |
| D2940 |
|
83 |
68 |
$0.00 |
| D1354 |
|
70 |
24 |
$0.00 |