| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,070 |
57,197 |
$15.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,002 |
43,682 |
$10.89M |
| D0999 |
Unspecified diagnostic procedure, by report |
24,087 |
18,309 |
$9.05M |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,099 |
3,336 |
$1.73M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,311 |
5,622 |
$1.41M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
2,216 |
1,457 |
$824K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,407 |
433 |
$481K |
| 99215 |
Prolong outpt/office vis |
1,423 |
1,247 |
$315K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,764 |
1,480 |
$297K |
| 90834 |
Psychotherapy, 45 minutes with patient |
612 |
428 |
$210K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,885 |
711 |
$176K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
710 |
651 |
$154K |
| D0140 |
Limited oral evaluation - problem focused |
4,111 |
3,231 |
$149K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
334 |
226 |
$132K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
272 |
217 |
$96K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
412 |
301 |
$66K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
372 |
300 |
$63K |
| 99201 |
|
287 |
254 |
$60K |
| 90791 |
Psychiatric diagnostic evaluation |
169 |
101 |
$53K |
| D0220 |
Intraoral - periapical first radiographic image |
3,454 |
2,697 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
161 |
$42K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
116 |
87 |
$41K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
817 |
666 |
$38K |
| D0330 |
Panoramic radiographic image |
530 |
360 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
130 |
92 |
$33K |
| D1206 |
Topical application of fluoride varnish |
1,406 |
1,057 |
$29K |
| 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 |
1,430 |
1,172 |
$27K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
58 |
36 |
$24K |
| 0012A |
|
564 |
551 |
$21K |
| 0011A |
|
595 |
585 |
$21K |
| 0031A |
|
249 |
242 |
$9K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
34 |
12 |
$9K |
| H2011 |
Crisis intervention service, per 15 minutes |
17 |
12 |
$7K |
| D0180 |
|
47 |
47 |
$5K |
| 0064A |
|
110 |
103 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
37 |
28 |
$3K |
| 0134A |
|
84 |
83 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
41 |
24 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
52 |
52 |
$1K |
| 0034A |
|
17 |
16 |
$576.52 |
| 0013A |
|
13 |
13 |
$452.98 |
| 36415 |
Collection of venous blood by venipuncture |
856 |
706 |
$377.73 |
| 36416 |
|
420 |
324 |
$318.62 |
| 97602 |
|
483 |
354 |
$68.90 |
| 91303 |
|
272 |
263 |
$2.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
803 |
611 |
$0.00 |
| 90658 |
|
154 |
151 |
$0.00 |
| 90756 |
|
69 |
55 |
$0.00 |
| 80305 |
|
16,520 |
11,309 |
$0.00 |
| 90734 |
|
242 |
181 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
369 |
355 |
$0.00 |
| 81002 |
|
176 |
165 |
$0.00 |
| 90750 |
|
202 |
196 |
$0.00 |
| 90746 |
|
57 |
41 |
$0.00 |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
257 |
204 |
$0.00 |
| 91313 |
|
84 |
83 |
$0.00 |
| 90715 |
|
110 |
92 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
13 |
$0.00 |
| 81025 |
|
40 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,796 |
3,123 |
$0.00 |
| 99000 |
|
3,539 |
2,950 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |
| 90674 |
|
552 |
376 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
741 |
687 |
$0.00 |
| 90686 |
|
431 |
374 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
425 |
364 |
$0.00 |
| 90632 |
|
784 |
597 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
171 |
160 |
$0.00 |
| 82962 |
|
477 |
369 |
$0.00 |
| 91306 |
|
108 |
101 |
$0.00 |
| 86580 |
|
971 |
879 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
88 |
88 |
$0.00 |
| 91301 |
|
1,286 |
1,229 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$0.00 |