| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,589 |
39,687 |
$9.21M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,092 |
81,166 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,720 |
21,359 |
$841K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,706 |
895 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,932 |
3,701 |
$107K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,376 |
1,361 |
$98K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,350 |
1,266 |
$97K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
43 |
41 |
$86K |
| D1110 |
Prophylaxis - adult |
1,935 |
1,917 |
$76K |
| D0120 |
Periodic oral evaluation - established patient |
3,090 |
3,069 |
$72K |
| 90686 |
|
3,796 |
3,777 |
$66K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
695 |
675 |
$60K |
| D1206 |
Topical application of fluoride varnish |
4,252 |
4,198 |
$54K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
962 |
709 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,272 |
2,161 |
$52K |
| D1120 |
Prophylaxis - child |
1,488 |
1,479 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,440 |
1,399 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,103 |
3,069 |
$47K |
| D4910 |
|
867 |
850 |
$47K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,391 |
1,369 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,994 |
1,963 |
$46K |
| D0274 |
Bitewings - four radiographic images |
2,002 |
1,983 |
$45K |
| 90670 |
|
2,295 |
2,266 |
$44K |
| 99215 |
Prolong outpt/office vis |
679 |
607 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
600 |
588 |
$42K |
| D0140 |
Limited oral evaluation - problem focused |
1,359 |
1,336 |
$41K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
768 |
600 |
$37K |
| 76801 |
|
472 |
459 |
$34K |
| 90648 |
|
1,789 |
1,770 |
$29K |
| D0210 |
Intraoral - complete series of radiographic images |
681 |
668 |
$28K |
| 90680 |
|
1,389 |
1,373 |
$27K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
627 |
460 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
303 |
301 |
$25K |
| D2140 |
|
527 |
383 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,210 |
3,071 |
$24K |
| 90715 |
|
999 |
977 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,772 |
1,548 |
$23K |
| D0220 |
Intraoral - periapical first radiographic image |
2,213 |
2,145 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,786 |
4,753 |
$21K |
| 90633 |
|
1,017 |
1,000 |
$21K |
| 90651 |
|
910 |
889 |
$20K |
| 87428 |
|
973 |
960 |
$19K |
| D4341 |
|
343 |
167 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,630 |
5,212 |
$19K |
| 99490 |
Ccm add 20min |
874 |
850 |
$19K |
| 90723 |
|
1,124 |
1,113 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
13,583 |
12,599 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,776 |
2,719 |
$15K |
| 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 |
16,335 |
10,056 |
$14K |
| 90734 |
|
688 |
665 |
$14K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
238 |
210 |
$13K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
243 |
241 |
$13K |
| 90677 |
|
375 |
375 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,628 |
1,606 |
$10K |
| 0012A |
|
303 |
295 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
70 |
$7K |
| 0011A |
|
291 |
289 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,073 |
3,148 |
$7K |
| 0001A |
|
187 |
183 |
$7K |
| 81025 |
|
1,368 |
1,322 |
$6K |
| 0002A |
|
151 |
150 |
$5K |
| 82948 |
|
3,393 |
2,794 |
$5K |
| 81002 |
|
3,029 |
2,879 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
933 |
452 |
$5K |
| 90700 |
|
211 |
200 |
$4K |
| 97802 |
|
68 |
67 |
$4K |
| 90710 |
|
174 |
170 |
$4K |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$3K |
| 90698 |
|
178 |
177 |
$3K |
| 91320 |
|
22 |
22 |
$3K |
| 90681 |
|
129 |
129 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
364 |
328 |
$3K |
| 90656 |
|
123 |
123 |
$3K |
| 0031A |
|
114 |
114 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
51 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,687 |
1,517 |
$2K |
| 83655 |
|
1,138 |
1,125 |
$2K |
| 90696 |
|
112 |
111 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
37 |
37 |
$2K |
| 93000 |
|
211 |
202 |
$2K |
| 97803 |
|
89 |
75 |
$2K |
| 0072A |
|
53 |
53 |
$2K |
| 99381 |
|
56 |
52 |
$2K |
| D2160 |
|
30 |
25 |
$2K |
| 90716 |
|
94 |
94 |
$2K |
| 90707 |
|
66 |
66 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
314 |
303 |
$1K |
| 0071A |
|
36 |
35 |
$1K |
| 85018 |
|
1,764 |
1,726 |
$1K |
| 99460 |
|
27 |
27 |
$1K |
| D2331 |
|
18 |
12 |
$1K |
| D0272 |
Bitewings - two radiographic images |
96 |
95 |
$1K |
| D1351 |
Sealant - per tooth |
34 |
16 |
$1K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
18 |
14 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
76 |
73 |
$1K |
| 99408 |
|
55 |
55 |
$1K |
| 0064A |
|
70 |
54 |
$1K |
| 87807 |
|
185 |
176 |
$970.67 |
| 82947 |
|
1,082 |
1,048 |
$958.04 |
| 99442 |
|
47 |
47 |
$913.52 |
| 90480 |
|
22 |
22 |
$902.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,176 |
778 |
$846.63 |
| 90682 |
|
16 |
16 |
$696.96 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
15 |
$479.58 |
| 99443 |
|
17 |
17 |
$449.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
409 |
407 |
$410.82 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
116 |
67 |
$379.88 |
| 99441 |
|
82 |
74 |
$377.06 |
| 90744 |
|
16 |
16 |
$351.36 |
| 90461 |
|
288 |
270 |
$349.69 |
| 96127 |
|
3,836 |
3,642 |
$349.46 |
| 69210 |
|
12 |
12 |
$297.60 |
| 80305 |
|
66 |
63 |
$255.78 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
13 |
$241.56 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
30 |
28 |
$224.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
49 |
$224.82 |
| 90688 |
|
17 |
17 |
$219.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
211 |
158 |
$215.90 |
| 90647 |
|
12 |
12 |
$182.28 |
| 99188 |
|
72 |
72 |
$116.73 |
| 90832 |
Psychotherapy, 30 minutes with patient |
928 |
672 |
$114.80 |
| 92552 |
|
151 |
151 |
$109.12 |
| 82043 |
|
29 |
29 |
$94.42 |
| 96160 |
|
2,086 |
2,019 |
$86.00 |
| 69209 |
|
15 |
15 |
$66.51 |
| D0270 |
|
12 |
12 |
$55.00 |
| 99173 |
|
1,916 |
1,863 |
$54.02 |
| 92587 |
|
269 |
264 |
$41.60 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$37.84 |
| D1354 |
|
47 |
35 |
$36.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$22.77 |
| 92551 |
|
1,072 |
1,050 |
$11.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,171 |
4,126 |
$8.00 |
| 36416 |
|
336 |
308 |
$2.29 |
| 3079F |
|
618 |
593 |
$0.00 |
| 3080F |
|
58 |
58 |
$0.00 |
| 3074F |
|
1,819 |
1,703 |
$0.00 |
| 2010F |
|
3,463 |
3,212 |
$0.00 |
| 2001F |
|
3,199 |
2,973 |
$0.00 |
| D1330 |
|
1,848 |
1,759 |
$0.00 |
| 93786 |
|
17 |
17 |
$0.00 |
| D0603 |
|
1,193 |
1,182 |
$0.00 |
| 3008F |
|
2,820 |
2,616 |
$0.00 |
| 1126F |
|
291 |
273 |
$0.00 |
| 2000F |
|
1,014 |
923 |
$0.00 |
| 91303 |
|
41 |
41 |
$0.00 |
| 94760 |
|
553 |
500 |
$0.00 |
| 99000 |
|
545 |
510 |
$0.00 |
| 4010F |
|
64 |
50 |
$0.00 |
| 3075F |
|
143 |
138 |
$0.00 |
| 4037F |
|
26 |
26 |
$0.00 |
| 92558 |
|
63 |
63 |
$0.00 |
| 91301 |
|
34 |
34 |
$0.00 |
| 1125F |
|
92 |
87 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
35 |
18 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
28 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
58 |
56 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| D0602 |
|
48 |
48 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
17 |
15 |
$0.00 |
| 1160F |
|
2,482 |
2,291 |
$0.00 |
| D0191 |
|
513 |
496 |
$0.00 |
| 3078F |
|
1,474 |
1,390 |
$0.00 |
| 1159F |
|
2,484 |
2,291 |
$0.00 |
| 4040F |
|
103 |
97 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
257 |
248 |
$0.00 |
| 0502F |
|
253 |
203 |
$0.00 |
| 4274F |
|
50 |
47 |
$0.00 |
| 3077F |
|
166 |
157 |
$0.00 |
| 90473 |
|
13 |
13 |
$0.00 |
| 91300 |
|
16 |
16 |
$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 |
370 |
287 |
$-120.64 |