| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
128,651 |
101,092 |
$23.87M |
| 00003 |
Internal/system code - not a standard HCPCS code |
32,172 |
28,050 |
$8.29M |
| G9012 |
Other specified case management service not elsewhere classified |
5,477 |
3,124 |
$1.05M |
| 90837 |
Psychotherapy, 53 minutes with patient |
15,832 |
5,757 |
$359K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,866 |
3,759 |
$177K |
| 98940 |
|
15,700 |
4,960 |
$158K |
| H0043 |
Supported housing, per diem |
344 |
336 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,635 |
22,148 |
$113K |
| 80305 |
|
15,658 |
9,374 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90,350 |
64,953 |
$84K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
4,777 |
2,764 |
$61K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,870 |
2,318 |
$59K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,909 |
2,198 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,026 |
1,940 |
$9K |
| 90686 |
|
340 |
299 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
193 |
134 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
88 |
46 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
113 |
76 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
549 |
520 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
468 |
319 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
182 |
$2K |
| 90670 |
|
31 |
25 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
332 |
193 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
118 |
106 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
347 |
256 |
$897.36 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,397 |
2,302 |
$882.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
179 |
155 |
$738.77 |
| 0064A |
|
15 |
15 |
$502.50 |
| 81002 |
|
1,686 |
1,318 |
$478.76 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35 |
25 |
$381.59 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
56 |
$274.15 |
| 90658 |
|
15 |
15 |
$253.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
926 |
504 |
$237.66 |
| 81025 |
|
57 |
54 |
$151.20 |
| 90647 |
|
20 |
14 |
$126.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
162 |
149 |
$122.21 |
| 92552 |
|
278 |
275 |
$67.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,089 |
715 |
$56.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
65 |
$22.30 |
| 82962 |
|
19 |
13 |
$18.03 |
| 85018 |
|
29 |
27 |
$12.42 |
| D0220 |
Intraoral - periapical first radiographic image |
1,495 |
1,337 |
$0.00 |
| D1110 |
Prophylaxis - adult |
1,768 |
1,759 |
$0.00 |
| 99173 |
|
287 |
287 |
$0.00 |
| D1120 |
Prophylaxis - child |
770 |
770 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
580 |
390 |
$0.00 |
| D0277 |
|
311 |
311 |
$0.00 |
| D0330 |
Panoramic radiographic image |
799 |
799 |
$0.00 |
| D4910 |
|
244 |
243 |
$0.00 |
| D0270 |
|
394 |
342 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
108 |
74 |
$0.00 |
| D9430 |
|
955 |
744 |
$0.00 |
| DENTA |
Facility svs dental rehab |
36 |
36 |
$0.00 |
| 99442 |
|
176 |
173 |
$0.00 |
| 90461 |
|
33 |
25 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
204 |
204 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
77 |
$0.00 |
| D2740 |
Crown - porcelain/ceramic |
14 |
12 |
$0.00 |
| D5110 |
|
29 |
29 |
$0.00 |
| D4341 |
|
17 |
12 |
$0.00 |
| 11056 |
|
15 |
15 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,648 |
1,648 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
250 |
217 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
411 |
373 |
$0.00 |
| D1330 |
|
4,497 |
4,402 |
$0.00 |
| D0603 |
|
508 |
508 |
$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 |
24 |
24 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
547 |
545 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
283 |
161 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
1,020 |
1,016 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,134 |
1,128 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
460 |
309 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
251 |
248 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
335 |
335 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
39 |
29 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| D0602 |
|
12 |
12 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| D5120 |
|
13 |
12 |
$0.00 |