| Code | Description | Claims | Beneficiaries | Total Paid |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
117,258 |
15,383 |
$6.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87,784 |
50,702 |
$4.88M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,860 |
18,360 |
$1.89M |
| D0140 |
Limited oral evaluation - problem focused |
20,671 |
11,398 |
$1.46M |
| 90834 |
Psychotherapy, 45 minutes with patient |
13,144 |
7,706 |
$1.19M |
| D1120 |
Prophylaxis - child |
19,370 |
5,565 |
$644K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
5,068 |
3,898 |
$542K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,363 |
5,382 |
$519K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,729 |
13,542 |
$488K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
3,317 |
2,381 |
$409K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,936 |
5,680 |
$378K |
| D1110 |
Prophylaxis - adult |
8,833 |
5,161 |
$344K |
| D1351 |
Sealant - per tooth |
8,873 |
2,583 |
$343K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,665 |
3,459 |
$339K |
| T1015 |
Clinic visit/encounter, all-inclusive |
20,638 |
4,768 |
$323K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,806 |
2,934 |
$304K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,784 |
2,810 |
$293K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,157 |
2,973 |
$269K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,000 |
752 |
$224K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,537 |
1,698 |
$205K |
| D0330 |
Panoramic radiographic image |
5,758 |
2,973 |
$193K |
| 92551 |
|
17,404 |
10,250 |
$175K |
| 90791 |
Psychiatric diagnostic evaluation |
1,081 |
987 |
$170K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,104 |
833 |
$120K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,900 |
2,701 |
$110K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,108 |
2,408 |
$109K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,257 |
2,981 |
$107K |
| D0120 |
Periodic oral evaluation - established patient |
5,283 |
2,062 |
$102K |
| D0274 |
Bitewings - four radiographic images |
4,964 |
2,321 |
$98K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,492 |
952 |
$91K |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
2,210 |
775 |
$82K |
| D0210 |
Intraoral - complete series of radiographic images |
1,368 |
1,296 |
$78K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,245 |
764 |
$76K |
| 99493 |
|
695 |
676 |
$74K |
| 99492 |
|
546 |
546 |
$62K |
| D1330 |
|
4,963 |
3,617 |
$59K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
892 |
510 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,091 |
652 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,711 |
3,696 |
$57K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
985 |
526 |
$56K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
21,548 |
20,865 |
$54K |
| 0002A |
|
1,234 |
1,233 |
$52K |
| 90461 |
|
2,423 |
2,416 |
$51K |
| 90651 |
|
1,543 |
1,506 |
$50K |
| 0001A |
|
1,256 |
1,250 |
$49K |
| 99384 |
|
1,662 |
371 |
$49K |
| 80305 |
|
2,906 |
1,009 |
$48K |
| 81025 |
|
3,780 |
1,723 |
$47K |
| D1206 |
Topical application of fluoride varnish |
1,523 |
1,019 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
549 |
364 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
843 |
475 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
614 |
392 |
$31K |
| 90686 |
|
6,485 |
6,417 |
$29K |
| 99383 |
|
713 |
208 |
$26K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
237 |
70 |
$25K |
| 96112 |
|
1,444 |
1,133 |
$20K |
| 99173 |
|
10,770 |
9,907 |
$19K |
| 99188 |
|
1,847 |
1,840 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
943 |
940 |
$17K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
428 |
303 |
$17K |
| 98968 |
|
242 |
153 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
227 |
153 |
$16K |
| 82044 |
|
1,271 |
367 |
$15K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
241 |
200 |
$13K |
| 0071A |
|
294 |
291 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
487 |
475 |
$11K |
| H0038 |
Self-help/peer services, per 15 minutes |
176 |
74 |
$11K |
| H0049 |
Alcohol and/or drug screening |
133 |
102 |
$10K |
| 99385 |
|
132 |
93 |
$10K |
| T2022 |
Case management, per month |
242 |
242 |
$10K |
| 97803 |
|
258 |
258 |
$10K |
| 90715 |
|
655 |
634 |
$10K |
| 0072A |
|
202 |
202 |
$10K |
| 90480 |
|
368 |
365 |
$10K |
| 81003 |
|
792 |
351 |
$9K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
39 |
39 |
$9K |
| 99442 |
|
208 |
129 |
$9K |
| D0603 |
|
325 |
77 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
206 |
200 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
308 |
308 |
$8K |
| 86803 |
|
911 |
228 |
$8K |
| S3645 |
Hiv-1 antibody testing of oral mucosal transudate |
502 |
496 |
$8K |
| 99381 |
|
138 |
63 |
$8K |
| 83655 |
|
831 |
444 |
$7K |
| 99441 |
|
217 |
129 |
$7K |
| 81002 |
|
1,061 |
714 |
$7K |
| 0124A |
|
174 |
174 |
$7K |
| 1036F |
|
4,594 |
4,136 |
$7K |
| D0272 |
Bitewings - two radiographic images |
416 |
174 |
$7K |
| 85018 |
|
514 |
211 |
$6K |
| D1353 |
|
106 |
50 |
$6K |
| 0012A |
|
127 |
127 |
$6K |
| 98967 |
|
39 |
34 |
$5K |
| 99215 |
Prolong outpt/office vis |
67 |
56 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
284 |
284 |
$5K |
| 97802 |
|
100 |
99 |
$5K |
| D0190 |
|
246 |
246 |
$5K |
| 99401 |
|
116 |
98 |
$5K |
| 91322 |
|
64 |
64 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,348 |
1,264 |
$4K |
| 0003A |
|
93 |
93 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
39 |
$4K |
| 98966 |
|
24 |
22 |
$4K |
| 90656 |
|
559 |
559 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
247 |
104 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
222 |
102 |
$3K |
| 99402 |
|
40 |
40 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
21 |
16 |
$3K |
| 0111A |
|
74 |
74 |
$3K |
| 90734 |
|
664 |
620 |
$3K |
| D0601 |
|
193 |
118 |
$3K |
| 99000 |
|
12,017 |
11,751 |
$2K |
| 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 |
178 |
97 |
$2K |
| 96127 |
|
1,019 |
1,016 |
$2K |
| 99443 |
|
46 |
34 |
$2K |
| 90677 |
|
388 |
388 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
61 |
27 |
$2K |
| 17110 |
|
45 |
24 |
$2K |
| 99201 |
|
36 |
27 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
155 |
142 |
$2K |
| 90633 |
|
1,060 |
1,032 |
$2K |
| 11721 |
|
54 |
43 |
$1K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
21 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,199 |
2,156 |
$1K |
| 90716 |
|
89 |
75 |
$1K |
| 92002 |
|
26 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
12 |
$1K |
| 0051A |
|
28 |
28 |
$1K |
| D2140 |
|
21 |
13 |
$1K |
| 82950 |
|
163 |
122 |
$1K |
| D9110 |
|
17 |
12 |
$1K |
| 0011A |
|
53 |
53 |
$1K |
| 0052A |
|
23 |
23 |
$1K |
| 82043 |
|
217 |
18 |
$1K |
| 0053A |
|
24 |
24 |
$1K |
| 90619 |
|
181 |
167 |
$1K |
| 90713 |
|
112 |
103 |
$1K |
| 86703 |
|
140 |
14 |
$828.14 |
| 0054A |
|
19 |
19 |
$782.97 |
| 90744 |
|
61 |
46 |
$735.33 |
| 0013A |
|
15 |
15 |
$622.01 |
| 0073A |
|
12 |
12 |
$484.17 |
| 90474 |
|
38 |
38 |
$434.95 |
| 0154A |
|
15 |
15 |
$414.85 |
| 99177 |
|
1,660 |
1,658 |
$382.04 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
32 |
15 |
$292.15 |
| 90710 |
|
121 |
115 |
$286.34 |
| 90723 |
|
498 |
488 |
$197.10 |
| 99406 |
|
28 |
27 |
$183.95 |
| 90697 |
|
642 |
642 |
$146.59 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12 |
12 |
$114.59 |
| 90707 |
|
15 |
15 |
$92.00 |
| 90670 |
|
1,621 |
1,614 |
$59.46 |
| 96160 |
|
437 |
433 |
$51.31 |
| 93000 |
|
12 |
12 |
$49.44 |
| 99174 |
|
302 |
302 |
$19.20 |
| 92015 |
Determination of refractive state |
15 |
15 |
$8.68 |
| 90671 |
|
60 |
60 |
$0.02 |
| 90685 |
|
57 |
57 |
$0.02 |
| D1310 |
|
519 |
518 |
$0.00 |
| 90647 |
|
90 |
90 |
$0.00 |
| 36416 |
|
329 |
328 |
$0.00 |
| 3008F |
|
259 |
254 |
$0.00 |
| 91305 |
|
186 |
184 |
$0.00 |
| 91307 |
|
606 |
593 |
$0.00 |
| 91301 |
|
166 |
161 |
$0.00 |
| 1000F |
|
38 |
37 |
$0.00 |
| 91315 |
|
25 |
25 |
$0.00 |
| M1069 |
Patient screened for future fall risk |
16 |
16 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 2015F |
|
12 |
12 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
15 |
15 |
$0.00 |
| 2016F |
|
12 |
12 |
$0.00 |
| 1034F |
|
22 |
21 |
$0.00 |
| 3074F |
|
23 |
23 |
$0.00 |
| 91311 |
|
102 |
102 |
$0.00 |
| 4004F |
|
2,288 |
2,177 |
$0.00 |
| 91300 |
|
2,370 |
2,215 |
$0.00 |
| 90681 |
|
269 |
269 |
$0.00 |
| 91312 |
|
104 |
104 |
$0.00 |
| 91321 |
|
134 |
134 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |