| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,678 |
23,743 |
$3.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,780 |
15,415 |
$734K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,752 |
7,614 |
$453K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,513 |
1,031 |
$114K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,539 |
1,104 |
$78K |
| H0044 |
Supported housing, per month |
151 |
146 |
$45K |
| 90837 |
Psychotherapy, 53 minutes with patient |
320 |
194 |
$29K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
589 |
533 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
285 |
273 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
125 |
125 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,179 |
1,914 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
155 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,124 |
1,058 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
195 |
188 |
$12K |
| 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 |
505 |
391 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
420 |
369 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
118 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
122 |
118 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
77 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
52 |
43 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
98 |
$3K |
| 87428 |
|
80 |
77 |
$3K |
| 0012A |
|
69 |
69 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
270 |
255 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
229 |
225 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
171 |
148 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
167 |
$2K |
| 0011A |
|
74 |
73 |
$2K |
| 0002A |
|
59 |
52 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
17 |
$2K |
| 90461 |
|
94 |
90 |
$2K |
| 0001A |
|
55 |
52 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
17 |
$1K |
| 0071A |
|
37 |
36 |
$999.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
121 |
110 |
$982.60 |
| 0072A |
|
37 |
35 |
$954.43 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
13 |
$873.62 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
29 |
$804.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$704.08 |
| T1017 |
Targeted case management, each 15 minutes |
24 |
14 |
$625.00 |
| 92551 |
|
138 |
125 |
$605.20 |
| 0124A |
|
17 |
15 |
$536.77 |
| 0134A |
|
13 |
12 |
$454.19 |
| 90480 |
|
13 |
13 |
$420.26 |
| 0031A |
|
20 |
20 |
$295.56 |
| 0004A |
|
15 |
15 |
$222.75 |
| 81002 |
|
113 |
104 |
$210.73 |
| 87420 |
|
34 |
29 |
$179.10 |
| 80305 |
|
12 |
12 |
$71.48 |
| 90686 |
|
234 |
208 |
$1.37 |
| 99000 |
|
46 |
39 |
$0.65 |
| 90674 |
|
41 |
37 |
$0.26 |
| 90656 |
|
35 |
35 |
$0.25 |
| 90661 |
|
14 |
14 |
$0.12 |
| D0120 |
Periodic oral evaluation - established patient |
3,620 |
3,165 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
3,024 |
2,539 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,436 |
1,231 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
850 |
749 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
12 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
241 |
202 |
$0.00 |
| D1351 |
Sealant - per tooth |
81 |
27 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
61 |
51 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
2,749 |
2,387 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
4,491 |
3,890 |
$0.00 |
| D1120 |
Prophylaxis - child |
1,927 |
1,617 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
325 |
253 |
$0.00 |
| D2140 |
|
107 |
82 |
$0.00 |
| D1110 |
Prophylaxis - adult |
7,357 |
6,565 |
$0.00 |
| D0330 |
Panoramic radiographic image |
1,855 |
1,610 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
64 |
33 |
$0.00 |
| DPCOM |
|
13 |
13 |
$0.00 |