| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
267,904 |
207,337 |
$67.85M |
| 0012A |
|
2,161 |
2,145 |
$15K |
| 0011A |
|
1,980 |
1,966 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96,533 |
76,379 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,021 |
648 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,116 |
25,090 |
$9K |
| T1016 |
Case management, each 15 minutes |
219 |
157 |
$5K |
| 0002A |
|
1,192 |
1,179 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
63 |
63 |
$4K |
| 0001A |
|
1,213 |
1,199 |
$3K |
| 99460 |
|
38 |
38 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,996 |
13,006 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,660 |
16,180 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
137 |
113 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,398 |
4,595 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,620 |
4,079 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,897 |
8,855 |
$2K |
| 0031A |
|
143 |
141 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
31,886 |
28,170 |
$1K |
| 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 |
1,496 |
971 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,341 |
5,566 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,651 |
5,179 |
$912.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,840 |
1,716 |
$346.27 |
| 36416 |
|
13,125 |
11,097 |
$307.53 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,195 |
3,786 |
$297.48 |
| 96158 |
|
5,793 |
4,341 |
$240.00 |
| 90651 |
|
1,857 |
1,721 |
$159.68 |
| 90670 |
|
1,618 |
1,426 |
$133.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,133 |
2,489 |
$129.67 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
577 |
569 |
$111.85 |
| 90707 |
|
228 |
198 |
$111.74 |
| 90636 |
|
1,230 |
1,130 |
$89.39 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,163 |
1,881 |
$83.58 |
| 81025 |
|
3,930 |
3,468 |
$69.77 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,676 |
6,784 |
$69.00 |
| 99177 |
|
1,701 |
1,508 |
$64.74 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,514 |
4,820 |
$58.50 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,363 |
2,099 |
$56.04 |
| 83655 |
|
2,155 |
1,912 |
$52.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,123 |
4,520 |
$43.84 |
| 81002 |
|
6,637 |
5,609 |
$43.02 |
| 73562 |
|
17 |
12 |
$35.00 |
| 72100 |
|
76 |
67 |
$30.66 |
| 90715 |
|
1,877 |
1,748 |
$30.66 |
| 90677 |
|
141 |
111 |
$29.56 |
| 90686 |
|
7,457 |
6,563 |
$19.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,804 |
7,772 |
$18.66 |
| G0008 |
Administration of influenza virus vaccine |
1,848 |
1,590 |
$18.45 |
| 96127 |
|
1,211 |
1,038 |
$18.27 |
| 96152 |
|
1,901 |
1,053 |
$18.21 |
| 85610 |
|
616 |
279 |
$12.90 |
| 90662 |
|
1,879 |
1,643 |
$11.95 |
| 71046 |
Radiologic examination, chest; 2 views |
232 |
175 |
$10.61 |
| 87808 |
|
242 |
216 |
$7.33 |
| 99173 |
|
6,929 |
6,294 |
$6.18 |
| 90698 |
|
432 |
388 |
$1.12 |
| 90723 |
|
672 |
565 |
$0.96 |
| 90680 |
|
1,320 |
1,239 |
$0.80 |
| 90716 |
|
367 |
333 |
$0.80 |
| 90648 |
|
751 |
644 |
$0.48 |
| 90633 |
|
1,284 |
1,146 |
$0.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,792 |
4,222 |
$0.10 |
| 91301 |
|
3,326 |
3,192 |
$0.01 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,979 |
2,643 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,578 |
914 |
$0.00 |
| 3077F |
|
840 |
788 |
$0.00 |
| 1159F |
|
9,192 |
8,567 |
$0.00 |
| 3078F |
|
10,224 |
9,084 |
$0.00 |
| D0330 |
Panoramic radiographic image |
3,201 |
2,788 |
$0.00 |
| D1120 |
Prophylaxis - child |
5,288 |
4,514 |
$0.00 |
| 87210 |
|
287 |
257 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
3,361 |
2,854 |
$0.00 |
| 91320 |
|
464 |
449 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
426 |
400 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
4,258 |
2,419 |
$0.00 |
| 1158F |
|
1,203 |
1,157 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
140 |
125 |
$0.00 |
| D1110 |
Prophylaxis - adult |
2,194 |
1,908 |
$0.00 |
| 90685 |
|
248 |
165 |
$0.00 |
| 0054A |
|
206 |
200 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
167 |
$0.00 |
| 96167 |
|
1,034 |
927 |
$0.00 |
| 0071A |
|
669 |
633 |
$0.00 |
| 1003F |
|
31 |
29 |
$0.00 |
| D1354 |
|
347 |
78 |
$0.00 |
| D2940 |
|
151 |
109 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
5,253 |
4,570 |
$0.00 |
| D0251 |
|
41 |
41 |
$0.00 |
| 90671 |
|
867 |
856 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
220 |
186 |
$0.00 |
| 87905 |
|
110 |
92 |
$0.00 |
| 91312 |
|
86 |
72 |
$0.00 |
| 90710 |
|
295 |
267 |
$0.00 |
| 90734 |
|
204 |
193 |
$0.00 |
| 96159 |
|
119 |
103 |
$0.00 |
| 91313 |
|
118 |
105 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |
| 82947 |
|
993 |
871 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
96 |
95 |
$0.00 |
| 0124A |
|
174 |
140 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
79 |
63 |
$0.00 |
| 90681 |
|
20 |
16 |
$0.00 |
| 90621 |
|
305 |
289 |
$0.00 |
| 91300 |
|
2,165 |
2,013 |
$0.00 |
| D1999 |
|
478 |
425 |
$0.00 |
| 91322 |
|
265 |
253 |
$0.00 |
| 0004A |
|
247 |
239 |
$0.00 |
| 3051F |
|
25 |
25 |
$0.00 |
| 3046F |
|
49 |
45 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
211 |
195 |
$0.00 |
| 82274 |
|
43 |
41 |
$0.00 |
| 73630 |
|
21 |
13 |
$0.00 |
| 73030 |
|
17 |
12 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
18 |
15 |
$0.00 |
| 1125F |
|
4,138 |
3,805 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
8,285 |
7,192 |
$0.00 |
| 3074F |
|
11,802 |
10,428 |
$0.00 |
| 88720 |
|
805 |
534 |
$0.00 |
| 1126F |
|
5,174 |
4,762 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
3,743 |
3,221 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
3,397 |
1,871 |
$0.00 |
| 1220F |
|
17,879 |
15,613 |
$0.00 |
| 99381 |
|
196 |
177 |
$0.00 |
| 99441 |
|
363 |
295 |
$0.00 |
| D0250 |
|
434 |
401 |
$0.00 |
| 0074A |
|
100 |
100 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
10,331 |
8,965 |
$0.00 |
| 1036F |
|
13,943 |
12,351 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
515 |
458 |
$0.00 |
| 93000 |
|
215 |
186 |
$0.00 |
| 90619 |
|
465 |
451 |
$0.00 |
| 1101F |
|
868 |
789 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
3,755 |
3,197 |
$0.00 |
| 3079F |
|
3,442 |
3,213 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
96 |
75 |
$0.00 |
| 86580 |
|
85 |
74 |
$0.00 |
| 91306 |
|
58 |
58 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
579 |
506 |
$0.00 |
| D1351 |
Sealant - per tooth |
2,954 |
886 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
518 |
381 |
$0.00 |
| 0134A |
|
437 |
397 |
$0.00 |
| 87807 |
|
1,398 |
1,250 |
$0.00 |
| 0064A |
|
1,368 |
1,330 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,247 |
1,060 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
551 |
396 |
$0.00 |
| 3075F |
|
1,227 |
1,172 |
$0.00 |
| 3080F |
|
329 |
311 |
$0.00 |
| 0072A |
|
611 |
589 |
$0.00 |
| 90697 |
|
620 |
599 |
$0.00 |
| 90480 |
|
884 |
848 |
$0.00 |
| 99174 |
|
64 |
28 |
$0.00 |
| 90647 |
|
57 |
53 |
$0.00 |
| 90688 |
|
189 |
158 |
$0.00 |
| 3044F |
|
252 |
242 |
$0.00 |
| 0082A |
|
58 |
58 |
$0.00 |
| 58300 |
|
43 |
37 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 73564 |
|
12 |
12 |
$0.00 |
| 90656 |
|
732 |
702 |
$0.00 |
| 85018 |
|
45 |
35 |
$0.00 |
| 0154A |
|
12 |
12 |
$0.00 |
| 90696 |
|
151 |
139 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
82 |
30 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
15 |
$0.00 |
| 72072 |
|
12 |
12 |
$0.00 |
| D1330 |
|
28 |
28 |
$0.00 |
| 91303 |
|
102 |
101 |
$0.00 |
| 0081A |
|
96 |
92 |
$0.00 |
| 91307 |
|
85 |
77 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
24 |
15 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
58 |
28 |
$0.00 |
| 96380 |
|
16 |
15 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
16 |
$0.00 |