| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
162,063 |
101,769 |
$19.51M |
| H2020 |
Therapeutic behavioral services, per diem |
148,095 |
59,407 |
$11.64M |
| D0999 |
Unspecified diagnostic procedure, by report |
9,238 |
6,495 |
$983K |
| 3074F |
|
60,928 |
38,574 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108,249 |
68,282 |
$3K |
| D0330 |
Panoramic radiographic image |
816 |
589 |
$3K |
| 96160 |
|
98,636 |
57,455 |
$2K |
| 3078F |
|
57,259 |
36,143 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,246 |
399 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
997 |
766 |
$2K |
| 99051 |
|
570 |
242 |
$2K |
| D0274 |
Bitewings - four radiographic images |
1,597 |
1,113 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
7,547 |
5,143 |
$1K |
| D1110 |
Prophylaxis - adult |
888 |
709 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,586 |
30,706 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
1,647 |
1,127 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
1,752 |
1,427 |
$986.12 |
| 99233 |
Prolong inpt eval add15 m |
155 |
14 |
$931.28 |
| 3077F |
|
4,251 |
3,049 |
$900.00 |
| 3044F |
|
2,265 |
1,696 |
$820.00 |
| 3079F |
|
8,383 |
5,867 |
$770.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,035 |
690 |
$602.50 |
| 0001A |
|
46 |
33 |
$503.00 |
| 3075F |
|
2,931 |
2,061 |
$495.46 |
| 96127 |
|
76,876 |
40,465 |
$492.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,828 |
8,973 |
$483.86 |
| 3080F |
|
2,070 |
1,483 |
$425.00 |
| 1159F |
|
131,515 |
75,783 |
$374.51 |
| 90832 |
Psychotherapy, 30 minutes with patient |
31,465 |
9,793 |
$317.20 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27,125 |
13,014 |
$298.00 |
| 3725F |
|
35,649 |
20,489 |
$97.18 |
| 3046F |
|
247 |
172 |
$80.00 |
| 3051F |
|
242 |
154 |
$70.00 |
| 3052F |
|
240 |
154 |
$60.00 |
| D0272 |
Bitewings - two radiographic images |
175 |
169 |
$17.57 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,415 |
950 |
$3.36 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
166 |
68 |
$0.05 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,778 |
2,030 |
$0.02 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,319 |
1,045 |
$0.01 |
| 90791 |
Psychiatric diagnostic evaluation |
1,329 |
663 |
$0.01 |
| 99408 |
|
24,641 |
14,844 |
$0.01 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,908 |
2,026 |
$0.01 |
| 90837 |
Psychotherapy, 53 minutes with patient |
859 |
230 |
$0.01 |
| 90834 |
Psychotherapy, 45 minutes with patient |
11,186 |
4,377 |
$0.01 |
| 1160F |
|
131,213 |
75,525 |
$0.00 |
| 90633 |
|
398 |
322 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,064 |
718 |
$0.00 |
| 90836 |
|
6,354 |
2,184 |
$0.00 |
| 87275 |
|
3,496 |
2,472 |
$0.00 |
| 84439 |
|
1,399 |
969 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
10,960 |
5,343 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,292 |
942 |
$0.00 |
| 81003 |
|
1,891 |
1,018 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,106 |
2,154 |
$0.00 |
| 11721 |
|
441 |
355 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,039 |
4,481 |
$0.00 |
| 81025 |
|
1,179 |
864 |
$0.00 |
| 90670 |
|
644 |
532 |
$0.00 |
| 91300 |
|
80 |
60 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,210 |
990 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,833 |
1,922 |
$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 |
2,127 |
1,425 |
$0.00 |
| 90461 |
|
2,940 |
2,275 |
$0.00 |
| 99173 |
|
4,746 |
3,645 |
$0.00 |
| 80061 |
Lipid panel |
1,009 |
714 |
$0.00 |
| 90863 |
|
316 |
140 |
$0.00 |
| D1120 |
Prophylaxis - child |
885 |
820 |
$0.00 |
| 97803 |
|
83 |
63 |
$0.00 |
| 90734 |
|
185 |
160 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
76 |
62 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
3,456 |
1,271 |
$0.00 |
| 90661 |
|
149 |
103 |
$0.00 |
| 0002A |
|
35 |
15 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
55 |
$0.00 |
| 85014 |
|
36 |
32 |
$0.00 |
| 0521F |
|
140 |
68 |
$0.00 |
| 90715 |
|
184 |
98 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
137 |
116 |
$0.00 |
| 90687 |
|
16 |
15 |
$0.00 |
| 90685 |
|
104 |
70 |
$0.00 |
| 90671 |
|
166 |
102 |
$0.00 |
| 90710 |
|
20 |
15 |
$0.00 |
| 98960 |
|
255 |
29 |
$0.00 |
| 90658 |
|
65 |
59 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 1111F |
|
33,502 |
22,382 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,617 |
1,124 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
96,823 |
56,283 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
644 |
344 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,617 |
1,105 |
$0.00 |
| 1036F |
|
36,789 |
20,815 |
$0.00 |
| 82962 |
|
2,395 |
1,794 |
$0.00 |
| 00000 |
|
67 |
43 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,971 |
2,500 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,527 |
2,196 |
$0.00 |
| 92551 |
|
2,698 |
1,931 |
$0.00 |
| 3008F |
|
57,658 |
33,738 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
150 |
143 |
$0.00 |
| 4000F |
|
2,745 |
1,947 |
$0.00 |
| 1034F |
|
2,411 |
1,555 |
$0.00 |
| 90651 |
|
643 |
405 |
$0.00 |
| 1126F |
|
5,503 |
3,522 |
$0.00 |
| 1125F |
|
8,084 |
4,943 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,304 |
1,011 |
$0.00 |
| 85018 |
|
481 |
365 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
42 |
24 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
158 |
126 |
$0.00 |
| 90680 |
|
179 |
114 |
$0.00 |
| 87276 |
|
2,726 |
1,905 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
30 |
13 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,220 |
1,384 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
238 |
82 |
$0.00 |
| 90619 |
|
247 |
162 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
140 |
110 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
426 |
362 |
$0.00 |
| 90656 |
|
825 |
667 |
$0.00 |
| 90688 |
|
243 |
162 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
258 |
180 |
$0.00 |
| 87280 |
|
288 |
191 |
$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 |
657 |
464 |
$0.00 |
| 99406 |
|
110 |
64 |
$0.00 |
| 90620 |
|
327 |
168 |
$0.00 |
| A9150 |
Non-prescription drugs |
392 |
249 |
$0.00 |
| 90686 |
|
1,526 |
937 |
$0.00 |
| 90697 |
|
107 |
70 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
87 |
69 |
$0.00 |
| 90667 |
|
41 |
28 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
377 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
29 |
$0.00 |
| 86803 |
|
127 |
91 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
262 |
124 |
$0.00 |
| 90647 |
|
55 |
47 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
334 |
197 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
34 |
27 |
$0.00 |
| 84479 |
|
22 |
19 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
107 |
101 |
$0.00 |
| 99386 |
|
59 |
41 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
51 |
51 |
$0.00 |
| 97802 |
|
39 |
34 |
$0.00 |
| 90698 |
|
58 |
40 |
$0.00 |
| 90674 |
|
54 |
41 |
$0.00 |
| 91305 |
|
16 |
15 |
$0.00 |
| 90839 |
|
164 |
97 |
$0.00 |
| 99385 |
|
111 |
74 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
21 |
13 |
$0.00 |
| 92250 |
|
12 |
12 |
$0.00 |
| 87340 |
|
47 |
38 |
$0.00 |
| 90723 |
|
17 |
15 |
$0.00 |
| 84436 |
|
22 |
19 |
$0.00 |
| 90696 |
|
16 |
13 |
$0.00 |
| 91301 |
|
13 |
12 |
$0.00 |
| 99407 |
|
35 |
19 |
$0.00 |
| 90744 |
|
19 |
13 |
$0.00 |