| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,649 |
50,713 |
$17.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,598 |
31,799 |
$16K |
| T1016 |
Case management, each 15 minutes |
418 |
319 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,633 |
2,857 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,704 |
6,579 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,245 |
747 |
$2K |
| 92587 |
|
1,800 |
1,116 |
$988.53 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,361 |
833 |
$745.53 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,575 |
1,285 |
$700.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,042 |
6,011 |
$665.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,421 |
828 |
$477.83 |
| 80053 |
Comprehensive metabolic panel |
10,027 |
9,456 |
$444.76 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
977 |
738 |
$400.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,485 |
2,222 |
$399.07 |
| 99174 |
|
1,866 |
1,133 |
$320.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,371 |
1,160 |
$295.37 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
287 |
283 |
$253.93 |
| 0012A |
|
64 |
63 |
$160.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,576 |
1,023 |
$98.98 |
| 0064A |
|
77 |
67 |
$83.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,606 |
5,920 |
$54.92 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,111 |
8,511 |
$0.00 |
| 90686 |
|
1,722 |
1,661 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,084 |
2,889 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,605 |
1,504 |
$0.00 |
| 1126F |
|
2,804 |
2,615 |
$0.00 |
| 82043 |
|
1,370 |
1,328 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15,426 |
13,890 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
225 |
189 |
$0.00 |
| 86592 |
|
953 |
906 |
$0.00 |
| 87430 |
|
163 |
145 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,801 |
1,671 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
406 |
297 |
$0.00 |
| 82607 |
|
999 |
939 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,347 |
5,968 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
368 |
358 |
$0.00 |
| 1125F |
|
887 |
836 |
$0.00 |
| 3074F |
|
2,339 |
2,162 |
$0.00 |
| 85018 |
|
72 |
69 |
$0.00 |
| 3075F |
|
794 |
763 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
150 |
137 |
$0.00 |
| 83550 |
|
414 |
392 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,489 |
7,100 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
1,037 |
870 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
733 |
693 |
$0.00 |
| 86803 |
|
153 |
99 |
$0.00 |
| 81001 |
|
513 |
494 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
687 |
527 |
$0.00 |
| 3079F |
|
933 |
883 |
$0.00 |
| 90698 |
|
71 |
55 |
$0.00 |
| 90674 |
|
584 |
486 |
$0.00 |
| 86780 |
|
264 |
261 |
$0.00 |
| 3044F |
|
103 |
103 |
$0.00 |
| 3080F |
|
209 |
198 |
$0.00 |
| 85027 |
|
509 |
485 |
$0.00 |
| 84270 |
|
12 |
12 |
$0.00 |
| 90744 |
|
28 |
19 |
$0.00 |
| 90480 |
|
37 |
28 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
590 |
535 |
$0.00 |
| 82728 |
|
86 |
78 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
847 |
436 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
127 |
117 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90474 |
|
72 |
69 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
99 |
97 |
$0.00 |
| 3048F |
|
37 |
37 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
105 |
87 |
$0.00 |
| 99385 |
|
67 |
39 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
313 |
159 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
71 |
37 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$0.00 |
| 90656 |
|
157 |
116 |
$0.00 |
| 90680 |
|
45 |
44 |
$0.00 |
| 3049F |
|
16 |
16 |
$0.00 |
| 82746 |
|
28 |
27 |
$0.00 |
| 0011A |
|
56 |
49 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 84480 |
|
25 |
24 |
$0.00 |
| 96156 |
|
47 |
32 |
$0.00 |
| 99381 |
|
17 |
14 |
$0.00 |
| 85652 |
|
12 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
36 |
35 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
20 |
12 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
12 |
$0.00 |
| 99384 |
|
18 |
12 |
$0.00 |
| 97802 |
|
31 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
148 |
135 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,014 |
578 |
$0.00 |
| 85007 |
|
522 |
497 |
$0.00 |
| 1160F |
|
2,871 |
2,561 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,605 |
1,504 |
$0.00 |
| D0330 |
Panoramic radiographic image |
95 |
81 |
$0.00 |
| 80061 |
Lipid panel |
6,785 |
6,423 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
158 |
114 |
$0.00 |
| D1110 |
Prophylaxis - adult |
120 |
96 |
$0.00 |
| 90649 |
|
310 |
266 |
$0.00 |
| 3077F |
|
564 |
533 |
$0.00 |
| 82570 |
|
1,415 |
1,364 |
$0.00 |
| 83540 |
|
426 |
404 |
$0.00 |
| 81025 |
|
1,042 |
932 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
767 |
446 |
$0.00 |
| 81003 |
|
1,804 |
1,570 |
$0.00 |
| 80074 |
|
470 |
450 |
$0.00 |
| 84439 |
|
467 |
440 |
$0.00 |
| 90715 |
|
974 |
921 |
$0.00 |
| 83655 |
|
14 |
13 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
624 |
243 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
393 |
360 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
310 |
290 |
$0.00 |
| 3078F |
|
2,458 |
2,276 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
40 |
40 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
127 |
105 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
502 |
471 |
$0.00 |
| 90662 |
|
39 |
38 |
$0.00 |
| 82274 |
|
205 |
186 |
$0.00 |
| 90670 |
|
530 |
479 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
121 |
55 |
$0.00 |
| 87631 |
|
72 |
72 |
$0.00 |
| 1159F |
|
3,331 |
2,852 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
241 |
214 |
$0.00 |
| 85014 |
|
73 |
70 |
$0.00 |
| D1120 |
Prophylaxis - child |
241 |
173 |
$0.00 |
| 86703 |
|
256 |
255 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90734 |
|
121 |
107 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
162 |
93 |
$0.00 |
| 90687 |
|
58 |
42 |
$0.00 |
| H2014 |
Skills training and development, per 15 minutes |
16 |
12 |
$0.00 |
| 81513 |
|
13 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
40 |
40 |
$0.00 |
| D0270 |
|
14 |
14 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
83 |
41 |
$0.00 |
| 90671 |
|
15 |
12 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$0.00 |
| 91322 |
|
32 |
26 |
$0.00 |
| 87210 |
|
14 |
14 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
15 |
12 |
$0.00 |
| 93975 |
|
13 |
13 |
$0.00 |
| 85610 |
|
56 |
31 |
$0.00 |
| 87481 |
|
13 |
12 |
$0.00 |
| 84403 |
|
12 |
12 |
$0.00 |