| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,542 |
19,000 |
$1.09M |
| T1015 |
Clinic visit/encounter, all-inclusive |
31,552 |
25,685 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,466 |
3,597 |
$266K |
| 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 |
5,947 |
3,855 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,250 |
5,239 |
$63K |
| 90837 |
Psychotherapy, 53 minutes with patient |
685 |
453 |
$53K |
| D9999 |
Unspecified adjunctive procedure, by report |
2,644 |
1,929 |
$53K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,359 |
2,030 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
542 |
466 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
515 |
464 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
229 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
632 |
535 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
195 |
167 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
527 |
416 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
205 |
189 |
$15K |
| 90686 |
|
1,326 |
1,075 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
163 |
156 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,297 |
2,058 |
$11K |
| D1110 |
Prophylaxis - adult |
251 |
197 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
84 |
79 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
603 |
507 |
$7K |
| 99000 |
|
2,442 |
2,015 |
$6K |
| 36416 |
|
3,693 |
3,180 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
708 |
545 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
221 |
146 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
55 |
$4K |
| D0330 |
Panoramic radiographic image |
198 |
122 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
143 |
124 |
$3K |
| 99177 |
|
788 |
701 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
74 |
56 |
$2K |
| 90651 |
|
85 |
72 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
36 |
25 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
160 |
52 |
$2K |
| D0274 |
Bitewings - four radiographic images |
149 |
113 |
$1K |
| 96127 |
|
469 |
399 |
$1K |
| D1206 |
Topical application of fluoride varnish |
128 |
90 |
$1K |
| 90656 |
|
162 |
142 |
$1K |
| 97803 |
|
22 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
111 |
73 |
$1K |
| 90480 |
|
161 |
60 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
65 |
$993.92 |
| 80305 |
|
101 |
80 |
$881.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
314 |
62 |
$516.60 |
| 90674 |
|
14 |
12 |
$314.58 |
| 3044F |
|
65 |
65 |
$120.00 |
| 87210 |
|
25 |
24 |
$90.47 |
| 85018 |
|
42 |
25 |
$71.13 |
| 81003 |
|
38 |
37 |
$67.40 |
| 90715 |
|
30 |
26 |
$58.08 |
| 81002 |
|
15 |
12 |
$42.80 |
| 82570 |
|
13 |
13 |
$35.98 |
| 94760 |
|
13 |
12 |
$4.22 |
| 3077F |
|
92 |
71 |
$0.00 |
| 2022F |
|
630 |
577 |
$0.00 |
| 90670 |
|
126 |
112 |
$0.00 |
| 87400 |
|
203 |
202 |
$0.00 |
| 3046F |
|
16 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
28 |
$0.00 |
| 90648 |
|
141 |
124 |
$0.00 |
| 90734 |
|
52 |
42 |
$0.00 |
| 3078F |
|
45 |
39 |
$0.00 |
| 83655 |
|
21 |
12 |
$0.00 |
| 91320 |
|
23 |
15 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
504 |
463 |
$0.00 |
| 3074F |
|
62 |
54 |
$0.00 |
| 90723 |
|
46 |
41 |
$0.00 |
| 3080F |
|
21 |
12 |
$0.00 |