| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
37,301 |
22,101 |
$6.78M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,357 |
8,257 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,087 |
11,292 |
$1.27M |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,660 |
2,946 |
$672K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,642 |
2,818 |
$581K |
| 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 |
6,118 |
4,943 |
$229K |
| 90791 |
Psychiatric diagnostic evaluation |
643 |
617 |
$67K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
736 |
716 |
$64K |
| 36415 |
Collection of venous blood by venipuncture |
2,847 |
2,390 |
$53K |
| D1206 |
Topical application of fluoride varnish |
8,689 |
7,805 |
$51K |
| D1999 |
|
5,054 |
4,555 |
$47K |
| D0120 |
Periodic oral evaluation - established patient |
3,754 |
3,727 |
$40K |
| D1110 |
Prophylaxis - adult |
3,205 |
3,172 |
$39K |
| D1120 |
Prophylaxis - child |
2,658 |
2,644 |
$31K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,639 |
1,367 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
159 |
$23K |
| 99442 |
|
176 |
146 |
$22K |
| 99215 |
Prolong outpt/office vis |
269 |
188 |
$21K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
149 |
39 |
$16K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
187 |
173 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
2,968 |
2,891 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
130 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$10K |
| D0274 |
Bitewings - four radiographic images |
2,086 |
2,059 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,392 |
1,368 |
$10K |
| 3008F |
|
1,634 |
1,431 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,278 |
1,147 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
173 |
151 |
$5K |
| H0001 |
Alcohol and/or drug assessment |
227 |
222 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
2,657 |
2,552 |
$4K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
200 |
69 |
$3K |
| D0272 |
Bitewings - two radiographic images |
286 |
284 |
$2K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
392 |
64 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
228 |
205 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
182 |
135 |
$2K |
| 91322 |
|
17 |
15 |
$1K |
| 90686 |
|
96 |
93 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
27 |
27 |
$1K |
| 87592 |
|
25 |
25 |
$1K |
| 87487 |
|
25 |
25 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
496 |
355 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
173 |
152 |
$1K |
| D0330 |
Panoramic radiographic image |
561 |
544 |
$949.76 |
| 80305 |
|
121 |
74 |
$909.72 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
15 |
12 |
$885.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
239 |
176 |
$826.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
279 |
257 |
$756.17 |
| H0046 |
Mental health services, not otherwise specified |
30 |
27 |
$508.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$386.81 |
| 90832 |
Psychotherapy, 30 minutes with patient |
18 |
12 |
$281.03 |
| 82962 |
|
167 |
149 |
$154.02 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$126.72 |
| 81002 |
|
15 |
14 |
$31.32 |
| 81003 |
|
12 |
12 |
$20.35 |
| 3074F |
|
42 |
38 |
$0.08 |
| 3078F |
|
27 |
25 |
$0.05 |
| 3077F |
|
32 |
28 |
$0.04 |
| D1354 |
|
247 |
80 |
$0.00 |
| D0270 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
67 |
37 |
$0.00 |
| D0190 |
|
42 |
42 |
$0.00 |
| 90461 |
|
16 |
12 |
$0.00 |
| D0180 |
|
24 |
24 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
854 |
782 |
$0.00 |
| D4346 |
|
46 |
46 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
18 |
13 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
42 |
13 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
17 |
14 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| D1351 |
Sealant - per tooth |
60 |
13 |
$0.00 |