| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
500,736 |
425,176 |
$75.52M |
| 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 |
12,552 |
9,633 |
$452K |
| 90832 |
Psychotherapy, 30 minutes with patient |
14,111 |
10,210 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163,389 |
144,062 |
$149K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59,062 |
52,456 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53,464 |
47,746 |
$91K |
| 90791 |
Psychiatric diagnostic evaluation |
3,293 |
2,735 |
$75K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
903 |
700 |
$61K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,438 |
1,997 |
$58K |
| 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 |
649 |
544 |
$54K |
| D1120 |
Prophylaxis - child |
3,697 |
3,667 |
$15K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
166 |
159 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,117 |
6,464 |
$14K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
709 |
683 |
$12K |
| 97810 |
|
7,248 |
3,302 |
$11K |
| D1310 |
|
4,429 |
4,369 |
$11K |
| D1351 |
Sealant - per tooth |
1,006 |
411 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,645 |
1,502 |
$6K |
| 59425 |
|
398 |
252 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,764 |
3,730 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
246 |
184 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,337 |
6,966 |
$5K |
| 0001A |
|
272 |
233 |
$4K |
| 0011A |
|
895 |
781 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,376 |
7,902 |
$3K |
| 99215 |
Prolong outpt/office vis |
2,090 |
1,969 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,969 |
3,500 |
$2K |
| 98940 |
|
6,867 |
4,296 |
$2K |
| 0012A |
|
351 |
329 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,294 |
4,109 |
$2K |
| 0002A |
|
50 |
43 |
$2K |
| 99381 |
|
2,364 |
2,286 |
$1K |
| 0071A |
|
126 |
121 |
$988.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
794 |
673 |
$985.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,801 |
3,619 |
$911.35 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,827 |
5,557 |
$690.22 |
| 92551 |
|
12,337 |
11,696 |
$635.94 |
| 90686 |
|
10,310 |
9,726 |
$580.66 |
| 90633 |
|
4,936 |
4,647 |
$476.30 |
| 81025 |
|
5,036 |
4,976 |
$435.40 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
508 |
354 |
$414.85 |
| 90680 |
|
3,733 |
3,532 |
$378.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,758 |
3,508 |
$375.29 |
| 83655 |
|
581 |
505 |
$295.90 |
| 80305 |
|
365 |
303 |
$292.32 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
657 |
382 |
$281.03 |
| 85018 |
|
10,645 |
9,980 |
$249.66 |
| 90674 |
|
1,808 |
1,696 |
$236.30 |
| 90651 |
|
3,022 |
2,875 |
$225.27 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,296 |
2,474 |
$220.00 |
| D1352 |
|
48 |
27 |
$214.50 |
| D0603 |
|
699 |
674 |
$198.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,438 |
17,934 |
$113.34 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,485 |
1,454 |
$109.90 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,256 |
2,227 |
$102.90 |
| 90710 |
|
2,105 |
2,031 |
$99.27 |
| 90677 |
|
903 |
790 |
$90.54 |
| 90715 |
|
1,722 |
1,644 |
$82.12 |
| 90697 |
|
2,238 |
2,139 |
$81.54 |
| 90647 |
|
2,903 |
2,768 |
$65.16 |
| 90744 |
|
298 |
277 |
$63.00 |
| 90716 |
|
1,625 |
1,555 |
$63.00 |
| 90700 |
|
1,608 |
1,549 |
$63.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
199 |
150 |
$60.48 |
| 90696 |
|
1,094 |
1,002 |
$54.27 |
| 99000 |
|
1,187 |
1,173 |
$49.91 |
| 90620 |
|
974 |
947 |
$36.00 |
| 90688 |
|
794 |
769 |
$20.00 |
| 99173 |
|
12,954 |
12,361 |
$19.92 |
| 99383 |
|
1,100 |
1,065 |
$19.90 |
| 90619 |
|
640 |
601 |
$18.27 |
| 90707 |
|
1,071 |
1,029 |
$18.00 |
| 90670 |
|
6,621 |
6,343 |
$18.00 |
| 90648 |
|
1,196 |
1,095 |
$18.00 |
| 90461 |
|
9,925 |
9,700 |
$17.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,779 |
4,568 |
$13.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,022 |
10,370 |
$12.93 |
| 90723 |
|
3,446 |
3,252 |
$9.00 |
| Z6410 |
|
20,136 |
11,525 |
$6.31 |
| D0220 |
Intraoral - periapical first radiographic image |
5,051 |
4,637 |
$2.10 |
| 99384 |
|
664 |
649 |
$1.07 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
153,247 |
134,880 |
$0.00 |
| 3008F |
|
178,389 |
155,924 |
$0.00 |
| Z1034 |
|
36,665 |
27,174 |
$0.00 |
| 3079F |
|
44,798 |
40,316 |
$0.00 |
| 2001F |
|
178,396 |
155,931 |
$0.00 |
| 1036F |
|
125,199 |
109,666 |
$0.00 |
| 3074F |
|
121,712 |
106,905 |
$0.00 |
| 3049F |
|
18,400 |
16,176 |
$0.00 |
| 3048F |
|
28,498 |
25,163 |
$0.00 |
| Z1032 |
|
4,049 |
4,040 |
$0.00 |
| 3075F |
|
21,300 |
19,258 |
$0.00 |
| 0503F |
|
1,281 |
1,258 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
4,371 |
4,336 |
$0.00 |
| Z6204 |
|
1,801 |
1,753 |
$0.00 |
| 0500F |
|
2,874 |
2,866 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,264 |
4,226 |
$0.00 |
| Z6406 |
|
1,947 |
1,874 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
13,376 |
12,046 |
$0.00 |
| 3080F |
|
11,266 |
10,116 |
$0.00 |
| 88142 |
|
39 |
39 |
$0.00 |
| 87490 |
|
3,417 |
3,401 |
$0.00 |
| D1330 |
|
3,241 |
3,210 |
$0.00 |
| Z1038 |
|
1,619 |
1,574 |
$0.00 |
| 3044F |
|
2,469 |
2,254 |
$0.00 |
| 87590 |
|
3,428 |
3,411 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
279 |
242 |
$0.00 |
| 91301 |
|
1,933 |
1,776 |
$0.00 |
| 81001 |
|
373 |
365 |
$0.00 |
| 59514 |
|
40 |
40 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
268 |
264 |
$0.00 |
| 99386 |
|
696 |
691 |
$0.00 |
| 91307 |
|
180 |
172 |
$0.00 |
| D9995 |
|
20 |
18 |
$0.00 |
| 3052F |
|
348 |
326 |
$0.00 |
| 1034F |
|
1,203 |
1,056 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
125 |
124 |
$0.00 |
| 91315 |
|
13 |
13 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
34 |
30 |
$0.00 |
| 91303 |
|
47 |
47 |
$0.00 |
| 90656 |
|
216 |
209 |
$0.00 |
| 99385 |
|
1,025 |
1,015 |
$0.00 |
| Z6402 |
|
17 |
17 |
$0.00 |
| 58301 |
|
12 |
12 |
$0.00 |
| 1111F |
|
269 |
252 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$0.00 |
| 90474 |
|
107 |
107 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
68 |
67 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
45 |
39 |
$0.00 |
| 58300 |
|
13 |
12 |
$0.00 |
| 99422 |
|
24 |
19 |
$0.00 |
| 91305 |
|
18 |
18 |
$0.00 |
| 90381 |
|
15 |
13 |
$0.00 |
| 0081A |
|
14 |
14 |
$0.00 |
| 99024 |
|
14 |
13 |
$0.00 |
| 82043 |
|
24 |
24 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
26 |
$0.00 |
| 0031A |
|
33 |
33 |
$0.00 |
| 0134A |
|
13 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
26,661 |
23,968 |
$0.00 |
| Z6304 |
|
1,949 |
1,878 |
$0.00 |
| 3078F |
|
114,081 |
100,272 |
$0.00 |
| 3050F |
|
13,775 |
12,040 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,023 |
1,022 |
$0.00 |
| Z6500 |
|
4,754 |
4,702 |
$0.00 |
| 3077F |
|
27,059 |
24,216 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
139,951 |
123,292 |
$0.00 |
| 91312 |
|
71 |
64 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,410 |
2,403 |
$0.00 |
| 0502F |
|
28,497 |
21,526 |
$0.00 |
| 3046F |
|
2,437 |
2,231 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
708 |
701 |
$0.00 |
| Z6414 |
|
705 |
503 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
2,267 |
2,228 |
$0.00 |
| 4004F |
|
288 |
234 |
$0.00 |
| Z6400 |
|
5,691 |
5,619 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,893 |
1,886 |
$0.00 |
| 90734 |
|
1,292 |
1,241 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
71 |
68 |
$0.00 |
| 90713 |
|
319 |
305 |
$0.00 |
| Z6300 |
|
2,027 |
2,015 |
$0.00 |
| 99382 |
|
328 |
315 |
$0.00 |
| 59426 |
|
165 |
135 |
$0.00 |
| 3051F |
|
666 |
614 |
$0.00 |
| A4550 |
Surgical trays |
290 |
282 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
297 |
289 |
$0.00 |
| Z6308 |
|
720 |
519 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
57 |
53 |
$0.00 |
| 91308 |
|
99 |
95 |
$0.00 |
| 91300 |
|
167 |
138 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
454 |
431 |
$0.00 |
| 90661 |
|
18 |
16 |
$0.00 |
| 3045F |
|
147 |
140 |
$0.00 |
| Z6208 |
|
852 |
631 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
14 |
14 |
$0.00 |
| 0124A |
|
32 |
24 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
100 |
96 |
$0.00 |
| 82948 |
|
15 |
15 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 80101 |
|
90 |
85 |
$0.00 |
| D0071 |
|
34 |
33 |
$0.00 |
| 91313 |
|
18 |
18 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
82 |
$0.00 |
| 99201 |
|
157 |
146 |
$0.00 |
| 90746 |
|
14 |
12 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
12 |
$0.00 |
| 91320 |
|
22 |
12 |
$0.00 |