| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
49,752 |
2,384 |
$5.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,544 |
38,561 |
$4.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,260 |
15,316 |
$1.65M |
| D0120 |
Periodic oral evaluation - established patient |
15,142 |
8,216 |
$498K |
| D1110 |
Prophylaxis - adult |
9,616 |
6,297 |
$487K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,588 |
2,386 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,996 |
2,024 |
$219K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,447 |
1,577 |
$172K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,035 |
1,386 |
$155K |
| D1120 |
Prophylaxis - child |
3,700 |
2,969 |
$150K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,450 |
1,222 |
$150K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,257 |
2,572 |
$144K |
| D1351 |
Sealant - per tooth |
3,610 |
1,008 |
$143K |
| D0140 |
Limited oral evaluation - problem focused |
4,085 |
2,325 |
$137K |
| 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 |
11,313 |
4,092 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,312 |
6,289 |
$117K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,611 |
845 |
$116K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,143 |
7,000 |
$113K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,188 |
1,402 |
$103K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,390 |
1,766 |
$97K |
| 92002 |
|
2,273 |
1,878 |
$96K |
| D0274 |
Bitewings - four radiographic images |
3,229 |
3,068 |
$92K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,513 |
920 |
$82K |
| 92015 |
Determination of refractive state |
5,474 |
5,465 |
$77K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,050 |
650 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,266 |
925 |
$68K |
| D1206 |
Topical application of fluoride varnish |
1,741 |
1,076 |
$62K |
| 92341 |
|
1,832 |
1,811 |
$40K |
| 99215 |
Prolong outpt/office vis |
415 |
280 |
$37K |
| D0220 |
Intraoral - periapical first radiographic image |
1,665 |
1,301 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
380 |
326 |
$30K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
694 |
661 |
$29K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
375 |
113 |
$27K |
| D0190 |
|
2,971 |
2,390 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
283 |
231 |
$24K |
| D1354 |
|
454 |
315 |
$23K |
| 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 |
191 |
187 |
$21K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,107 |
918 |
$20K |
| 90686 |
|
2,896 |
2,775 |
$20K |
| D0350 |
|
1,383 |
1,345 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
250 |
186 |
$19K |
| D7140 |
Extraction, erupted tooth or exposed root |
314 |
212 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
271 |
110 |
$19K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
355 |
240 |
$17K |
| 92083 |
|
319 |
300 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
133 |
26 |
$15K |
| D0210 |
Intraoral - complete series of radiographic images |
539 |
538 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,855 |
2,178 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
98 |
98 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,576 |
1,570 |
$9K |
| 90674 |
|
308 |
304 |
$9K |
| 92250 |
|
135 |
133 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
88 |
64 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
53 |
$6K |
| D0330 |
Panoramic radiographic image |
212 |
210 |
$6K |
| 99406 |
|
1,212 |
1,194 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,336 |
1,278 |
$5K |
| D0272 |
Bitewings - two radiographic images |
198 |
174 |
$4K |
| 99441 |
|
118 |
96 |
$3K |
| 11721 |
|
26 |
18 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
116 |
104 |
$3K |
| 99443 |
|
148 |
137 |
$3K |
| 90461 |
|
1,378 |
1,378 |
$2K |
| 99442 |
|
176 |
159 |
$2K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
15 |
12 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
106 |
57 |
$1K |
| 99384 |
|
23 |
15 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
214 |
146 |
$1K |
| D2330 |
|
19 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
117 |
117 |
$995.76 |
| 90651 |
|
177 |
170 |
$911.86 |
| 90677 |
|
82 |
82 |
$865.98 |
| 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 |
72 |
72 |
$841.94 |
| D9996 |
|
1,202 |
1,192 |
$571.52 |
| 90670 |
|
524 |
518 |
$570.12 |
| 97014 |
|
39 |
13 |
$480.74 |
| D0603 |
|
394 |
365 |
$467.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
271 |
271 |
$173.41 |
| 90734 |
|
202 |
199 |
$167.70 |
| 90715 |
|
65 |
65 |
$133.83 |
| 99188 |
|
28 |
28 |
$120.60 |
| 90661 |
|
80 |
80 |
$110.55 |
| 93000 |
|
25 |
24 |
$90.75 |
| 81002 |
|
80 |
80 |
$33.52 |
| D0602 |
|
44 |
44 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 3072F |
|
57 |
55 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 2023F |
|
16 |
16 |
$0.00 |
| 90648 |
|
226 |
226 |
$0.00 |
| 90633 |
|
124 |
124 |
$0.00 |
| 90685 |
|
99 |
99 |
$0.00 |
| 90710 |
|
39 |
39 |
$0.00 |
| V2020 |
Frames, purchases |
42 |
18 |
$0.00 |
| 1159F |
|
17 |
17 |
$0.00 |