| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
72,220 |
41,287 |
$5.63M |
| 90834 |
Psychotherapy, 45 minutes with patient |
41,500 |
15,509 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,807 |
11,290 |
$646K |
| 90832 |
Psychotherapy, 30 minutes with patient |
25,222 |
9,898 |
$512K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,234 |
8,454 |
$307K |
| 90791 |
Psychiatric diagnostic evaluation |
5,042 |
2,642 |
$228K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,206 |
1,493 |
$155K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,525 |
2,588 |
$98K |
| D1354 |
|
1,379 |
167 |
$37K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
237 |
55 |
$23K |
| 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 |
1,328 |
1,122 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,259 |
904 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
149 |
147 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
286 |
270 |
$14K |
| 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 |
1,702 |
827 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
295 |
158 |
$7K |
| D0350 |
|
333 |
302 |
$6K |
| D1110 |
Prophylaxis - adult |
97 |
90 |
$6K |
| 99215 |
Prolong outpt/office vis |
113 |
58 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
77 |
75 |
$3K |
| 90674 |
|
297 |
174 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
26 |
12 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
259 |
212 |
$3K |
| D0330 |
Panoramic radiographic image |
30 |
30 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
173 |
136 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
87 |
$2K |
| 90677 |
|
15 |
12 |
$2K |
| D1206 |
Topical application of fluoride varnish |
50 |
44 |
$1K |
| 99349 |
|
213 |
154 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
192 |
103 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
73 |
39 |
$1K |
| 0011A |
|
23 |
22 |
$907.74 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
13 |
$898.30 |
| 36415 |
Collection of venous blood by venipuncture |
433 |
407 |
$772.55 |
| 0012A |
|
17 |
17 |
$672.26 |
| 90686 |
|
156 |
143 |
$307.33 |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
32 |
$304.73 |
| 83037 |
|
13 |
13 |
$119.88 |
| 90661 |
|
24 |
24 |
$73.70 |
| 90461 |
|
135 |
44 |
$55.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |