| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
143,985 |
109,282 |
$15.94M |
| 00003 |
Internal/system code - not a standard HCPCS code |
7,456 |
6,689 |
$1.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154,994 |
130,805 |
$613K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
148,825 |
128,672 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,248 |
6,652 |
$71K |
| 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 |
2,635 |
2,077 |
$52K |
| D1120 |
Prophylaxis - child |
9,905 |
9,070 |
$51K |
| J3490 |
Unclassified drugs |
607 |
565 |
$43K |
| D1310 |
|
2,648 |
2,604 |
$27K |
| D1206 |
Topical application of fluoride varnish |
9,969 |
9,133 |
$21K |
| D0603 |
|
5,552 |
5,081 |
$13K |
| D1351 |
Sealant - per tooth |
2,907 |
1,093 |
$12K |
| 81025 |
|
11,532 |
11,252 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,553 |
11,107 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,690 |
11,256 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
398 |
321 |
$5K |
| 92552 |
|
27,795 |
27,727 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,428 |
7,158 |
$4K |
| 92081 |
|
9,425 |
9,388 |
$3K |
| D0602 |
|
739 |
703 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,600 |
3,590 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,647 |
5,396 |
$2K |
| 94760 |
|
70,212 |
64,745 |
$2K |
| 90651 |
|
2,996 |
2,996 |
$2K |
| 81000 |
|
42,670 |
37,771 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
81,859 |
79,507 |
$746.00 |
| 99000 |
|
7,874 |
7,763 |
$742.96 |
| 90633 |
|
4,293 |
4,284 |
$628.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
625 |
615 |
$611.22 |
| 85018 |
|
26,296 |
26,245 |
$596.87 |
| 90670 |
|
5,050 |
5,044 |
$576.00 |
| 90648 |
|
5,937 |
5,927 |
$571.50 |
| 90619 |
|
1,049 |
1,031 |
$540.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,634 |
1,619 |
$366.30 |
| 92250 |
|
321 |
321 |
$333.68 |
| 90834 |
Psychotherapy, 45 minutes with patient |
632 |
422 |
$268.64 |
| 90734 |
|
941 |
941 |
$246.96 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
4,875 |
3,912 |
$183.15 |
| 90677 |
|
1,070 |
1,068 |
$172.50 |
| 90686 |
|
13,011 |
13,000 |
$167.07 |
| 90700 |
|
2,145 |
2,139 |
$157.50 |
| 90621 |
|
28 |
28 |
$144.96 |
| 90723 |
|
1,671 |
1,668 |
$117.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
539 |
530 |
$114.38 |
| 82962 |
|
3,772 |
3,277 |
$86.94 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
219 |
201 |
$83.25 |
| 90681 |
|
700 |
700 |
$81.00 |
| 11720 |
|
1,143 |
1,132 |
$78.12 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
4,590 |
3,693 |
$76.32 |
| 90716 |
|
1,134 |
1,132 |
$72.00 |
| 90707 |
|
675 |
675 |
$63.00 |
| 90713 |
|
388 |
388 |
$63.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,371 |
2,437 |
$60.48 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,881 |
1,879 |
$58.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
827 |
825 |
$51.48 |
| H0049 |
Alcohol and/or drug screening |
12,728 |
11,521 |
$42.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
792 |
781 |
$27.68 |
| 90657 |
|
86 |
86 |
$19.38 |
| 90620 |
|
893 |
892 |
$18.00 |
| 90715 |
|
704 |
703 |
$9.00 |
| 99173 |
|
23,720 |
23,644 |
$3.63 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
179 |
167 |
$0.47 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
515 |
513 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
564 |
548 |
$0.00 |
| 3078F |
|
24,480 |
22,873 |
$0.00 |
| 99401 |
|
673 |
673 |
$0.00 |
| 97803 |
|
853 |
834 |
$0.00 |
| 1159F |
|
68,060 |
60,989 |
$0.00 |
| 18 |
F18 fdg |
23,443 |
18,691 |
$0.00 |
| 90685 |
|
1,484 |
1,484 |
$0.00 |
| 1160F |
|
56,137 |
50,341 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
920 |
683 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
4,023 |
2,868 |
$0.00 |
| 90710 |
|
360 |
358 |
$0.00 |
| 3725F |
|
22,228 |
20,459 |
$0.00 |
| D9430 |
|
349 |
318 |
$0.00 |
| 83655 |
|
184 |
184 |
$0.00 |
| S9083 |
Global fee urgent care centers |
14 |
12 |
$0.00 |
| 80061 |
Lipid panel |
901 |
900 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
1,837 |
1,566 |
$0.00 |
| 81002 |
|
80 |
74 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
43 |
29 |
$0.00 |
| Z6400 |
|
244 |
222 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
540 |
466 |
$0.00 |
| 99188 |
|
60 |
60 |
$0.00 |
| 82570 |
|
209 |
204 |
$0.00 |
| 83540 |
|
78 |
77 |
$0.00 |
| 3015F |
|
184 |
182 |
$0.00 |
| 92553 |
|
234 |
234 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
215 |
154 |
$0.00 |
| 69210 |
|
69 |
67 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
15 |
13 |
$0.00 |
| 4551F |
|
552 |
521 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
214 |
210 |
$0.00 |
| Z6300 |
|
24 |
24 |
$0.00 |
| 3077F |
|
27 |
26 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
124 |
108 |
$0.00 |
| 99201 |
|
31 |
27 |
$0.00 |
| 90658 |
|
101 |
101 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
71 |
51 |
$0.00 |
| 90661 |
|
20 |
20 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
46 |
46 |
$0.00 |
| 82274 |
|
61 |
61 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 96156 |
|
620 |
603 |
$0.00 |
| 3074F |
|
24,912 |
23,274 |
$0.00 |
| 2010F |
|
32,064 |
28,563 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
961 |
937 |
$0.00 |
| 1126F |
|
36,092 |
31,879 |
$0.00 |
| 1036F |
|
18,682 |
16,780 |
$0.00 |
| 3075F |
|
6,931 |
6,730 |
$0.00 |
| 2001F |
|
24,724 |
22,978 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
3,113 |
2,837 |
$0.00 |
| D1330 |
|
9,413 |
8,020 |
$0.00 |
| 3079F |
|
8,400 |
8,133 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
9,206 |
8,430 |
$0.00 |
| 3351F |
|
85,305 |
75,372 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
677 |
667 |
$0.00 |
| 4037F |
|
539 |
537 |
$0.00 |
| D0601 |
|
297 |
237 |
$0.00 |
| 3008F |
|
40,368 |
37,684 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,198 |
1,578 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
8,131 |
3,866 |
$0.00 |
| 99384 |
|
70 |
51 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
403 |
374 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
213 |
209 |
$0.00 |
| 1125F |
|
3,911 |
3,744 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
503 |
503 |
$0.00 |
| 2000F |
|
21,968 |
20,632 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
691 |
626 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
813 |
810 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
2,321 |
2,313 |
$0.00 |
| 97802 |
|
1,816 |
1,790 |
$0.00 |
| 90696 |
|
348 |
348 |
$0.00 |
| 90656 |
|
1,393 |
1,393 |
$0.00 |
| 87800 |
|
1,168 |
1,158 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
751 |
732 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
325 |
316 |
$0.00 |
| 82607 |
|
52 |
51 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
1,361 |
1,127 |
$0.00 |
| 90674 |
|
854 |
854 |
$0.00 |
| 96161 |
|
152 |
151 |
$0.00 |
| 11055 |
|
56 |
52 |
$0.00 |
| 90647 |
|
102 |
102 |
$0.00 |
| 83550 |
|
41 |
41 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
148 |
147 |
$0.00 |
| 4559F |
|
1,454 |
1,217 |
$0.00 |
| Z6402 |
|
76 |
76 |
$0.00 |
| 92499 |
|
171 |
171 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
43 |
43 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
233 |
222 |
$0.00 |
| 85027 |
|
168 |
141 |
$0.00 |
| 96151 |
|
189 |
189 |
$0.00 |
| 99381 |
|
73 |
70 |
$0.00 |
| Z6204 |
|
14 |
14 |
$0.00 |
| 90744 |
|
17 |
17 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
71 |
52 |
$0.00 |
| 85032 |
|
75 |
75 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
201 |
183 |
$0.00 |
| 3352F |
|
15 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
774 |
773 |
$0.00 |
| 11730 |
|
40 |
37 |
$0.00 |
| 82043 |
|
185 |
185 |
$0.00 |
| 90381 |
|
29 |
29 |
$0.00 |
| 92551 |
|
120 |
120 |
$0.00 |
| 99383 |
|
33 |
25 |
$0.00 |
| 93000 |
|
87 |
87 |
$0.00 |
| 81001 |
|
266 |
262 |
$0.00 |
| 3353F |
|
250 |
239 |
$0.00 |
| 86580 |
|
153 |
151 |
$0.00 |
| 59430 |
|
109 |
103 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 90680 |
|
96 |
95 |
$0.00 |
| D1352 |
|
62 |
43 |
$0.00 |
| 3014F |
|
216 |
215 |
$0.00 |
| 1034F |
|
15 |
15 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
25 |
25 |
$0.00 |
| 86592 |
|
27 |
27 |
$0.00 |
| 3510F |
|
28 |
28 |
$0.00 |
| Z6410 |
|
387 |
276 |
$0.00 |
| 82728 |
|
12 |
12 |
$0.00 |
| 99386 |
|
16 |
16 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
14 |
$0.00 |
| 0001F |
|
12 |
12 |
$0.00 |
| 99172 |
|
76 |
76 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
28 |
28 |
$0.00 |
| 82746 |
|
13 |
13 |
$0.00 |
| 99385 |
|
21 |
21 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$0.00 |