| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,594 |
11,499 |
$1.85M |
| D9999 |
Unspecified adjunctive procedure, by report |
374 |
340 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,944 |
4,418 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,757 |
1,073 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,472 |
1,239 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
655 |
550 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,081 |
957 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,769 |
1,183 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,349 |
2,039 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,062 |
922 |
$8K |
| 92551 |
|
2,236 |
2,002 |
$7K |
| 99173 |
|
1,641 |
1,496 |
$4K |
| 90686 |
|
1,002 |
904 |
$3K |
| 90670 |
|
830 |
762 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
114 |
$3K |
| 99177 |
|
1,230 |
1,100 |
$2K |
| 90648 |
|
940 |
869 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
24 |
21 |
$2K |
| 90723 |
|
557 |
531 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
57 |
$863.74 |
| D1120 |
Prophylaxis - child |
120 |
119 |
$672.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
40 |
40 |
$630.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
95 |
85 |
$411.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
95 |
$348.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
75 |
56 |
$328.29 |
| 90837 |
Psychotherapy, 53 minutes with patient |
78 |
50 |
$276.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
42 |
$154.69 |
| 92081 |
|
13 |
13 |
$119.86 |
| 90633 |
|
144 |
132 |
$116.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
41 |
32 |
$92.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$81.60 |
| 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 |
194 |
189 |
$67.39 |
| 87807 |
|
32 |
27 |
$9.83 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
19 |
15 |
$0.36 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
26 |
22 |
$0.13 |
| 3008F |
|
3,074 |
2,807 |
$0.00 |
| 90680 |
|
263 |
249 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
108 |
107 |
$0.00 |
| 90656 |
|
70 |
65 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
64 |
62 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
111 |
109 |
$0.00 |
| 90651 |
|
31 |
26 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23 |
14 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$0.00 |
| 90473 |
|
87 |
86 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
100 |
53 |
$0.00 |
| 90671 |
|
138 |
129 |
$0.00 |
| D0330 |
Panoramic radiographic image |
73 |
71 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
48 |
47 |
$0.00 |
| D1110 |
Prophylaxis - adult |
65 |
63 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
12 |
$0.00 |