| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,057 |
24,355 |
$3.76M |
| H2020 |
Therapeutic behavioral services, per diem |
26,498 |
16,742 |
$2.67M |
| D0999 |
Unspecified diagnostic procedure, by report |
4,377 |
3,589 |
$506K |
| 3074F |
|
10,123 |
7,698 |
$2K |
| 99051 |
|
595 |
474 |
$1K |
| 3078F |
|
7,031 |
5,429 |
$1K |
| 3079F |
|
5,659 |
4,624 |
$1K |
| 3077F |
|
2,613 |
2,138 |
$595.00 |
| 3075F |
|
2,426 |
2,039 |
$545.00 |
| 3080F |
|
1,955 |
1,605 |
$400.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,199 |
1,048 |
$280.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
24,208 |
16,009 |
$85.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
490 |
303 |
$24.83 |
| 3044F |
|
12 |
12 |
$20.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,501 |
1,268 |
$0.01 |
| 82962 |
|
2,143 |
1,813 |
$0.01 |
| 90791 |
Psychiatric diagnostic evaluation |
850 |
553 |
$0.00 |
| 1160F |
|
16,706 |
13,001 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
191 |
144 |
$0.00 |
| 1159F |
|
16,719 |
13,007 |
$0.00 |
| 81003 |
|
4,230 |
2,977 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
289 |
213 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
125 |
$0.00 |
| 1158F |
|
5,646 |
4,773 |
$0.00 |
| 1003F |
|
21,511 |
16,470 |
$0.00 |
| 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 |
752 |
603 |
$0.00 |
| 81025 |
|
930 |
677 |
$0.00 |
| D0330 |
Panoramic radiographic image |
311 |
266 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
153 |
136 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
430 |
342 |
$0.00 |
| D1110 |
Prophylaxis - adult |
443 |
392 |
$0.00 |
| 90715 |
|
245 |
211 |
$0.00 |
| 2028F |
|
68 |
67 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
119 |
68 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
35 |
25 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
513 |
382 |
$0.00 |
| 99442 |
|
19 |
16 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
177 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
32 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
51 |
$0.00 |
| 96160 |
|
41 |
34 |
$0.00 |
| 99401 |
|
25 |
14 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
36 |
25 |
$0.00 |
| 3288F |
|
14 |
12 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
55 |
41 |
$0.00 |
| 2010F |
|
22,025 |
16,831 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,046 |
1,639 |
$0.00 |
| 3008F |
|
21,012 |
16,065 |
$0.00 |
| 2000F |
|
21,865 |
16,739 |
$0.00 |
| 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 |
197 |
189 |
$0.00 |
| 1126F |
|
10,728 |
8,051 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,897 |
9,491 |
$0.00 |
| 2001F |
|
22,814 |
17,342 |
$0.00 |
| 1125F |
|
3,214 |
2,521 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
643 |
532 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
1,970 |
1,720 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,352 |
11,202 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
464 |
362 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
843 |
519 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
750 |
502 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,149 |
786 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
864 |
619 |
$0.00 |
| 90686 |
|
510 |
431 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
86 |
76 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
131 |
122 |
$0.00 |
| 00000 |
|
212 |
171 |
$0.00 |
| 90656 |
|
46 |
29 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
80 |
69 |
$0.00 |
| 82043 |
|
217 |
192 |
$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) |
26 |
26 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
15 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| D1330 |
|
28 |
17 |
$0.00 |
| 99385 |
|
33 |
25 |
$0.00 |