| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,002 |
9,386 |
$1.27M |
| D0999 |
Unspecified diagnostic procedure, by report |
4,559 |
3,942 |
$1.26M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
5,410 |
1,591 |
$1.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,812 |
9,080 |
$1.02M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,358 |
1,952 |
$890K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
785 |
382 |
$215K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
440 |
178 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,104 |
903 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
955 |
818 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
866 |
813 |
$101K |
| 99215 |
Prolong outpt/office vis |
541 |
474 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
663 |
565 |
$68K |
| 1036F |
|
12,258 |
8,417 |
$60K |
| 90834 |
Psychotherapy, 45 minutes with patient |
376 |
185 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,611 |
3,559 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
5,868 |
5,118 |
$17K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,013 |
4,246 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,353 |
1,225 |
$14K |
| 1160F |
|
10,150 |
8,511 |
$12K |
| H0031 |
Mental health assessment, by non-physician |
43 |
25 |
$11K |
| 96127 |
|
13,659 |
7,202 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
245 |
214 |
$7K |
| 99000 |
|
2,447 |
1,981 |
$6K |
| 90686 |
|
1,539 |
1,391 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,136 |
912 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
19 |
13 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
274 |
237 |
$4K |
| 99173 |
|
1,605 |
1,406 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
155 |
154 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110 |
97 |
$4K |
| 0071A |
|
69 |
56 |
$4K |
| 0072A |
|
54 |
51 |
$3K |
| 90688 |
|
149 |
145 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 3008F |
|
12,098 |
10,295 |
$1K |
| 99402 |
|
35 |
12 |
$1K |
| 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 |
33 |
29 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,256 |
916 |
$1K |
| 36416 |
|
467 |
392 |
$835.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
66 |
$825.76 |
| D1110 |
Prophylaxis - adult |
171 |
169 |
$780.56 |
| D0120 |
Periodic oral evaluation - established patient |
494 |
490 |
$746.58 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
37 |
37 |
$570.52 |
| D0190 |
|
1,006 |
922 |
$353.33 |
| 90672 |
|
38 |
28 |
$322.00 |
| 92551 |
|
880 |
752 |
$321.67 |
| 90715 |
|
16 |
14 |
$321.00 |
| D4910 |
|
139 |
139 |
$269.12 |
| 81002 |
|
86 |
64 |
$228.30 |
| 0001A |
|
30 |
28 |
$221.77 |
| 90461 |
|
918 |
848 |
$201.87 |
| 99409 |
|
349 |
311 |
$197.20 |
| 3074F |
|
8,859 |
7,655 |
$197.18 |
| D0274 |
Bitewings - four radiographic images |
53 |
53 |
$192.95 |
| D0145 |
Oral evaluation for a patient under three years of age |
504 |
481 |
$176.64 |
| D1206 |
Topical application of fluoride varnish |
262 |
260 |
$172.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
28 |
$141.13 |
| 85018 |
|
14 |
12 |
$36.00 |
| 99177 |
|
160 |
153 |
$17.32 |
| 99408 |
|
430 |
380 |
$0.02 |
| 3725F |
|
5,291 |
4,426 |
$0.00 |
| 91300 |
|
78 |
66 |
$0.00 |
| 3078F |
|
8,358 |
7,221 |
$0.00 |
| 90473 |
|
44 |
44 |
$0.00 |
| 84460 |
|
12 |
12 |
$0.00 |
| 3077F |
|
55 |
46 |
$0.00 |
| 96160 |
|
39 |
35 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 3079F |
|
548 |
489 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 1000F |
|
255 |
219 |
$0.00 |
| 3075F |
|
95 |
86 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$0.00 |
| 91307 |
|
123 |
94 |
$0.00 |
| D4342 |
|
24 |
12 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |