| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
183,952 |
129,921 |
$49.82M |
| D0999 |
Unspecified diagnostic procedure, by report |
14,521 |
12,357 |
$4.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,281 |
50,239 |
$3.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,465 |
33,646 |
$2.58M |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,916 |
15,160 |
$1.15M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,158 |
2,114 |
$438K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
9,713 |
3,566 |
$403K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,633 |
5,897 |
$317K |
| 99215 |
Prolong outpt/office vis |
2,081 |
1,983 |
$225K |
| 90791 |
Psychiatric diagnostic evaluation |
4,293 |
4,209 |
$203K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,052 |
3,008 |
$200K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,901 |
2,815 |
$181K |
| 99385 |
|
790 |
782 |
$164K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,029 |
1,987 |
$152K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,150 |
2,122 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,068 |
2,042 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,813 |
1,786 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,645 |
1,625 |
$97K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
367 |
356 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
852 |
825 |
$67K |
| 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 |
1,492 |
1,268 |
$48K |
| 99381 |
|
312 |
299 |
$39K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,691 |
1,305 |
$25K |
| 99384 |
|
265 |
261 |
$23K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
432 |
358 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
241 |
240 |
$18K |
| 99383 |
|
193 |
188 |
$17K |
| 99205 |
Prolong outpt/office vis |
277 |
271 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
372 |
346 |
$15K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,102 |
1,100 |
$14K |
| 99382 |
|
82 |
81 |
$6K |
| 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 |
162 |
120 |
$5K |
| 0012A |
|
73 |
72 |
$2K |
| 0011A |
|
73 |
72 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,112 |
2,066 |
$1K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
14 |
14 |
$873.00 |
| D0140 |
Limited oral evaluation - problem focused |
778 |
754 |
$673.16 |
| D0330 |
Panoramic radiographic image |
1,977 |
1,926 |
$358.78 |
| D0120 |
Periodic oral evaluation - established patient |
2,494 |
2,461 |
$165.66 |
| D0274 |
Bitewings - four radiographic images |
2,226 |
2,179 |
$150.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
397 |
397 |
$113.19 |
| D1120 |
Prophylaxis - child |
3,052 |
3,013 |
$73.50 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
794 |
792 |
$73.18 |
| D1208 |
Topical application of fluoride, excluding varnish |
3,772 |
3,714 |
$58.80 |
| D0220 |
Intraoral - periapical first radiographic image |
2,434 |
2,318 |
$57.68 |
| D1110 |
Prophylaxis - adult |
1,393 |
1,373 |
$30.00 |
| 81025 |
|
141 |
138 |
$21.69 |
| D0601 |
|
993 |
978 |
$0.00 |
| D1330 |
|
2,701 |
2,680 |
$0.00 |
| D0603 |
|
4,841 |
4,702 |
$0.00 |
| D0602 |
|
274 |
271 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,686 |
1,583 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
762 |
501 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
1,910 |
1,883 |
$0.00 |
| 58300 |
|
13 |
13 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
603 |
596 |
$0.00 |
| D1351 |
Sealant - per tooth |
2,028 |
605 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
141 |
79 |
$0.00 |
| 91301 |
|
124 |
122 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 91307 |
|
17 |
14 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
1,090 |
1,076 |
$0.00 |
| D0431 |
|
257 |
253 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
604 |
541 |
$0.00 |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
110 |
68 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
997 |
658 |
$0.00 |
| D0270 |
|
12 |
12 |
$0.00 |