| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
35,203 |
28,703 |
$7.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158,428 |
141,032 |
$6.90M |
| 90832 |
Psychotherapy, 30 minutes with patient |
42,562 |
36,919 |
$1.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,790 |
25,592 |
$1.60M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,156 |
12,094 |
$944K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,192 |
11,746 |
$874K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,779 |
9,727 |
$807K |
| 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 |
63,526 |
36,592 |
$590K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20,314 |
16,677 |
$554K |
| G9149 |
National committee for quality assurance - level 2 medical home |
2,467 |
2,449 |
$439K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,339 |
3,317 |
$298K |
| D0120 |
Periodic oral evaluation - established patient |
8,270 |
8,044 |
$222K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,584 |
3,314 |
$216K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
3,217 |
2,698 |
$198K |
| 90686 |
|
11,296 |
11,241 |
$130K |
| D1110 |
Prophylaxis - adult |
2,961 |
2,866 |
$127K |
| 99177 |
|
17,218 |
17,117 |
$117K |
| 92551 |
|
18,346 |
18,256 |
$116K |
| 99336 |
|
3,073 |
2,249 |
$110K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,946 |
2,821 |
$99K |
| D1206 |
Topical application of fluoride varnish |
5,242 |
5,087 |
$91K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17,090 |
17,039 |
$89K |
| D0330 |
Panoramic radiographic image |
2,585 |
2,464 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,011 |
2,921 |
$81K |
| D0140 |
Limited oral evaluation - problem focused |
3,077 |
2,927 |
$80K |
| 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 |
5,652 |
5,534 |
$77K |
| 90670 |
|
6,714 |
6,686 |
$72K |
| D0274 |
Bitewings - four radiographic images |
5,702 |
5,505 |
$71K |
| D4341 |
|
1,913 |
1,323 |
$68K |
| 99215 |
Prolong outpt/office vis |
674 |
574 |
$64K |
| 90698 |
|
5,156 |
5,142 |
$56K |
| 90688 |
|
4,379 |
4,364 |
$55K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,336 |
1,320 |
$52K |
| D0220 |
Intraoral - periapical first radiographic image |
5,251 |
5,011 |
$49K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
700 |
654 |
$47K |
| 99306 |
Prolong nursin fac eval 15m |
1,256 |
1,163 |
$43K |
| 90674 |
|
1,914 |
1,890 |
$42K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
915 |
749 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,488 |
3,448 |
$39K |
| 90680 |
|
3,271 |
3,264 |
$35K |
| 99349 |
|
1,148 |
979 |
$34K |
| 99442 |
|
1,110 |
1,007 |
$34K |
| D1999 |
|
2,723 |
2,235 |
$33K |
| 90791 |
Psychiatric diagnostic evaluation |
481 |
478 |
$33K |
| D1120 |
Prophylaxis - child |
1,320 |
1,276 |
$30K |
| 80305 |
|
2,675 |
2,109 |
$29K |
| 0002A |
|
735 |
734 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,044 |
506 |
$28K |
| 99443 |
|
512 |
437 |
$28K |
| 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 |
1,292 |
1,054 |
$25K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
265 |
260 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
974 |
929 |
$25K |
| 0012A |
|
656 |
655 |
$25K |
| 0001A |
|
596 |
594 |
$23K |
| 99335 |
|
641 |
529 |
$21K |
| 0072A |
|
518 |
515 |
$20K |
| 0011A |
|
663 |
661 |
$20K |
| 0071A |
|
475 |
474 |
$19K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
213 |
190 |
$18K |
| 90633 |
|
1,557 |
1,543 |
$17K |
| 92552 |
|
802 |
789 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
396 |
163 |
$15K |
| G9148 |
National committee for quality assurance - level 1 medical home |
64 |
59 |
$15K |
| 99305 |
|
406 |
385 |
$14K |
| D7140 |
Extraction, erupted tooth or exposed root |
292 |
165 |
$14K |
| 87428 |
|
474 |
464 |
$13K |
| 90651 |
|
1,124 |
1,117 |
$13K |
| 90648 |
|
1,206 |
1,197 |
$12K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
895 |
656 |
$12K |
| 99173 |
|
6,133 |
6,102 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
719 |
708 |
$10K |
| 90671 |
|
634 |
629 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
258 |
251 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,940 |
1,462 |
$9K |
| 0064A |
|
229 |
227 |
$9K |
| 90744 |
|
789 |
786 |
$8K |
| G9150 |
National committee for quality assurance - level 3 medical home |
112 |
112 |
$8K |
| 90656 |
|
702 |
699 |
$7K |
| 99348 |
|
348 |
296 |
$6K |
| 0004A |
|
141 |
141 |
$5K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
533 |
512 |
$5K |
| T1002 |
Rn services, up to 15 minutes |
74 |
53 |
$5K |
| 96156 |
|
81 |
80 |
$5K |
| 90734 |
|
471 |
471 |
$5K |
| 90723 |
|
479 |
478 |
$5K |
| 99441 |
|
196 |
180 |
$5K |
| D4910 |
|
80 |
80 |
$3K |
| 90715 |
|
254 |
254 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
209 |
208 |
$3K |
| 85018 |
|
1,585 |
1,572 |
$3K |
| 90661 |
|
79 |
79 |
$3K |
| 99384 |
|
26 |
26 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
91 |
89 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
115 |
$3K |
| 0054A |
|
65 |
64 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
55 |
53 |
$2K |
| 90710 |
|
198 |
198 |
$2K |
| 96127 |
|
360 |
356 |
$2K |
| D1351 |
Sealant - per tooth |
118 |
25 |
$2K |
| D2331 |
|
44 |
39 |
$2K |
| 96150 |
|
87 |
84 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
735 |
711 |
$2K |
| 90685 |
|
275 |
273 |
$2K |
| 0052A |
|
52 |
52 |
$2K |
| 99460 |
|
27 |
26 |
$2K |
| D0190 |
|
175 |
170 |
$2K |
| 96158 |
|
42 |
40 |
$2K |
| 98926 |
|
70 |
67 |
$2K |
| 99316 |
|
61 |
61 |
$2K |
| 90672 |
|
107 |
107 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
90 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,630 |
1,465 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
30 |
30 |
$1K |
| 99497 |
|
26 |
25 |
$831.12 |
| 90619 |
|
46 |
44 |
$800.77 |
| D1354 |
|
215 |
130 |
$775.80 |
| 90697 |
|
46 |
46 |
$669.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
14 |
$660.62 |
| 96160 |
|
361 |
358 |
$654.41 |
| D0272 |
Bitewings - two radiographic images |
61 |
61 |
$581.49 |
| 90696 |
|
50 |
50 |
$562.69 |
| 90707 |
|
41 |
41 |
$560.49 |
| 90716 |
|
40 |
40 |
$549.62 |
| 90677 |
|
29 |
29 |
$540.58 |
| 98925 |
|
27 |
24 |
$494.13 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$462.10 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
83 |
77 |
$374.14 |
| 83037 |
|
38 |
37 |
$332.19 |
| 81025 |
|
39 |
38 |
$207.87 |
| 81002 |
|
70 |
68 |
$187.62 |
| 94664 |
|
13 |
13 |
$113.17 |
| 94760 |
|
105 |
103 |
$28.33 |
| 99307 |
|
160 |
134 |
$25.78 |
| 99347 |
|
12 |
12 |
$12.63 |
| 3074F |
|
34,583 |
32,638 |
$8.62 |
| 91301 |
|
1,156 |
1,144 |
$0.01 |
| 3008F |
|
39,680 |
37,476 |
$0.00 |
| D1330 |
|
3,384 |
2,933 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
865 |
850 |
$0.00 |
| 3079F |
|
2,283 |
2,209 |
$0.00 |
| 90694 |
|
222 |
218 |
$0.00 |
| D0603 |
|
4,041 |
3,449 |
$0.00 |
| D0601 |
|
319 |
308 |
$0.00 |
| 3075F |
|
287 |
279 |
$0.00 |
| D0602 |
|
141 |
130 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
14 |
13 |
$0.00 |
| D9993 |
|
2,890 |
2,524 |
$0.00 |
| 3078F |
|
32,656 |
30,946 |
$0.00 |
| 90653 |
|
95 |
90 |
$0.00 |
| 0502F |
|
1,899 |
1,553 |
$0.00 |
| 99334 |
|
14 |
12 |
$0.00 |
| 91300 |
|
243 |
243 |
$0.00 |
| 3077F |
|
37 |
36 |
$0.00 |
| 90662 |
|
20 |
20 |
$0.00 |