| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
58,683 |
41,426 |
$10.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108,535 |
96,710 |
$1.74M |
| D0120 |
Periodic oral evaluation - established patient |
5,250 |
4,358 |
$667K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,854 |
16,096 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,257 |
4,915 |
$139K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,288 |
4,136 |
$117K |
| 90832 |
Psychotherapy, 30 minutes with patient |
22,810 |
10,938 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,658 |
4,669 |
$105K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,940 |
8,567 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,879 |
6,535 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,959 |
2,739 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,321 |
3,815 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,752 |
1,646 |
$59K |
| 90671 |
|
1,552 |
1,409 |
$45K |
| 92551 |
|
10,149 |
9,509 |
$39K |
| 90697 |
|
1,495 |
1,375 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
848 |
777 |
$30K |
| 99173 |
|
11,311 |
10,693 |
$18K |
| 0012A |
|
528 |
521 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,209 |
1,112 |
$17K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14,478 |
13,547 |
$15K |
| 0011A |
|
392 |
392 |
$11K |
| 90686 |
|
4,303 |
3,831 |
$9K |
| 81025 |
|
4,750 |
3,911 |
$9K |
| 59025 |
Fetal non-stress test |
316 |
138 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
374 |
323 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
166 |
159 |
$6K |
| 81002 |
|
15,128 |
10,888 |
$6K |
| 90658 |
|
344 |
335 |
$5K |
| 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 |
5,314 |
4,740 |
$5K |
| 99401 |
|
2,239 |
2,043 |
$5K |
| 88142 |
|
408 |
323 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
379 |
323 |
$4K |
| 0001A |
|
121 |
98 |
$4K |
| 99490 |
Ccm add 20min |
482 |
478 |
$3K |
| 97802 |
|
4,560 |
3,941 |
$3K |
| 90681 |
|
1,598 |
1,534 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,490 |
1,462 |
$3K |
| 0002A |
|
90 |
73 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
479 |
471 |
$2K |
| 0013A |
|
73 |
69 |
$2K |
| 82962 |
|
2,391 |
2,027 |
$2K |
| 90746 |
|
28 |
28 |
$2K |
| 90670 |
|
1,971 |
1,854 |
$2K |
| 90698 |
|
1,364 |
1,331 |
$2K |
| 99462 |
|
821 |
798 |
$2K |
| 90716 |
|
365 |
327 |
$2K |
| D1206 |
Topical application of fluoride varnish |
514 |
502 |
$1K |
| 90651 |
|
295 |
294 |
$1K |
| 90474 |
|
226 |
223 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
502 |
491 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
372 |
372 |
$1K |
| D1120 |
Prophylaxis - child |
434 |
412 |
$1K |
| 97803 |
|
5,919 |
5,098 |
$1K |
| 90633 |
|
971 |
903 |
$1K |
| D1110 |
Prophylaxis - adult |
219 |
212 |
$867.00 |
| 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 |
1,143 |
532 |
$812.44 |
| D0140 |
Limited oral evaluation - problem focused |
307 |
300 |
$788.00 |
| D0210 |
Intraoral - complete series of radiographic images |
167 |
167 |
$780.00 |
| 99464 |
|
667 |
658 |
$716.54 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
18 |
14 |
$684.00 |
| 90734 |
|
13 |
13 |
$512.98 |
| 90685 |
|
118 |
118 |
$489.16 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,051 |
313 |
$475.75 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
98 |
66 |
$433.75 |
| D0220 |
Intraoral - periapical first radiographic image |
1,454 |
1,381 |
$407.25 |
| 90707 |
|
114 |
96 |
$359.66 |
| 87590 |
|
177 |
140 |
$349.32 |
| D0601 |
|
31 |
31 |
$310.00 |
| 99460 |
|
684 |
677 |
$306.21 |
| 90688 |
|
176 |
176 |
$291.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
63 |
54 |
$244.73 |
| 99000 |
|
4,799 |
4,403 |
$243.00 |
| D0274 |
Bitewings - four radiographic images |
145 |
142 |
$243.00 |
| 87623 |
|
12 |
12 |
$226.83 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$207.97 |
| 99381 |
|
2,044 |
2,011 |
$176.00 |
| 86580 |
|
80 |
68 |
$165.34 |
| 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 |
39 |
39 |
$142.54 |
| D0603 |
|
24 |
24 |
$120.00 |
| D9110 |
|
12 |
12 |
$120.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
24 |
$97.95 |
| 99386 |
|
13 |
13 |
$96.90 |
| 90744 |
|
1,126 |
1,126 |
$86.14 |
| 99383 |
|
46 |
46 |
$85.17 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
38 |
30 |
$77.02 |
| 90715 |
|
61 |
61 |
$47.83 |
| 83986 |
|
150 |
119 |
$43.42 |
| 87490 |
|
175 |
148 |
$15.00 |
| 91300 |
|
205 |
152 |
$11.00 |
| 90750 |
|
31 |
26 |
$10.00 |
| 91301 |
|
604 |
597 |
$2.00 |
| 3079F |
|
15 |
14 |
$0.04 |
| 3074F |
|
51 |
51 |
$0.02 |
| D1330 |
|
224 |
190 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
90 |
88 |
$0.00 |
| V5008 |
Hearing screening |
320 |
320 |
$0.00 |
| 0503F |
|
84 |
84 |
$0.00 |
| 3075F |
|
24 |
24 |
$0.00 |
| 99384 |
|
84 |
84 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 96380 |
|
24 |
24 |
$0.00 |
| D1310 |
|
15 |
12 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |
| D0190 |
|
1,761 |
1,240 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
16 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
150 |
150 |
$0.00 |
| 3078F |
|
51 |
51 |
$0.00 |
| 90380 |
|
16 |
16 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
12 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
14 |
14 |
$0.00 |
| 0502F |
|
35 |
25 |
$0.00 |
| 90649 |
|
26 |
26 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |