| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
394,138 |
309,060 |
$76.45M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
116 |
115 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,675 |
50,861 |
$31K |
| 99397 |
|
74 |
74 |
$9K |
| T1016 |
Case management, each 15 minutes |
669 |
596 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,651 |
47,777 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,716 |
2,456 |
$6K |
| 3008F |
|
54,219 |
45,190 |
$5K |
| 0012A |
|
588 |
574 |
$4K |
| 0011A |
|
574 |
560 |
$2K |
| 36416 |
|
8,322 |
7,502 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
288 |
250 |
$774.25 |
| 0502F |
|
6,778 |
4,130 |
$726.94 |
| 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 |
5,698 |
4,506 |
$712.15 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,988 |
4,558 |
$705.49 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,617 |
10,848 |
$642.65 |
| 3016F |
|
8,217 |
5,414 |
$523.71 |
| 1031F |
|
8,344 |
5,559 |
$523.71 |
| 96156 |
|
2,557 |
1,943 |
$399.72 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,493 |
3,292 |
$332.67 |
| 3078F |
|
29,301 |
24,574 |
$316.80 |
| 36415 |
Collection of venous blood by venipuncture |
17,543 |
15,447 |
$315.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,705 |
4,109 |
$299.40 |
| 81025 |
|
4,634 |
4,204 |
$269.19 |
| 1159F |
|
45,513 |
37,446 |
$264.95 |
| 3015F |
|
1,078 |
992 |
$261.17 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,510 |
1,399 |
$261.17 |
| 90686 |
|
2,605 |
2,411 |
$261.15 |
| 81002 |
|
6,212 |
4,853 |
$213.53 |
| 96158 |
|
2,803 |
1,762 |
$213.17 |
| 1160F |
|
14,777 |
12,746 |
$208.31 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,229 |
3,029 |
$208.31 |
| 3080F |
|
4,740 |
4,241 |
$208.31 |
| 3079F |
|
14,123 |
12,501 |
$208.31 |
| 1125F |
|
19,924 |
16,816 |
$208.31 |
| 99381 |
|
1,132 |
1,089 |
$200.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,419 |
4,923 |
$149.39 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,823 |
4,221 |
$146.54 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,146 |
2,024 |
$136.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,836 |
2,617 |
$87.42 |
| 0071A |
|
60 |
54 |
$83.00 |
| 3074F |
|
32,443 |
27,225 |
$73.81 |
| 90688 |
|
1,409 |
1,289 |
$52.50 |
| 90715 |
|
2,547 |
2,371 |
$34.61 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,141 |
1,948 |
$34.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,972 |
3,601 |
$30.00 |
| 71046 |
Radiologic examination, chest; 2 views |
571 |
540 |
$27.88 |
| 96152 |
|
659 |
456 |
$23.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,196 |
1,037 |
$20.17 |
| 83037 |
|
4,613 |
4,176 |
$10.79 |
| 96150 |
|
307 |
239 |
$1.25 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
900 |
822 |
$1.10 |
| 1126F |
|
22,333 |
19,123 |
$0.63 |
| 90681 |
|
1,088 |
977 |
$0.37 |
| 90670 |
|
1,641 |
1,479 |
$0.37 |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
390 |
173 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,618 |
3,239 |
$0.00 |
| D1120 |
Prophylaxis - child |
8,493 |
7,285 |
$0.00 |
| D1110 |
Prophylaxis - adult |
3,002 |
2,422 |
$0.00 |
| 83655 |
|
2,300 |
2,174 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
2,453 |
1,988 |
$0.00 |
| 96159 |
|
230 |
161 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
463 |
446 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
439 |
393 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
2,267 |
1,841 |
$0.00 |
| 82465 |
|
745 |
687 |
$0.00 |
| 3077F |
|
6,650 |
5,721 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
10,750 |
8,877 |
$0.00 |
| 99173 |
|
3,478 |
3,275 |
$0.00 |
| 99177 |
|
914 |
865 |
$0.00 |
| 1033F |
|
2,157 |
2,021 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,553 |
900 |
$0.00 |
| 59025 |
Fetal non-stress test |
1,111 |
494 |
$0.00 |
| 90671 |
|
1,126 |
1,048 |
$0.00 |
| 90707 |
|
451 |
424 |
$0.00 |
| D1354 |
|
1,899 |
572 |
$0.00 |
| 1032F |
|
239 |
216 |
$0.00 |
| 90633 |
|
1,146 |
1,081 |
$0.00 |
| D0330 |
Panoramic radiographic image |
1,366 |
853 |
$0.00 |
| 90662 |
|
411 |
363 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,184 |
2,905 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,055 |
1,902 |
$0.00 |
| 92552 |
|
2,263 |
2,130 |
$0.00 |
| 99382 |
|
105 |
98 |
$0.00 |
| D0270 |
|
329 |
323 |
$0.00 |
| 99499 |
|
367 |
304 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
598 |
540 |
$0.00 |
| 11981 |
|
13 |
12 |
$0.00 |
| 3725F |
|
439 |
405 |
$0.00 |
| 3046F |
|
283 |
256 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
201 |
188 |
$0.00 |
| 90461 |
|
776 |
685 |
$0.00 |
| 3051F |
|
150 |
145 |
$0.00 |
| 91322 |
|
16 |
16 |
$0.00 |
| 69210 |
|
79 |
73 |
$0.00 |
| 90710 |
|
413 |
390 |
$0.00 |
| 72110 |
|
216 |
211 |
$0.00 |
| 91300 |
|
31 |
31 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
91 |
51 |
$0.00 |
| 90734 |
|
36 |
31 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
178 |
160 |
$0.00 |
| 3050F |
|
65 |
58 |
$0.00 |
| D0190 |
|
16 |
15 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
35 |
27 |
$0.00 |
| 73030 |
|
28 |
24 |
$0.00 |
| 73630 |
|
12 |
12 |
$0.00 |
| 95251 |
|
14 |
14 |
$0.00 |
| 76801 |
|
461 |
440 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,657 |
1,530 |
$0.00 |
| 3075F |
|
7,353 |
6,605 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
1,728 |
995 |
$0.00 |
| D1351 |
Sealant - per tooth |
3,304 |
1,018 |
$0.00 |
| 88720 |
|
1,694 |
1,123 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
10,095 |
8,411 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
3,121 |
2,723 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,691 |
3,050 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
8,848 |
7,241 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,549 |
4,776 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
5,881 |
4,613 |
$0.00 |
| 4037F |
|
200 |
184 |
$0.00 |
| D0603 |
|
5,593 |
4,286 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
902 |
731 |
$0.00 |
| 90697 |
|
1,023 |
907 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,498 |
1,385 |
$0.00 |
| 91301 |
|
823 |
797 |
$0.00 |
| 3048F |
|
891 |
802 |
$0.00 |
| 0064A |
|
199 |
189 |
$0.00 |
| 82962 |
|
709 |
630 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
563 |
525 |
$0.00 |
| 3044F |
|
1,348 |
1,221 |
$0.00 |
| 87807 |
|
720 |
671 |
$0.00 |
| 72072 |
|
12 |
12 |
$0.00 |
| 0501F |
|
337 |
334 |
$0.00 |
| 85018 |
|
4,029 |
3,731 |
$0.00 |
| 90696 |
|
384 |
361 |
$0.00 |
| 99385 |
|
691 |
659 |
$0.00 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
394 |
344 |
$0.00 |
| 90651 |
|
981 |
904 |
$0.00 |
| 96161 |
|
1,244 |
1,151 |
$0.00 |
| 90619 |
|
507 |
481 |
$0.00 |
| 96127 |
|
651 |
625 |
$0.00 |
| 92551 |
|
1,089 |
1,050 |
$0.00 |
| 3049F |
|
182 |
171 |
$0.00 |
| 90620 |
|
184 |
173 |
$0.00 |
| 3014F |
|
341 |
309 |
$0.00 |
| 1036F |
|
9,410 |
8,430 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
344 |
325 |
$0.00 |
| 99386 |
|
342 |
310 |
$0.00 |
| 90716 |
|
442 |
415 |
$0.00 |
| 99384 |
|
131 |
125 |
$0.00 |
| 99383 |
|
447 |
416 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
606 |
548 |
$0.00 |
| 1170F |
|
30 |
28 |
$0.00 |
| 1034F |
|
2,293 |
2,083 |
$0.00 |
| D4999 |
|
64 |
56 |
$0.00 |
| 90698 |
|
1,463 |
1,349 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
267 |
245 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
175 |
161 |
$0.00 |
| 91307 |
|
32 |
30 |
$0.00 |
| 3017F |
|
146 |
128 |
$0.00 |
| 90656 |
|
729 |
668 |
$0.00 |
| 90744 |
|
336 |
307 |
$0.00 |
| 0072A |
|
34 |
32 |
$0.00 |
| 58300 |
|
28 |
27 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
202 |
189 |
$0.00 |
| 4010F |
|
148 |
127 |
$0.00 |
| 0503F |
|
370 |
346 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
80 |
60 |
$0.00 |
| 1030F |
|
44 |
41 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
157 |
148 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
386 |
337 |
$0.00 |
| 90480 |
|
17 |
17 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
36 |
32 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
16 |
13 |
$0.00 |
| 1035F |
|
28 |
27 |
$0.00 |
| 1101F |
|
29 |
27 |
$0.00 |
| 91306 |
|
87 |
81 |
$0.00 |
| 91303 |
|
18 |
16 |
$0.00 |
| 96154 |
|
16 |
12 |
$0.00 |
| 90732 |
|
44 |
41 |
$0.00 |
| 86580 |
|
46 |
37 |
$0.00 |
| 90677 |
|
21 |
19 |
$0.00 |
| 3052F |
|
25 |
25 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
14 |
$0.00 |
| 58301 |
|
14 |
12 |
$0.00 |