| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
40,710 |
27,834 |
$4.18M |
| H2020 |
Therapeutic behavioral services, per diem |
16,572 |
8,147 |
$1.30M |
| D0999 |
Unspecified diagnostic procedure, by report |
2,981 |
1,831 |
$256K |
| 0011A |
|
417 |
187 |
$427.88 |
| 3044F |
|
3,328 |
2,259 |
$260.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,655 |
3,063 |
$157.96 |
| 0072A |
|
42 |
31 |
$122.08 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,224 |
647 |
$82.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,649 |
13,599 |
$41.53 |
| 0012A |
|
425 |
141 |
$37.08 |
| 90656 |
|
94 |
71 |
$22.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,658 |
1,168 |
$14.70 |
| 3078F |
|
5,541 |
4,300 |
$0.00 |
| 1160F |
|
16,954 |
12,157 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,261 |
2,827 |
$0.00 |
| 1159F |
|
17,126 |
12,283 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,879 |
3,493 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,289 |
910 |
$0.00 |
| 96160 |
|
2,446 |
1,663 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
942 |
748 |
$0.00 |
| 84439 |
|
369 |
240 |
$0.00 |
| 3077F |
|
1,217 |
886 |
$0.00 |
| 85014 |
|
212 |
164 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
187 |
148 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
350 |
137 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
103 |
$0.00 |
| 4004F |
|
83 |
63 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
72 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
595 |
458 |
$0.00 |
| 99173 |
|
313 |
232 |
$0.00 |
| 90715 |
|
47 |
40 |
$0.00 |
| 80061 |
Lipid panel |
329 |
217 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
497 |
357 |
$0.00 |
| 11721 |
|
115 |
82 |
$0.00 |
| 90658 |
|
150 |
122 |
$0.00 |
| 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 |
28 |
18 |
$0.00 |
| 82948 |
|
221 |
101 |
$0.00 |
| 1158F |
|
182 |
158 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
45 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$0.00 |
| D1110 |
Prophylaxis - adult |
62 |
40 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
38 |
$0.00 |
| 92552 |
|
14 |
13 |
$0.00 |
| 91300 |
|
45 |
13 |
$0.00 |
| 0002A |
|
45 |
13 |
$0.00 |
| D0330 |
Panoramic radiographic image |
49 |
39 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
16 |
15 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
19 |
15 |
$0.00 |
| 3351F |
|
7,686 |
5,616 |
$0.00 |
| 92551 |
|
70 |
53 |
$0.00 |
| 1126F |
|
5,547 |
4,179 |
$0.00 |
| 3074F |
|
5,932 |
4,573 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
248 |
198 |
$0.00 |
| 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 |
814 |
596 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
392 |
251 |
$0.00 |
| 1220F |
|
8,993 |
4,829 |
$0.00 |
| 2001F |
|
1,396 |
1,162 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
57 |
41 |
$0.00 |
| 3079F |
|
2,254 |
1,681 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
613 |
285 |
$0.00 |
| 3008F |
|
16,250 |
11,806 |
$0.00 |
| 1000F |
|
9,860 |
6,972 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,109 |
3,598 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
112 |
79 |
$0.00 |
| 3075F |
|
1,542 |
1,162 |
$0.00 |
| 1125F |
|
1,548 |
1,163 |
$0.00 |
| 1036F |
|
214 |
195 |
$0.00 |
| 3014F |
|
373 |
301 |
$0.00 |
| 3017F |
|
250 |
188 |
$0.00 |
| 1111F |
|
261 |
185 |
$0.00 |
| 4060F |
|
697 |
251 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
145 |
87 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
495 |
327 |
$0.00 |
| 4000F |
|
348 |
257 |
$0.00 |
| 96127 |
|
1,455 |
970 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
468 |
313 |
$0.00 |
| 91301 |
|
1,084 |
424 |
$0.00 |
| 1034F |
|
114 |
83 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
389 |
264 |
$0.00 |
| 1123F |
|
96 |
86 |
$0.00 |
| 82607 |
|
76 |
56 |
$0.00 |
| 82728 |
|
71 |
45 |
$0.00 |
| 86803 |
|
132 |
74 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
77 |
$0.00 |
| 82962 |
|
395 |
312 |
$0.00 |
| 90688 |
|
146 |
123 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
13 |
$0.00 |
| 99496 |
|
78 |
55 |
$0.00 |
| 91307 |
|
61 |
47 |
$0.00 |
| 99407 |
|
34 |
26 |
$0.00 |
| 99406 |
|
42 |
25 |
$0.00 |
| 80358 |
|
246 |
152 |
$0.00 |
| 90654 |
|
119 |
81 |
$0.00 |
| 81005 |
|
271 |
176 |
$0.00 |
| 3080F |
|
280 |
207 |
$0.00 |
| 90686 |
|
247 |
192 |
$0.00 |
| 85018 |
|
212 |
164 |
$0.00 |
| 86592 |
|
84 |
44 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
154 |
113 |
$0.00 |
| 3048F |
|
19 |
14 |
$0.00 |
| 90620 |
|
25 |
17 |
$0.00 |
| 99495 |
|
33 |
26 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
16 |
12 |
$0.00 |
| 86593 |
|
26 |
15 |
$0.00 |
| 11055 |
|
22 |
12 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |
| D1330 |
|
15 |
12 |
$0.00 |
| 90619 |
|
22 |
13 |
$0.00 |
| 1157F |
|
43 |
35 |
$0.00 |
| D1351 |
Sealant - per tooth |
50 |
15 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
19 |
13 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
20 |
$0.00 |