| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,007 |
34,500 |
$10.74M |
| H2020 |
Therapeutic behavioral services, per diem |
35,655 |
1,354 |
$5.22M |
| T1006 |
Alcohol and/or substance abuse services, family/couple counseling |
16,016 |
718 |
$3.80M |
| H2015 |
Comprehensive community support services, per 15 minutes |
10,423 |
952 |
$1.48M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,422 |
18,494 |
$573K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,125 |
11,707 |
$183K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,379 |
623 |
$179K |
| T1016 |
Case management, each 15 minutes |
606 |
501 |
$160K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
928 |
65 |
$153K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,600 |
974 |
$117K |
| 90839 |
|
814 |
512 |
$113K |
| H2011 |
Crisis intervention service, per 15 minutes |
367 |
205 |
$93K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,522 |
594 |
$74K |
| 80305 |
|
7,658 |
5,365 |
$60K |
| 90840 |
|
739 |
460 |
$60K |
| D7140 |
Extraction, erupted tooth or exposed root |
504 |
158 |
$49K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
216 |
48 |
$44K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
420 |
119 |
$37K |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
214 |
14 |
$26K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
379 |
363 |
$26K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
4,136 |
2,694 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
405 |
370 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,960 |
3,294 |
$16K |
| D0210 |
Intraoral - complete series of radiographic images |
248 |
235 |
$15K |
| D1110 |
Prophylaxis - adult |
200 |
197 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,263 |
4,829 |
$12K |
| 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 |
5,124 |
3,062 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,845 |
2,482 |
$10K |
| 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 |
3,137 |
1,527 |
$10K |
| H0006 |
Alcohol and/or drug services; case management |
1,029 |
475 |
$10K |
| H0001 |
Alcohol and/or drug assessment |
54 |
54 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
623 |
490 |
$6K |
| 99000 |
|
7,911 |
5,627 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
149 |
142 |
$5K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
64 |
37 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
119 |
$4K |
| D0274 |
Bitewings - four radiographic images |
72 |
71 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
858 |
605 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
116 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
182 |
172 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
115 |
92 |
$972.70 |
| 81025 |
|
125 |
104 |
$556.24 |
| 99215 |
Prolong outpt/office vis |
215 |
184 |
$427.66 |
| 90686 |
|
71 |
66 |
$323.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
67 |
$221.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
40 |
$123.50 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
46 |
39 |
$52.90 |
| 97810 |
|
395 |
158 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
56 |
43 |
$0.00 |
| D9986 |
|
49 |
48 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 80104 |
|
25 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$0.00 |