| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,801 |
16,193 |
$3.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,722 |
11,263 |
$2.78M |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,172 |
6,287 |
$2.14M |
| 90837 |
Psychotherapy, 53 minutes with patient |
18,530 |
7,803 |
$2.08M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
4,042 |
726 |
$748K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,213 |
3,880 |
$656K |
| D0140 |
Limited oral evaluation - problem focused |
2,447 |
2,310 |
$651K |
| 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 |
11,118 |
8,698 |
$478K |
| D1110 |
Prophylaxis - adult |
3,445 |
3,134 |
$427K |
| H0031 |
Mental health assessment, by non-physician |
1,079 |
1,001 |
$419K |
| T1016 |
Case management, each 15 minutes |
4,985 |
2,188 |
$344K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,470 |
1,397 |
$333K |
| H2015 |
Comprehensive community support services, per 15 minutes |
4,396 |
808 |
$306K |
| D0274 |
Bitewings - four radiographic images |
2,525 |
2,384 |
$248K |
| D0120 |
Periodic oral evaluation - established patient |
1,303 |
1,227 |
$235K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,257 |
794 |
$231K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,891 |
619 |
$180K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
372 |
356 |
$106K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
595 |
396 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
481 |
432 |
$94K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
293 |
272 |
$87K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
705 |
636 |
$85K |
| 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 |
2,167 |
1,140 |
$83K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
357 |
262 |
$68K |
| D0220 |
Intraoral - periapical first radiographic image |
3,413 |
3,197 |
$66K |
| H0046 |
Mental health services, not otherwise specified |
1,327 |
1,150 |
$45K |
| D7140 |
Extraction, erupted tooth or exposed root |
324 |
180 |
$41K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
857 |
750 |
$29K |
| Q3014 |
Telehealth originating site facility fee |
801 |
529 |
$28K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
308 |
184 |
$27K |
| D0330 |
Panoramic radiographic image |
1,702 |
1,622 |
$25K |
| D1120 |
Prophylaxis - child |
169 |
160 |
$19K |
| 92015 |
Determination of refractive state |
716 |
664 |
$15K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
842 |
665 |
$15K |
| 90839 |
|
65 |
42 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
30 |
30 |
$9K |
| D1206 |
Topical application of fluoride varnish |
1,139 |
1,060 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,043 |
960 |
$6K |
| D2330 |
|
45 |
25 |
$5K |
| 99215 |
Prolong outpt/office vis |
17 |
13 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$4K |
| S9484 |
Crisis intervention mental health services, per hour |
12 |
12 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$4K |
| 96158 |
|
12 |
12 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
14 |
12 |
$3K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
42 |
13 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
58 |
58 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
51 |
$0.00 |