| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
77,572 |
57,441 |
$12.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,042 |
34,718 |
$1.62M |
| D0999 |
Unspecified diagnostic procedure, by report |
4,479 |
3,701 |
$875K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
614 |
598 |
$329K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,863 |
3,763 |
$282K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,384 |
6,515 |
$249K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,061 |
2,872 |
$217K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,959 |
2,866 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,395 |
3,933 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,569 |
2,525 |
$197K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,625 |
1,269 |
$160K |
| 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 |
4,267 |
3,928 |
$145K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,573 |
1,524 |
$122K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,226 |
2,163 |
$73K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,810 |
3,497 |
$62K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
775 |
729 |
$58K |
| 59430 |
|
729 |
603 |
$46K |
| 99222 |
Initial hospital care, per day, moderate complexity |
556 |
454 |
$45K |
| 99381 |
|
578 |
564 |
$45K |
| 99460 |
|
563 |
546 |
$42K |
| CP002 |
|
3,796 |
3,152 |
$37K |
| 99463 |
|
312 |
303 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
681 |
653 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
387 |
375 |
$19K |
| 59514 |
|
29 |
26 |
$17K |
| 99235 |
|
132 |
122 |
$17K |
| 0072A |
|
675 |
656 |
$12K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
90 |
85 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
389 |
372 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
500 |
419 |
$10K |
| 99000 |
|
2,859 |
2,711 |
$9K |
| 81002 |
|
8,187 |
5,574 |
$7K |
| 99462 |
|
200 |
160 |
$7K |
| 0071A |
|
463 |
460 |
$5K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
139 |
130 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
70 |
57 |
$3K |
| 99383 |
|
46 |
44 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
573 |
521 |
$3K |
| 99382 |
|
49 |
44 |
$3K |
| 81025 |
|
635 |
604 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
127 |
119 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
526 |
255 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
33 |
30 |
$2K |
| 59025 |
Fetal non-stress test |
62 |
38 |
$2K |
| 0004A |
|
180 |
177 |
$1K |
| D0330 |
Panoramic radiographic image |
233 |
213 |
$1K |
| 86580 |
|
849 |
844 |
$1K |
| 0002A |
|
76 |
72 |
$1K |
| 99384 |
|
16 |
14 |
$1K |
| 99385 |
|
32 |
25 |
$1K |
| D1110 |
Prophylaxis - adult |
197 |
195 |
$813.29 |
| 81003 |
|
896 |
826 |
$805.03 |
| D0274 |
Bitewings - four radiographic images |
94 |
84 |
$786.40 |
| 73630 |
|
158 |
73 |
$783.96 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
179 |
158 |
$741.57 |
| D0220 |
Intraoral - periapical first radiographic image |
1,031 |
973 |
$636.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
66 |
$611.60 |
| 92081 |
|
411 |
406 |
$599.72 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
99 |
87 |
$553.48 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,143 |
816 |
$549.60 |
| D0120 |
Periodic oral evaluation - established patient |
1,349 |
1,321 |
$462.73 |
| 0111A |
|
12 |
12 |
$400.00 |
| 0064A |
|
398 |
398 |
$360.00 |
| 0001A |
|
46 |
46 |
$240.00 |
| 0011A |
|
694 |
689 |
$220.22 |
| 0081A |
|
13 |
13 |
$200.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
67 |
66 |
$152.86 |
| 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 |
121 |
97 |
$103.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,889 |
3,852 |
$101.20 |
| 92551 |
|
396 |
390 |
$89.28 |
| 81001 |
|
61 |
59 |
$79.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
1,472 |
1,459 |
$75.69 |
| 82948 |
|
28 |
25 |
$63.45 |
| 90686 |
|
1,551 |
1,539 |
$57.87 |
| 90734 |
|
479 |
475 |
$53.19 |
| 90621 |
|
17 |
16 |
$44.12 |
| 99441 |
|
243 |
232 |
$22.14 |
| 90715 |
|
103 |
101 |
$22.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,344 |
2,330 |
$20.76 |
| D0603 |
|
765 |
746 |
$0.00 |
| 90698 |
|
458 |
456 |
$0.00 |
| D0602 |
|
568 |
530 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
122 |
122 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,964 |
1,888 |
$0.00 |
| D1351 |
Sealant - per tooth |
511 |
139 |
$0.00 |
| 90723 |
|
387 |
385 |
$0.00 |
| 90680 |
|
1,521 |
1,517 |
$0.00 |
| 90677 |
|
926 |
924 |
$0.00 |
| 0240U |
|
73 |
70 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
509 |
469 |
$0.00 |
| D0601 |
|
931 |
866 |
$0.00 |
| D1330 |
|
932 |
923 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
374 |
364 |
$0.00 |
| 90657 |
|
43 |
43 |
$0.00 |
| 90651 |
|
411 |
405 |
$0.00 |
| 91307 |
|
960 |
948 |
$0.00 |
| 90474 |
|
334 |
332 |
$0.00 |
| 90656 |
|
89 |
88 |
$0.00 |
| 90696 |
|
282 |
279 |
$0.00 |
| 0031A |
|
12 |
12 |
$0.00 |
| 90697 |
|
669 |
668 |
$0.00 |
| 90688 |
|
106 |
106 |
$0.00 |
| 0012A |
|
732 |
732 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
44 |
42 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$0.00 |
| 91301 |
|
33 |
33 |
$0.00 |
| 90670 |
|
1,625 |
1,578 |
$0.00 |
| D1120 |
Prophylaxis - child |
1,077 |
1,064 |
$0.00 |
| 90648 |
|
976 |
973 |
$0.00 |
| 90710 |
|
1,064 |
1,057 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
253 |
183 |
$0.00 |
| 90700 |
|
462 |
453 |
$0.00 |
| 90687 |
|
71 |
71 |
$0.00 |
| 90685 |
|
105 |
105 |
$0.00 |
| D1999 |
|
1,971 |
1,525 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
347 |
316 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
647 |
643 |
$0.00 |
| 90633 |
|
1,206 |
1,198 |
$0.00 |
| 0013A |
|
131 |
131 |
$0.00 |
| 99442 |
|
197 |
189 |
$0.00 |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
18 |
14 |
$0.00 |
| 91300 |
|
174 |
168 |
$0.00 |
| 90473 |
|
55 |
55 |
$0.00 |
| 90658 |
|
121 |
121 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
30 |
30 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |