| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
155,427 |
100,811 |
$22.31M |
| D0999 |
Unspecified diagnostic procedure, by report |
74,879 |
46,036 |
$6.92M |
| H2020 |
Therapeutic behavioral services, per diem |
34,501 |
15,695 |
$3.70M |
| D7140 |
Extraction, erupted tooth or exposed root |
28,434 |
10,007 |
$93K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16,764 |
11,276 |
$40K |
| D0330 |
Panoramic radiographic image |
12,515 |
8,546 |
$36K |
| D0140 |
Limited oral evaluation - problem focused |
12,912 |
8,732 |
$22K |
| D1110 |
Prophylaxis - adult |
6,216 |
4,549 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
14,285 |
9,070 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
4,325 |
3,227 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
1,012 |
710 |
$4K |
| D0274 |
Bitewings - four radiographic images |
10,360 |
7,114 |
$3K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,036 |
393 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
528 |
314 |
$3K |
| 99051 |
|
1,192 |
807 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106,994 |
68,761 |
$1K |
| D0272 |
Bitewings - two radiographic images |
1,337 |
948 |
$1K |
| 98960 |
|
10,088 |
5,991 |
$994.07 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
119 |
65 |
$744.36 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
80 |
54 |
$373.91 |
| 3079F |
|
1,309 |
959 |
$140.00 |
| 3077F |
|
748 |
571 |
$100.00 |
| 3080F |
|
543 |
379 |
$85.00 |
| 0064A |
|
145 |
57 |
$74.16 |
| 3046F |
|
181 |
108 |
$50.00 |
| 3074F |
|
118 |
98 |
$45.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
142 |
27 |
$37.26 |
| 0012A |
|
292 |
242 |
$37.08 |
| 3075F |
|
386 |
271 |
$35.00 |
| 3078F |
|
48 |
45 |
$15.00 |
| 3044F |
|
74 |
51 |
$10.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,664 |
1,283 |
$0.01 |
| 99386 |
|
217 |
127 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,615 |
1,263 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,349 |
14,111 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,578 |
1,221 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
5,422 |
4,205 |
$0.00 |
| D0171 |
|
526 |
470 |
$0.00 |
| 97802 |
|
6,816 |
4,827 |
$0.00 |
| 81000 |
|
5,074 |
3,375 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,719 |
1,321 |
$0.00 |
| 92551 |
|
4,505 |
3,318 |
$0.00 |
| 1036F |
|
1,433 |
1,187 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
6,324 |
4,555 |
$0.00 |
| 99406 |
|
3,583 |
2,649 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
648 |
527 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
647 |
456 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
73 |
54 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
510 |
358 |
$0.00 |
| 85018 |
|
3,900 |
2,796 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,360 |
5,873 |
$0.00 |
| 90656 |
|
1,231 |
770 |
$0.00 |
| D1330 |
|
5,933 |
4,264 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,641 |
2,367 |
$0.00 |
| D1310 |
|
2,443 |
1,557 |
$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 |
4,485 |
3,691 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
380 |
314 |
$0.00 |
| D0603 |
|
8,233 |
5,998 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
196 |
157 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,340 |
2,570 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,243 |
983 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,794 |
2,891 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
180 |
133 |
$0.00 |
| 80371 |
|
1,152 |
839 |
$0.00 |
| 90680 |
|
246 |
190 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
545 |
428 |
$0.00 |
| 99385 |
|
365 |
242 |
$0.00 |
| 91301 |
|
624 |
470 |
$0.00 |
| 3017F |
|
595 |
423 |
$0.00 |
| 82962 |
|
1,499 |
996 |
$0.00 |
| 80367 |
|
1,135 |
840 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
41 |
25 |
$0.00 |
| 88142 |
|
264 |
240 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,238 |
1,535 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,655 |
1,243 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
130 |
95 |
$0.00 |
| D0602 |
|
1,351 |
730 |
$0.00 |
| 90723 |
|
250 |
209 |
$0.00 |
| 80358 |
|
1,135 |
840 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
228 |
198 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
208 |
180 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
63 |
56 |
$0.00 |
| 80368 |
|
1,194 |
841 |
$0.00 |
| D0601 |
|
341 |
257 |
$0.00 |
| 90686 |
|
292 |
238 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
13 |
13 |
$0.00 |
| 90732 |
|
35 |
31 |
$0.00 |
| 80357 |
|
1,134 |
838 |
$0.00 |
| 81001 |
|
572 |
362 |
$0.00 |
| 80341 |
|
1,133 |
839 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
641 |
276 |
$0.00 |
| 82677 |
|
12 |
12 |
$0.00 |
| 80359 |
|
1,133 |
839 |
$0.00 |
| 90651 |
|
442 |
326 |
$0.00 |
| 80353 |
|
1,132 |
838 |
$0.00 |
| 82105 |
|
12 |
12 |
$0.00 |
| 96127 |
|
41 |
26 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
395 |
92 |
$0.00 |
| 86803 |
|
73 |
51 |
$0.00 |
| 82043 |
|
22 |
13 |
$0.00 |
| 90620 |
|
49 |
33 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
52 |
47 |
$0.00 |
| 90660 |
|
70 |
55 |
$0.00 |
| 4010F |
|
95 |
40 |
$0.00 |
| 0011A |
|
238 |
194 |
$0.00 |
| 91306 |
|
46 |
12 |
$0.00 |
| 90696 |
|
46 |
27 |
$0.00 |
| 1005F |
|
26 |
15 |
$0.00 |
| 90657 |
|
38 |
12 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
15 |
$0.00 |
| D1351 |
Sealant - per tooth |
146 |
55 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,594 |
3,727 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,034 |
751 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
2,143 |
1,637 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16,566 |
8,662 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,483 |
1,172 |
$0.00 |
| 99173 |
|
4,041 |
2,763 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,985 |
3,011 |
$0.00 |
| 81025 |
|
4,196 |
3,310 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,586 |
1,260 |
$0.00 |
| 80364 |
|
1,132 |
838 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,270 |
960 |
$0.00 |
| 80348 |
|
1,132 |
836 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,726 |
1,340 |
$0.00 |
| 80365 |
|
1,135 |
840 |
$0.00 |
| 81003 |
|
6,518 |
3,475 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
11,187 |
4,612 |
$0.00 |
| 80377 |
|
1,133 |
839 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,520 |
1,173 |
$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 |
143 |
116 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
754 |
526 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
686 |
506 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,372 |
1,927 |
$0.00 |
| 80373 |
|
1,133 |
839 |
$0.00 |
| 90863 |
|
4,348 |
3,345 |
$0.00 |
| 80355 |
|
1,132 |
838 |
$0.00 |
| D0270 |
|
3,875 |
2,832 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,805 |
6,969 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13,866 |
8,838 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
908 |
701 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,008 |
645 |
$0.00 |
| 83655 |
|
566 |
402 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,456 |
1,089 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,425 |
762 |
$0.00 |
| 80372 |
|
1,146 |
839 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
572 |
464 |
$0.00 |
| 80331 |
|
1,131 |
836 |
$0.00 |
| D4341 |
|
1,670 |
754 |
$0.00 |
| D0191 |
|
297 |
254 |
$0.00 |
| 4004F |
|
1,070 |
558 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
443 |
352 |
$0.00 |
| 90670 |
|
759 |
629 |
$0.00 |
| 80326 |
|
1,134 |
839 |
$0.00 |
| 80370 |
|
1,191 |
841 |
$0.00 |
| 90648 |
|
507 |
418 |
$0.00 |
| 3725F |
|
1,351 |
793 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
519 |
397 |
$0.00 |
| 4013F |
|
86 |
70 |
$0.00 |
| 80334 |
|
1,133 |
839 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,093 |
1,534 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
990 |
642 |
$0.00 |
| 90633 |
|
607 |
448 |
$0.00 |
| D1120 |
Prophylaxis - child |
2,944 |
2,295 |
$0.00 |
| 90734 |
|
331 |
247 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,194 |
841 |
$0.00 |
| 90655 |
|
291 |
214 |
$0.00 |
| 83992 |
|
1,132 |
838 |
$0.00 |
| 99401 |
|
312 |
270 |
$0.00 |
| 90658 |
|
346 |
233 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
559 |
382 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
757 |
658 |
$0.00 |
| D4910 |
|
80 |
64 |
$0.00 |
| 90715 |
|
212 |
134 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
107 |
89 |
$0.00 |
| 80366 |
|
1,137 |
842 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
473 |
365 |
$0.00 |
| 99382 |
|
179 |
173 |
$0.00 |
| 80360 |
|
1,132 |
838 |
$0.00 |
| 90661 |
|
354 |
234 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
28 |
13 |
$0.00 |
| 80344 |
|
1,132 |
838 |
$0.00 |
| D9110 |
|
185 |
74 |
$0.00 |
| 80337 |
|
1,133 |
839 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
234 |
175 |
$0.00 |
| 80354 |
|
1,134 |
839 |
$0.00 |
| 80338 |
|
1,132 |
837 |
$0.00 |
| 90461 |
|
335 |
212 |
$0.00 |
| 80361 |
|
1,133 |
839 |
$0.00 |
| 80346 |
|
1,134 |
840 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
437 |
347 |
$0.00 |
| 86336 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
60 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
47 |
17 |
$0.00 |
| 90700 |
|
20 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
25 |
$0.00 |
| 90710 |
|
64 |
40 |
$0.00 |
| 90707 |
|
18 |
12 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
204 |
129 |
$0.00 |
| 84702 |
|
12 |
12 |
$0.00 |
| 97803 |
|
14 |
13 |
$0.00 |