| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,148 |
15,623 |
$3.74M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,249 |
26,109 |
$1.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,761 |
26,819 |
$776K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,359 |
5,270 |
$201K |
| D0210 |
Intraoral - complete series of radiographic images |
4,257 |
3,817 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,004 |
1,907 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,104 |
1,922 |
$107K |
| 99215 |
Prolong outpt/office vis |
2,000 |
1,760 |
$106K |
| 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 |
4,526 |
3,866 |
$105K |
| D1206 |
Topical application of fluoride varnish |
9,026 |
8,090 |
$90K |
| D0140 |
Limited oral evaluation - problem focused |
6,963 |
6,366 |
$87K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,157 |
2,100 |
$83K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,204 |
4,703 |
$81K |
| D1120 |
Prophylaxis - child |
3,764 |
3,433 |
$72K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
979 |
866 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,374 |
2,901 |
$63K |
| 99000 |
|
22,366 |
19,868 |
$62K |
| D0120 |
Periodic oral evaluation - established patient |
5,096 |
4,707 |
$61K |
| D0330 |
Panoramic radiographic image |
2,507 |
2,321 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,130 |
1,089 |
$60K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
2,154 |
1,190 |
$56K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
577 |
350 |
$44K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,363 |
5,763 |
$38K |
| D0274 |
Bitewings - four radiographic images |
2,815 |
2,592 |
$36K |
| 90837 |
Psychotherapy, 53 minutes with patient |
774 |
513 |
$35K |
| D1110 |
Prophylaxis - adult |
1,684 |
1,548 |
$34K |
| D1351 |
Sealant - per tooth |
2,825 |
763 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
562 |
536 |
$30K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
789 |
728 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
385 |
334 |
$27K |
| D0191 |
|
3,036 |
2,735 |
$23K |
| 90756 |
|
1,418 |
1,349 |
$20K |
| 0012A |
|
515 |
508 |
$17K |
| 90834 |
Psychotherapy, 45 minutes with patient |
397 |
315 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
244 |
219 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
289 |
258 |
$13K |
| 81025 |
|
1,943 |
1,736 |
$12K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
1,100 |
908 |
$12K |
| 0011A |
|
543 |
536 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
2,185 |
1,965 |
$10K |
| D2160 |
|
290 |
193 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
920 |
778 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
126 |
118 |
$8K |
| D2140 |
|
409 |
224 |
$8K |
| 82962 |
|
3,881 |
3,408 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
147 |
110 |
$7K |
| 90688 |
|
376 |
338 |
$6K |
| 90697 |
|
444 |
400 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
112 |
80 |
$4K |
| 0064A |
|
141 |
115 |
$4K |
| 0002A |
|
112 |
110 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
86 |
75 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,314 |
1,100 |
$3K |
| 90671 |
|
451 |
385 |
$3K |
| 0001A |
|
122 |
117 |
$3K |
| D1354 |
|
592 |
135 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
175 |
146 |
$2K |
| 99442 |
|
187 |
124 |
$2K |
| D0272 |
Bitewings - two radiographic images |
145 |
138 |
$2K |
| 99441 |
|
270 |
175 |
$2K |
| 99443 |
|
109 |
82 |
$2K |
| 90656 |
|
150 |
149 |
$2K |
| 0004A |
|
57 |
51 |
$1K |
| D9110 |
|
85 |
77 |
$1K |
| 90681 |
|
162 |
140 |
$1K |
| 99460 |
|
19 |
15 |
$1K |
| 99381 |
|
28 |
24 |
$1K |
| 90686 |
|
217 |
167 |
$1K |
| 90658 |
|
51 |
51 |
$999.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
46 |
$936.65 |
| 81003 |
|
542 |
483 |
$851.78 |
| D0270 |
|
212 |
197 |
$779.53 |
| 99384 |
|
13 |
13 |
$667.33 |
| 90661 |
|
26 |
25 |
$614.40 |
| 90670 |
|
179 |
172 |
$546.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$533.66 |
| D4355 |
|
20 |
17 |
$491.45 |
| 11721 |
|
34 |
27 |
$488.60 |
| 81002 |
|
174 |
159 |
$445.11 |
| 99201 |
|
20 |
19 |
$435.12 |
| 90651 |
|
12 |
12 |
$165.00 |
| 99188 |
|
16 |
15 |
$154.68 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$147.69 |
| 36416 |
|
143 |
139 |
$138.68 |
| D0240 |
|
15 |
13 |
$123.75 |
| 3044F |
|
420 |
391 |
$90.00 |
| 36415 |
Collection of venous blood by venipuncture |
887 |
806 |
$70.62 |
| G0008 |
Administration of influenza virus vaccine |
89 |
84 |
$12.63 |
| 91301 |
|
1,083 |
1,030 |
$1.39 |
| 91300 |
|
397 |
352 |
$0.24 |
| 3078F |
|
19,354 |
16,733 |
$0.00 |
| 1159F |
|
18,261 |
14,637 |
$0.00 |
| 1160F |
|
17,455 |
14,219 |
$0.00 |
| 3077F |
|
2,114 |
1,821 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
160 |
148 |
$0.00 |
| 90633 |
|
69 |
65 |
$0.00 |
| 90649 |
|
31 |
31 |
$0.00 |
| 90734 |
|
31 |
31 |
$0.00 |
| 90715 |
|
32 |
32 |
$0.00 |
| 90707 |
|
18 |
16 |
$0.00 |
| D0180 |
|
26 |
25 |
$0.00 |
| 1126F |
|
8,856 |
7,208 |
$0.00 |
| 3074F |
|
22,494 |
19,397 |
$0.00 |
| 1125F |
|
6,109 |
5,047 |
$0.00 |
| 3075F |
|
2,240 |
2,051 |
$0.00 |
| 3008F |
|
2,369 |
2,042 |
$0.00 |
| 3079F |
|
6,443 |
5,724 |
$0.00 |
| 3080F |
|
1,205 |
1,053 |
$0.00 |
| 1170F |
|
153 |
143 |
$0.00 |
| D1310 |
|
177 |
149 |
$0.00 |
| D1330 |
|
147 |
137 |
$0.00 |
| D0602 |
|
17 |
16 |
$0.00 |
| 91306 |
|
141 |
115 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
243 |
224 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99406 |
|
29 |
25 |
$0.00 |
| J3490 |
Unclassified drugs |
16 |
14 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
16 |
15 |
$0.00 |