| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
402,219 |
326,761 |
$57.12M |
| 11721 |
|
10,409 |
9,318 |
$425K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132,839 |
116,859 |
$419K |
| 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 |
16,256 |
12,698 |
$350K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,387 |
44,670 |
$288K |
| 82962 |
|
18,805 |
16,680 |
$153K |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,318 |
15,906 |
$131K |
| 90834 |
Psychotherapy, 45 minutes with patient |
22,598 |
15,271 |
$120K |
| 11720 |
|
2,411 |
2,231 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,641 |
15,144 |
$82K |
| 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 |
1,977 |
1,249 |
$78K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12,443 |
11,382 |
$78K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
387 |
317 |
$27K |
| 99442 |
|
4,913 |
4,444 |
$26K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,346 |
583 |
$17K |
| 99215 |
Prolong outpt/office vis |
2,012 |
1,842 |
$13K |
| 11056 |
|
1,566 |
1,436 |
$10K |
| 97803 |
|
2,800 |
1,429 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,317 |
2,120 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,850 |
1,750 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
481 |
431 |
$4K |
| 97802 |
|
2,023 |
1,137 |
$4K |
| 90686 |
|
17,975 |
17,030 |
$3K |
| 98968 |
|
237 |
175 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
2,101 |
1,870 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,100 |
20,932 |
$3K |
| 92015 |
Determination of refractive state |
2,795 |
2,620 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
484 |
318 |
$1K |
| 0011A |
|
612 |
561 |
$1K |
| 11055 |
|
97 |
90 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
793 |
755 |
$1K |
| 99443 |
|
198 |
187 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
627 |
560 |
$1K |
| 98967 |
|
92 |
85 |
$1K |
| 76830 |
Ultrasound, transvaginal |
266 |
253 |
$564.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,199 |
1,146 |
$465.95 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,073 |
1,004 |
$431.62 |
| 0134A |
|
15 |
13 |
$417.06 |
| 96127 |
|
8,594 |
8,271 |
$403.15 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
52 |
$374.29 |
| 81002 |
|
9,465 |
8,382 |
$345.60 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,032 |
1,015 |
$329.80 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,071 |
764 |
$185.86 |
| 83986 |
|
721 |
702 |
$184.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,394 |
2,269 |
$179.16 |
| 76801 |
|
1,221 |
1,049 |
$51.74 |
| 90739 |
|
30 |
27 |
$48.61 |
| 81025 |
|
8,284 |
7,770 |
$48.61 |
| 0012A |
|
523 |
501 |
$40.00 |
| 0064A |
|
216 |
214 |
$22.50 |
| 87210 |
|
884 |
861 |
$3.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,563 |
11,006 |
$0.00 |
| 92551 |
|
20,821 |
19,879 |
$0.00 |
| 90620 |
|
959 |
924 |
$0.00 |
| 90651 |
|
2,085 |
2,009 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
5,672 |
5,419 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
941 |
866 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,607 |
3,394 |
$0.00 |
| D0601 |
|
3,236 |
3,082 |
$0.00 |
| 85018 |
|
22,837 |
21,911 |
$0.00 |
| 90677 |
|
714 |
690 |
$0.00 |
| 87428 |
|
790 |
748 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
198 |
192 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,283 |
1,037 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
376 |
369 |
$0.00 |
| 90619 |
|
345 |
327 |
$0.00 |
| D5899 |
|
711 |
433 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
5,962 |
5,611 |
$0.00 |
| D0602 |
|
261 |
248 |
$0.00 |
| D0603 |
|
806 |
751 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
10,396 |
8,842 |
$0.00 |
| 91301 |
|
1,419 |
1,343 |
$0.00 |
| 90723 |
|
1,051 |
1,015 |
$0.00 |
| 90656 |
|
1,665 |
1,642 |
$0.00 |
| 91306 |
|
351 |
344 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
4,262 |
4,018 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
86 |
81 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
166 |
156 |
$0.00 |
| 90697 |
|
582 |
546 |
$0.00 |
| 90716 |
|
175 |
164 |
$0.00 |
| 90696 |
|
39 |
38 |
$0.00 |
| 88720 |
|
29 |
25 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
497 |
358 |
$0.00 |
| 90474 |
|
38 |
37 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 59430 |
|
100 |
88 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
41 |
$0.00 |
| 87430 |
|
46 |
43 |
$0.00 |
| 92250 |
|
29 |
28 |
$0.00 |
| 99243 |
|
28 |
28 |
$0.00 |
| 99381 |
|
13 |
13 |
$0.00 |
| D1351 |
Sealant - per tooth |
37 |
12 |
$0.00 |
| 99386 |
|
27 |
27 |
$0.00 |
| 90632 |
|
14 |
14 |
$0.00 |
| 99173 |
|
19,968 |
19,092 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,819 |
4,636 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,072 |
6,763 |
$0.00 |
| 90670 |
|
3,230 |
3,124 |
$0.00 |
| 83655 |
|
1,334 |
1,262 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,820 |
13,137 |
$0.00 |
| D1120 |
Prophylaxis - child |
6,909 |
6,460 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
734 |
688 |
$0.00 |
| D0190 |
|
483 |
444 |
$0.00 |
| 90734 |
|
687 |
675 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,343 |
7,032 |
$0.00 |
| 59425 |
|
6,777 |
5,452 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
9,064 |
8,560 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,736 |
4,527 |
$0.00 |
| D0191 |
|
150 |
140 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,086 |
1,051 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,419 |
7,109 |
$0.00 |
| 90648 |
|
2,236 |
2,158 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
11,312 |
10,451 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,395 |
3,171 |
$0.00 |
| 90633 |
|
1,931 |
1,853 |
$0.00 |
| 90461 |
|
4,863 |
4,682 |
$0.00 |
| 90746 |
|
239 |
235 |
$0.00 |
| D1110 |
Prophylaxis - adult |
9,737 |
9,136 |
$0.00 |
| 90715 |
|
469 |
448 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,569 |
1,118 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
277 |
264 |
$0.00 |
| 90681 |
|
240 |
231 |
$0.00 |
| D0160 |
|
185 |
171 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
588 |
558 |
$0.00 |
| 90750 |
|
49 |
47 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
48 |
39 |
$0.00 |
| 90710 |
|
63 |
62 |
$0.00 |
| 90473 |
|
13 |
12 |
$0.00 |
| 90685 |
|
84 |
79 |
$0.00 |
| 90707 |
|
28 |
26 |
$0.00 |
| 91313 |
|
15 |
13 |
$0.00 |