| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
48,935 |
36,440 |
$4.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,918 |
14,521 |
$849K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,706 |
12,881 |
$719K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,222 |
1,253 |
$190K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,638 |
1,558 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,431 |
1,346 |
$109K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,387 |
1,273 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,284 |
1,139 |
$95K |
| D0999 |
Unspecified diagnostic procedure, by report |
941 |
749 |
$90K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,053 |
717 |
$76K |
| 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 |
1,935 |
1,745 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
726 |
663 |
$40K |
| 99000 |
|
9,650 |
8,352 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
468 |
406 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
266 |
198 |
$17K |
| 99215 |
Prolong outpt/office vis |
215 |
205 |
$13K |
| 99384 |
|
146 |
127 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,355 |
2,196 |
$11K |
| 99383 |
|
133 |
114 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,273 |
1,147 |
$8K |
| 87081 |
|
4,050 |
3,564 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
119 |
108 |
$7K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
107 |
67 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,306 |
1,134 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,531 |
4,025 |
$5K |
| 90619 |
|
206 |
181 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
57 |
$4K |
| 81025 |
|
1,515 |
1,356 |
$4K |
| 99382 |
|
42 |
42 |
$4K |
| 99381 |
|
18 |
16 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,038 |
932 |
$2K |
| 81003 |
|
2,383 |
2,112 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,013 |
925 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
768 |
699 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
693 |
621 |
$999.09 |
| 80061 |
Lipid panel |
506 |
464 |
$888.75 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$846.67 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
32 |
$748.98 |
| 92551 |
|
3,036 |
2,772 |
$650.26 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
111 |
94 |
$589.60 |
| 90686 |
|
1,011 |
934 |
$573.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$180.57 |
| 90651 |
|
617 |
566 |
$171.41 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
209 |
137 |
$153.28 |
| 0011A |
|
35 |
27 |
$96.94 |
| 87807 |
|
18 |
12 |
$88.00 |
| 90680 |
|
473 |
452 |
$86.09 |
| 83655 |
|
15 |
12 |
$81.36 |
| 90658 |
|
553 |
521 |
$62.14 |
| 90461 |
|
2,512 |
2,300 |
$56.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
127 |
123 |
$31.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
25 |
$29.50 |
| D0220 |
Intraoral - periapical first radiographic image |
20 |
16 |
$25.30 |
| 82043 |
|
27 |
26 |
$14.58 |
| 90715 |
|
337 |
301 |
$0.06 |
| 90473 |
|
56 |
54 |
$0.03 |
| 90734 |
|
348 |
311 |
$0.03 |
| 90670 |
|
761 |
713 |
$0.01 |
| 99173 |
|
1,731 |
1,559 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
12 |
$0.00 |
| 90648 |
|
139 |
132 |
$0.00 |
| 90710 |
|
578 |
535 |
$0.00 |
| 90633 |
|
648 |
586 |
$0.00 |
| 90671 |
|
336 |
316 |
$0.00 |
| 90685 |
|
40 |
39 |
$0.00 |
| 90700 |
|
69 |
65 |
$0.00 |
| D0330 |
Panoramic radiographic image |
14 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
7,494 |
6,484 |
$0.00 |
| 90698 |
|
139 |
133 |
$0.00 |
| 90697 |
|
308 |
285 |
$0.00 |
| 90696 |
|
203 |
187 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
83 |
83 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
95 |
84 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
173 |
125 |
$0.00 |
| D0601 |
|
14 |
12 |
$0.00 |
| 90723 |
|
52 |
51 |
$0.00 |
| 96161 |
|
100 |
86 |
$0.00 |
| 90657 |
|
42 |
41 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
39 |
12 |
$0.00 |
| 90744 |
|
41 |
39 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
25 |
16 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
16 |
$0.00 |