| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
118,572 |
66,432 |
$11.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130,111 |
66,119 |
$8.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,943 |
24,999 |
$3.98M |
| 90832 |
Psychotherapy, 30 minutes with patient |
17,123 |
11,799 |
$1.05M |
| 80305 |
|
16,582 |
6,965 |
$533K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
8,994 |
3,158 |
$471K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,500 |
3,280 |
$396K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,808 |
2,320 |
$383K |
| 36415 |
Collection of venous blood by venipuncture |
15,597 |
4,342 |
$302K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,297 |
2,042 |
$209K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,435 |
1,591 |
$200K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,280 |
8,042 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,122 |
1,370 |
$165K |
| D1110 |
Prophylaxis - adult |
2,741 |
2,740 |
$146K |
| 97803 |
|
1,881 |
1,205 |
$121K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,740 |
2,196 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,694 |
716 |
$112K |
| 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 |
3,135 |
1,493 |
$104K |
| 90791 |
Psychiatric diagnostic evaluation |
812 |
545 |
$76K |
| D0191 |
|
3,006 |
607 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,618 |
556 |
$74K |
| 81025 |
|
2,829 |
1,078 |
$66K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,824 |
857 |
$65K |
| 97802 |
|
890 |
637 |
$62K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,195 |
477 |
$55K |
| 96127 |
|
7,648 |
6,490 |
$47K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
4,196 |
3,869 |
$47K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,454 |
1,454 |
$43K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,292 |
371 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,588 |
3,819 |
$39K |
| D1120 |
Prophylaxis - child |
877 |
877 |
$38K |
| D0274 |
Bitewings - four radiographic images |
1,426 |
1,425 |
$36K |
| 92551 |
|
6,503 |
6,481 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,320 |
493 |
$35K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
830 |
648 |
$32K |
| 99215 |
Prolong outpt/office vis |
472 |
147 |
$29K |
| D0220 |
Intraoral - periapical first radiographic image |
1,874 |
1,869 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
486 |
270 |
$23K |
| D0330 |
Panoramic radiographic image |
637 |
637 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,190 |
3,133 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
800 |
800 |
$21K |
| D0140 |
Limited oral evaluation - problem focused |
1,461 |
1,451 |
$20K |
| 87807 |
|
978 |
399 |
$19K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
256 |
204 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
628 |
627 |
$17K |
| 81003 |
|
773 |
356 |
$16K |
| 98940 |
|
1,167 |
564 |
$16K |
| 90651 |
|
99 |
99 |
$16K |
| D1206 |
Topical application of fluoride varnish |
516 |
516 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
294 |
112 |
$14K |
| 90686 |
|
1,816 |
1,814 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
135 |
106 |
$11K |
| 0012A |
|
388 |
385 |
$11K |
| 82120 |
|
728 |
285 |
$10K |
| 90682 |
|
203 |
203 |
$10K |
| 0011A |
|
438 |
417 |
$9K |
| 83655 |
|
413 |
109 |
$9K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
840 |
506 |
$9K |
| 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 |
254 |
99 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
129 |
96 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
834 |
797 |
$7K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
110 |
87 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
460 |
460 |
$6K |
| 99205 |
Prolong outpt/office vis |
88 |
27 |
$6K |
| 85018 |
|
288 |
79 |
$6K |
| 99406 |
|
859 |
845 |
$5K |
| 99383 |
|
44 |
14 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
144 |
135 |
$3K |
| 0002A |
|
104 |
104 |
$3K |
| 0064A |
|
94 |
94 |
$3K |
| 99051 |
|
422 |
364 |
$3K |
| D9110 |
|
107 |
104 |
$3K |
| 99490 |
Ccm add 20min |
63 |
54 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
798 |
737 |
$2K |
| 0001A |
|
110 |
110 |
$2K |
| D2332 |
|
19 |
14 |
$2K |
| 90715 |
|
80 |
80 |
$2K |
| 87210 |
|
325 |
295 |
$2K |
| 99173 |
|
4,352 |
4,350 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
140 |
131 |
$1K |
| 99459 |
|
79 |
77 |
$1K |
| 90688 |
|
69 |
69 |
$1K |
| 90756 |
|
40 |
39 |
$1K |
| 92567 |
|
76 |
74 |
$898.48 |
| 99001 |
|
133 |
122 |
$843.84 |
| 99442 |
|
20 |
19 |
$787.22 |
| 0134A |
|
28 |
28 |
$780.41 |
| 99443 |
|
12 |
12 |
$690.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
44 |
$679.75 |
| 99441 |
|
13 |
12 |
$660.59 |
| 99439 |
|
14 |
14 |
$631.80 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
134 |
124 |
$470.51 |
| D0270 |
|
37 |
37 |
$463.64 |
| 99195 |
|
22 |
17 |
$410.62 |
| 90658 |
|
28 |
28 |
$403.83 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$345.30 |
| 99188 |
|
29 |
29 |
$282.65 |
| 83986 |
|
287 |
281 |
$275.66 |
| 90734 |
|
12 |
12 |
$270.00 |
| D9990 |
|
13 |
13 |
$242.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$166.70 |
| G9920 |
Screening performed and negative |
23 |
18 |
$159.79 |
| 90480 |
|
12 |
12 |
$90.66 |
| 87220 |
|
163 |
163 |
$31.61 |
| 91301 |
|
850 |
813 |
$2.11 |
| 90677 |
|
88 |
88 |
$0.03 |
| 90619 |
|
58 |
58 |
$0.01 |
| 99408 |
|
423 |
421 |
$0.00 |
| 90670 |
|
462 |
461 |
$0.00 |
| 99080 |
|
1,772 |
1,714 |
$0.00 |
| 90633 |
|
110 |
109 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
262 |
260 |
$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) |
95 |
94 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 90461 |
|
83 |
83 |
$0.00 |
| 91300 |
|
163 |
143 |
$0.00 |
| 3725F |
|
16 |
16 |
$0.00 |
| 90648 |
|
159 |
158 |
$0.00 |
| 1160F |
|
25 |
24 |
$0.00 |
| D0190 |
|
15 |
15 |
$0.00 |
| 1159F |
|
27 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
75 |
75 |
$0.00 |
| 99172 |
|
34 |
34 |
$0.00 |
| 90647 |
|
41 |
41 |
$0.00 |
| 90697 |
|
66 |
66 |
$0.00 |
| 3008F |
|
54 |
53 |
$0.00 |
| 90723 |
|
106 |
106 |
$0.00 |
| 2010F |
|
121 |
114 |
$0.00 |
| 91306 |
|
69 |
69 |
$0.00 |
| 90680 |
|
69 |
69 |
$0.00 |