| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
120,604 |
74,949 |
$20.57M |
| D9999 |
Unspecified adjunctive procedure, by report |
16,781 |
13,980 |
$2.79M |
| D0999 |
Unspecified diagnostic procedure, by report |
2,215 |
1,881 |
$470K |
| Q3014 |
Telehealth originating site facility fee |
13,845 |
12,020 |
$205K |
| 99490 |
Ccm add 20min |
521 |
512 |
$69K |
| 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 |
4,661 |
3,589 |
$64K |
| 90834 |
Psychotherapy, 45 minutes with patient |
41,170 |
25,486 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,517 |
22,406 |
$39K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,095 |
4,665 |
$23K |
| 90791 |
Psychiatric diagnostic evaluation |
7,036 |
6,715 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,889 |
25,054 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,035 |
802 |
$11K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
861 |
667 |
$11K |
| 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 |
1,824 |
1,177 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
2,917 |
2,874 |
$8K |
| D1110 |
Prophylaxis - adult |
2,688 |
2,663 |
$7K |
| D1206 |
Topical application of fluoride varnish |
2,883 |
2,794 |
$6K |
| D1120 |
Prophylaxis - child |
1,297 |
1,250 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,876 |
1,804 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,066 |
2,026 |
$3K |
| D0274 |
Bitewings - four radiographic images |
1,765 |
1,720 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,110 |
1,028 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,203 |
902 |
$3K |
| 87428 |
|
2,751 |
2,513 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
1,252 |
1,160 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
2,032 |
1,989 |
$2K |
| D0603 |
|
1,415 |
1,380 |
$2K |
| 80305 |
|
2,170 |
1,695 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
2,825 |
2,705 |
$2K |
| D0330 |
Panoramic radiographic image |
533 |
527 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,376 |
7,546 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
202 |
193 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
926 |
547 |
$2K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
89 |
78 |
$1K |
| 87430 |
|
3,865 |
3,618 |
$1K |
| D1351 |
Sealant - per tooth |
132 |
34 |
$958.30 |
| D0272 |
Bitewings - two radiographic images |
194 |
189 |
$780.83 |
| D0230 |
Intraoral - periapical each additional radiographic image |
780 |
363 |
$743.30 |
| D0602 |
|
487 |
486 |
$725.00 |
| 90686 |
|
391 |
384 |
$539.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
869 |
846 |
$494.21 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,165 |
2,094 |
$461.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,772 |
1,383 |
$452.52 |
| D0601 |
|
329 |
319 |
$420.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
469 |
461 |
$360.28 |
| 99215 |
Prolong outpt/office vis |
344 |
317 |
$299.85 |
| 36415 |
Collection of venous blood by venipuncture |
3,498 |
3,287 |
$295.42 |
| 96127 |
|
1,284 |
1,203 |
$255.00 |
| 81025 |
|
395 |
375 |
$214.15 |
| 99408 |
|
257 |
249 |
$204.42 |
| D1354 |
|
30 |
12 |
$199.04 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
90 |
$175.60 |
| 80053 |
Comprehensive metabolic panel |
51 |
46 |
$150.20 |
| 81003 |
|
1,817 |
1,648 |
$147.94 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
155 |
151 |
$138.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
45 |
27 |
$119.62 |
| D2330 |
|
19 |
14 |
$116.79 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
826 |
307 |
$103.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
684 |
640 |
$94.67 |
| 87400 |
|
715 |
685 |
$76.77 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
15 |
$71.61 |
| 87807 |
|
257 |
237 |
$66.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
117 |
108 |
$51.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
184 |
177 |
$44.98 |
| 90685 |
|
43 |
40 |
$41.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
685 |
608 |
$35.13 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
165 |
141 |
$28.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
163 |
160 |
$24.20 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
13 |
13 |
$15.59 |
| 99173 |
|
310 |
304 |
$14.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
90 |
84 |
$5.00 |
| D2331 |
|
16 |
13 |
$0.11 |
| D4341 |
|
17 |
12 |
$0.10 |
| D1330 |
|
885 |
868 |
$0.00 |
| D1310 |
|
49 |
49 |
$0.00 |
| 82043 |
|
25 |
25 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
12 |
$0.00 |
| 86308 |
|
13 |
13 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17 |
14 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 90785 |
|
419 |
343 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
190 |
182 |
$0.00 |
| 96160 |
|
19 |
19 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
42 |
$0.00 |
| 99051 |
|
36 |
34 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
51 |
$0.00 |