| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
77,050 |
48,151 |
$45.47M |
| 00003 |
Internal/system code - not a standard HCPCS code |
23,683 |
16,931 |
$13.10M |
| 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 |
4,999 |
3,500 |
$1.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,777 |
26,197 |
$658K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,193 |
2,186 |
$430K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
390 |
272 |
$251K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
966 |
959 |
$229K |
| 92015 |
Determination of refractive state |
4,173 |
4,151 |
$217K |
| 98940 |
|
177 |
131 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,085 |
3,718 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,188 |
11,570 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,357 |
2,333 |
$36K |
| 81002 |
|
96 |
88 |
$8K |
| 99173 |
|
198 |
195 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,205 |
1,166 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,163 |
2,252 |
$2K |
| 95999 |
|
64 |
63 |
$2K |
| 90686 |
|
947 |
944 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,061 |
1,055 |
$1K |
| 85018 |
|
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
802 |
786 |
$854.00 |
| 0064A |
|
21 |
21 |
$780.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
661 |
624 |
$519.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,944 |
2,148 |
$495.87 |
| 0012A |
|
33 |
32 |
$220.00 |
| 90674 |
|
20 |
20 |
$18.00 |
| 85014 |
|
1,227 |
1,204 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
88 |
86 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,698 |
2,604 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
622 |
420 |
$0.00 |
| 90713 |
|
162 |
159 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,046 |
906 |
$0.00 |
| D1120 |
Prophylaxis - child |
1,580 |
1,579 |
$0.00 |
| 90707 |
|
74 |
74 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
1,951 |
1,951 |
$0.00 |
| D1110 |
Prophylaxis - adult |
1,212 |
1,212 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
2,932 |
2,905 |
$0.00 |
| 90700 |
|
362 |
347 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
305 |
298 |
$0.00 |
| 90461 |
|
1,002 |
970 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| D4910 |
|
269 |
269 |
$0.00 |
| 97161 |
|
920 |
908 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
190 |
$0.00 |
| 90685 |
|
69 |
69 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
217 |
208 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
713 |
712 |
$0.00 |
| D9430 |
|
763 |
721 |
$0.00 |
| D4341 |
|
402 |
269 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
109 |
$0.00 |
| 90670 |
|
147 |
143 |
$0.00 |
| 90648 |
|
150 |
143 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
43 |
35 |
$0.00 |
| 90633 |
|
80 |
79 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
34 |
34 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$0.00 |
| D0270 |
|
39 |
38 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
39 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
2,392 |
2,389 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
590 |
580 |
$0.00 |
| 97113 |
|
336 |
113 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,373 |
2,369 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
783 |
783 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
3,005 |
2,975 |
$0.00 |
| 97010 |
|
4,170 |
1,594 |
$0.00 |
| 97014 |
|
2,170 |
815 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,657 |
511 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
840 |
840 |
$0.00 |
| D1330 |
|
2,960 |
2,940 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,026 |
958 |
$0.00 |
| D2330 |
|
303 |
234 |
$0.00 |
| 92551 |
|
466 |
456 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
15 |
15 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 92002 |
|
217 |
217 |
$0.00 |
| D2331 |
|
44 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| D1351 |
Sealant - per tooth |
558 |
148 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
58 |
57 |
$0.00 |
| 96910 |
|
555 |
235 |
$0.00 |
| D1310 |
|
15 |
15 |
$0.00 |
| 0011A |
|
18 |
18 |
$0.00 |
| 90716 |
|
57 |
57 |
$0.00 |
| 90651 |
|
38 |
38 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 91301 |
|
44 |
44 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
48 |
$0.00 |
| 97162 |
|
13 |
13 |
$0.00 |