| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
216,121 |
155,218 |
$29.99M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
4,439 |
3,779 |
$280K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,700 |
1,271 |
$142K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
409 |
400 |
$5K |
| 0011A |
|
105 |
104 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,396 |
50,793 |
$2K |
| 0012A |
|
36 |
36 |
$1K |
| 96150 |
|
3,389 |
1,954 |
$954.36 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,109 |
15,799 |
$948.70 |
| 90636 |
|
161 |
97 |
$941.00 |
| 90715 |
|
2,971 |
2,533 |
$709.37 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
8,102 |
7,160 |
$595.00 |
| 96127 |
|
53,420 |
38,652 |
$568.24 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,014 |
6,139 |
$488.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,716 |
7,481 |
$424.10 |
| 90732 |
|
92 |
68 |
$419.75 |
| 96158 |
|
128 |
98 |
$372.79 |
| 90670 |
|
4,106 |
3,416 |
$357.20 |
| 0500F |
|
950 |
741 |
$352.80 |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,116 |
3,053 |
$342.55 |
| 99386 |
|
3,366 |
2,931 |
$265.60 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
896 |
722 |
$249.88 |
| 90651 |
|
3,835 |
3,259 |
$234.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30,617 |
25,297 |
$190.90 |
| 99385 |
|
4,141 |
3,495 |
$161.02 |
| 99000 |
|
63 |
62 |
$117.30 |
| 90633 |
|
3,541 |
2,968 |
$107.73 |
| 99384 |
|
1,469 |
1,267 |
$104.96 |
| 96156 |
|
2,022 |
1,798 |
$102.57 |
| 99382 |
|
1,056 |
910 |
$98.65 |
| 90734 |
|
3,369 |
2,884 |
$92.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,670 |
2,054 |
$79.67 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,692 |
9,010 |
$76.84 |
| 90707 |
|
1,347 |
1,182 |
$70.92 |
| 90710 |
|
2,534 |
2,168 |
$69.33 |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,593 |
7,396 |
$64.36 |
| 90700 |
|
2,436 |
2,023 |
$52.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,319 |
1,948 |
$44.55 |
| 81025 |
|
5,761 |
4,839 |
$41.70 |
| 90677 |
|
123 |
112 |
$33.42 |
| 90713 |
|
612 |
520 |
$33.42 |
| 90648 |
|
1,524 |
1,211 |
$25.60 |
| 90680 |
|
1,680 |
1,432 |
$23.11 |
| 99215 |
Prolong outpt/office vis |
3,132 |
2,718 |
$21.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,779 |
16,523 |
$20.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,234 |
7,635 |
$20.00 |
| 90656 |
|
3,518 |
2,849 |
$19.20 |
| 82947 |
|
840 |
661 |
$19.10 |
| 81002 |
|
5,009 |
3,501 |
$17.60 |
| 90744 |
|
1,875 |
1,671 |
$16.71 |
| 90674 |
|
329 |
285 |
$16.71 |
| 90697 |
|
36 |
31 |
$16.71 |
| 90698 |
|
2,273 |
1,959 |
$12.80 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,220 |
908 |
$10.00 |
| 90688 |
|
413 |
365 |
$6.40 |
| 85018 |
|
70 |
59 |
$4.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,485 |
1,079 |
$3.00 |
| 81000 |
|
1,612 |
1,336 |
$2.62 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,098 |
943 |
$1.00 |
| 90723 |
|
558 |
447 |
$0.00 |
| 3079F |
|
3,994 |
3,841 |
$0.00 |
| 99383 |
|
2,062 |
1,717 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
140 |
112 |
$0.00 |
| 3080F |
|
1,795 |
1,719 |
$0.00 |
| 1036F |
|
10,810 |
10,129 |
$0.00 |
| 90696 |
|
1,385 |
1,190 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
335 |
157 |
$0.00 |
| 3075F |
|
2,186 |
2,129 |
$0.00 |
| 99407 |
|
545 |
497 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
349 |
275 |
$0.00 |
| 0503F |
|
185 |
165 |
$0.00 |
| 1034F |
|
2,411 |
2,191 |
$0.00 |
| 99381 |
|
884 |
773 |
$0.00 |
| 3074F |
|
11,570 |
11,114 |
$0.00 |
| 3008F |
|
17,468 |
16,458 |
$0.00 |
| 90474 |
|
756 |
607 |
$0.00 |
| 82270 |
|
17 |
14 |
$0.00 |
| 1126F |
|
665 |
649 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
194 |
159 |
$0.00 |
| 87430 |
|
46 |
45 |
$0.00 |
| 3044F |
|
356 |
345 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| S8110 |
Peak expiratory flow rate (physician services) |
41 |
40 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
120 |
86 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
56 |
53 |
$0.00 |
| 1125F |
|
19 |
17 |
$0.00 |
| 90716 |
|
108 |
89 |
$0.00 |
| 99441 |
|
101 |
96 |
$0.00 |
| 99406 |
|
14 |
14 |
$0.00 |
| 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 |
15 |
14 |
$0.00 |
| 3725F |
|
9,029 |
8,457 |
$0.00 |
| 80305 |
|
172 |
81 |
$0.00 |
| 99442 |
|
76 |
75 |
$0.00 |
| 0502F |
|
6,417 |
3,993 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,636 |
7,157 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,822 |
3,144 |
$0.00 |
| 99173 |
|
3,907 |
3,734 |
$0.00 |
| 3077F |
|
2,598 |
2,476 |
$0.00 |
| 90473 |
|
268 |
241 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
120 |
50 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
68 |
$0.00 |
| 82948 |
|
100 |
59 |
$0.00 |
| 81003 |
|
375 |
365 |
$0.00 |
| 96160 |
|
754 |
705 |
$0.00 |
| 90655 |
|
70 |
48 |
$0.00 |
| 1160F |
|
8,229 |
7,479 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
263 |
216 |
$0.00 |
| 3078F |
|
10,389 |
9,976 |
$0.00 |
| D1110 |
Prophylaxis - adult |
141 |
100 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
246 |
178 |
$0.00 |
| D1120 |
Prophylaxis - child |
149 |
109 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
77 |
66 |
$0.00 |
| 3046F |
|
244 |
238 |
$0.00 |
| 69210 |
|
14 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
19 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
53 |
52 |
$0.00 |