| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
171,056 |
135,385 |
$41.38M |
| 90834 |
Psychotherapy, 45 minutes with patient |
36,487 |
18,305 |
$919K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,493 |
14,794 |
$383K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,705 |
19,795 |
$358K |
| 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 |
12,349 |
9,536 |
$292K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
9,742 |
3,935 |
$230K |
| 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 |
4,597 |
2,241 |
$122K |
| D1206 |
Topical application of fluoride varnish |
78,479 |
76,924 |
$105K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
8,343 |
4,048 |
$92K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,296 |
1,909 |
$86K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
4,936 |
1,785 |
$82K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,979 |
1,308 |
$49K |
| D1120 |
Prophylaxis - child |
18,603 |
18,191 |
$48K |
| 90837 |
Psychotherapy, 53 minutes with patient |
824 |
408 |
$39K |
| D1351 |
Sealant - per tooth |
21,427 |
7,114 |
$34K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
5,546 |
3,930 |
$29K |
| D1110 |
Prophylaxis - adult |
16,576 |
15,944 |
$22K |
| 99215 |
Prolong outpt/office vis |
716 |
584 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,990 |
5,712 |
$19K |
| D0191 |
|
54,454 |
53,558 |
$19K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
4,277 |
1,223 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
21,765 |
20,915 |
$14K |
| 80305 |
|
2,529 |
1,806 |
$14K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,216 |
663 |
$13K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,193 |
406 |
$12K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
3,389 |
2,370 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
3,712 |
3,588 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
6,734 |
6,363 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
573 |
517 |
$9K |
| 99205 |
Prolong outpt/office vis |
207 |
144 |
$7K |
| 92015 |
Determination of refractive state |
1,500 |
1,339 |
$7K |
| 99000 |
|
3,036 |
2,430 |
$7K |
| D0274 |
Bitewings - four radiographic images |
9,195 |
8,741 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
583 |
531 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
8,144 |
7,632 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
148 |
111 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
129 |
56 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
583 |
502 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
167 |
149 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
4,347 |
2,090 |
$3K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
119 |
102 |
$2K |
| D0272 |
Bitewings - two radiographic images |
1,881 |
1,824 |
$2K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
44 |
43 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$1K |
| D2331 |
|
67 |
51 |
$1K |
| 90686 |
|
90 |
89 |
$790.93 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
8,880 |
3,280 |
$379.56 |
| 97116 |
|
22 |
12 |
$280.72 |
| 36415 |
Collection of venous blood by venipuncture |
1,494 |
1,246 |
$136.70 |
| 98940 |
|
2,471 |
994 |
$135.92 |
| 85027 |
|
16 |
14 |
$67.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$49.60 |
| 90461 |
|
12 |
12 |
$24.80 |
| 81003 |
|
15 |
13 |
$19.94 |
| 3008F |
|
891 |
730 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,095 |
776 |
$0.00 |
| 3074F |
|
1,225 |
1,017 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
40 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
747 |
696 |
$0.00 |
| D1330 |
|
18 |
18 |
$0.00 |
| D5899 |
|
109 |
39 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
140 |
$0.00 |
| D1310 |
|
18 |
18 |
$0.00 |
| D2330 |
|
39 |
25 |
$0.00 |
| 3079F |
|
41 |
36 |
$0.00 |
| D4355 |
|
30 |
30 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3078F |
|
538 |
462 |
$0.00 |
| D0330 |
Panoramic radiographic image |
125 |
107 |
$0.00 |
| 99201 |
|
42 |
26 |
$0.00 |
| D0270 |
|
24 |
24 |
$0.00 |
| 80348 |
|
140 |
75 |
$0.00 |
| D0707 |
|
88 |
87 |
$0.00 |
| D1354 |
|
879 |
158 |
$0.00 |
| D2940 |
|
62 |
44 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
16 |
12 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
22 |
14 |
$0.00 |