| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,242 |
8,532 |
$1.76M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,759 |
3,796 |
$152K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,134 |
1,004 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,197 |
2,546 |
$100K |
| 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 |
1,064 |
930 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
966 |
806 |
$32K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
741 |
661 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
144 |
139 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
47 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
653 |
620 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
602 |
544 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
426 |
397 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
439 |
411 |
$2K |
| 81002 |
|
1,718 |
1,070 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
40 |
28 |
$2K |
| 80053 |
Comprehensive metabolic panel |
762 |
724 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
812 |
773 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
91 |
$2K |
| 0012A |
|
41 |
41 |
$2K |
| 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 |
101 |
101 |
$1K |
| 0011A |
|
40 |
39 |
$1K |
| 0001A |
|
98 |
94 |
$1K |
| 0002A |
|
86 |
84 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
105 |
$945.20 |
| 85018 |
|
648 |
601 |
$915.30 |
| 99050 |
|
73 |
71 |
$911.34 |
| 80061 |
Lipid panel |
663 |
637 |
$885.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
216 |
207 |
$878.85 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
282 |
264 |
$872.61 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
767 |
736 |
$824.94 |
| 81001 |
|
481 |
368 |
$727.56 |
| 87081 |
|
259 |
245 |
$690.68 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
14 |
$663.08 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
147 |
104 |
$579.32 |
| 90461 |
|
90 |
86 |
$354.04 |
| 90686 |
|
494 |
477 |
$330.34 |
| 86592 |
|
401 |
373 |
$283.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
41 |
$266.34 |
| 84479 |
|
109 |
104 |
$188.22 |
| 81025 |
|
60 |
51 |
$86.76 |
| 84436 |
|
57 |
54 |
$86.55 |
| D0120 |
Periodic oral evaluation - established patient |
489 |
483 |
$86.55 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
56 |
52 |
$74.58 |
| D1208 |
Topical application of fluoride, excluding varnish |
559 |
548 |
$57.33 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
22 |
21 |
$49.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
119 |
$49.09 |
| D1110 |
Prophylaxis - adult |
119 |
119 |
$40.00 |
| D1120 |
Prophylaxis - child |
228 |
222 |
$28.00 |
| D0274 |
Bitewings - four radiographic images |
192 |
190 |
$26.00 |
| 1160F |
|
458 |
374 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
50 |
50 |
$0.00 |
| 0502F |
|
496 |
293 |
$0.00 |
| 99173 |
|
237 |
228 |
$0.00 |
| 1159F |
|
1,259 |
950 |
$0.00 |
| 3725F |
|
652 |
486 |
$0.00 |
| 3078F |
|
1,403 |
1,009 |
$0.00 |
| 92552 |
|
15 |
15 |
$0.00 |
| 91300 |
|
188 |
171 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
16 |
13 |
$0.00 |
| 3074F |
|
1,413 |
994 |
$0.00 |
| 3008F |
|
1,559 |
1,116 |
$0.00 |
| D0603 |
|
520 |
516 |
$0.00 |
| 1036F |
|
1,327 |
938 |
$0.00 |
| 3075F |
|
27 |
26 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
84 |
78 |
$0.00 |
| 3079F |
|
77 |
71 |
$0.00 |
| D1330 |
|
158 |
155 |
$0.00 |
| 1126F |
|
540 |
401 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
76 |
74 |
$0.00 |
| 3044F |
|
178 |
157 |
$0.00 |
| 91301 |
|
111 |
93 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |