| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,513 |
32,824 |
$5.47M |
| H2020 |
Therapeutic behavioral services, per diem |
26,044 |
14,029 |
$2.25M |
| D0999 |
Unspecified diagnostic procedure, by report |
2,970 |
2,433 |
$366K |
| 99051 |
|
786 |
627 |
$4K |
| 3074F |
|
25,640 |
17,267 |
$2K |
| 3078F |
|
22,818 |
15,405 |
$2K |
| 3079F |
|
8,935 |
6,719 |
$1K |
| 3077F |
|
5,361 |
4,215 |
$1K |
| 3080F |
|
3,557 |
2,878 |
$805.00 |
| 3075F |
|
4,725 |
3,621 |
$750.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
19,160 |
11,102 |
$94.54 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,742 |
21,202 |
$41.70 |
| 99442 |
|
126 |
60 |
$23.16 |
| 99385 |
|
173 |
138 |
$0.01 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
910 |
753 |
$0.01 |
| 2001F |
|
41,797 |
28,242 |
$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 |
1,108 |
875 |
$0.00 |
| 1126F |
|
34,417 |
22,986 |
$0.00 |
| 3008F |
|
40,197 |
27,174 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,134 |
1,994 |
$0.00 |
| 2010F |
|
40,637 |
27,511 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,562 |
1,058 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
327 |
262 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
424 |
369 |
$0.00 |
| 2000F |
|
40,407 |
27,296 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
393 |
277 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,424 |
5,956 |
$0.00 |
| D1330 |
|
320 |
260 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
174 |
155 |
$0.00 |
| 1125F |
|
7,492 |
5,726 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,315 |
2,674 |
$0.00 |
| 90686 |
|
307 |
284 |
$0.00 |
| 00000 |
|
289 |
198 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
379 |
347 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
163 |
144 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
536 |
475 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
192 |
124 |
$0.00 |
| 99386 |
|
65 |
56 |
$0.00 |
| 92551 |
|
103 |
97 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
14 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
69 |
65 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
53 |
39 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
12 |
$0.00 |
| D0601 |
|
18 |
17 |
$0.00 |
| 99441 |
|
18 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
13 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
222 |
173 |
$0.00 |
| 1159F |
|
33,839 |
23,259 |
$0.00 |
| 1158F |
|
35,079 |
24,538 |
$0.00 |
| 99173 |
|
115 |
108 |
$0.00 |
| 1003F |
|
40,470 |
27,379 |
$0.00 |
| 1160F |
|
34,943 |
23,749 |
$0.00 |
| D1110 |
Prophylaxis - adult |
253 |
227 |
$0.00 |
| 81025 |
|
2,894 |
2,272 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
508 |
404 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
696 |
601 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
372 |
328 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
52 |
$0.00 |
| 81003 |
|
587 |
430 |
$0.00 |
| D1120 |
Prophylaxis - child |
111 |
106 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
83 |
55 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
301 |
233 |
$0.00 |
| 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 |
225 |
178 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
92 |
$0.00 |
| D0330 |
Panoramic radiographic image |
37 |
28 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
101 |
63 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
196 |
171 |
$0.00 |
| 81002 |
|
86 |
30 |
$0.00 |
| 90715 |
|
32 |
32 |
$0.00 |
| 90633 |
|
17 |
15 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
43 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
25 |
12 |
$0.00 |