| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Therapeutic behavioral services, per diem |
113,104 |
69,250 |
$11.35M |
| T1015 |
Clinic visit/encounter, all-inclusive |
33,031 |
23,989 |
$4.03M |
| D0999 |
Unspecified diagnostic procedure, by report |
2,548 |
2,171 |
$233K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
570 |
541 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
49 |
27 |
$983.14 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
73,745 |
52,747 |
$695.85 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,091 |
2,206 |
$362.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
20,409 |
11,944 |
$181.25 |
| D0210 |
Intraoral - complete series of radiographic images |
64 |
59 |
$120.34 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,972 |
5,843 |
$109.87 |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,742 |
5,405 |
$93.92 |
| 90791 |
Psychiatric diagnostic evaluation |
7,513 |
5,181 |
$75.87 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
26,545 |
19,718 |
$0.01 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
318 |
258 |
$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 |
1,114 |
917 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
623 |
548 |
$0.00 |
| 99406 |
|
2,417 |
1,737 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,239 |
977 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
318 |
256 |
$0.00 |
| 0513F |
|
437 |
324 |
$0.00 |
| 3080F |
|
37 |
27 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
174 |
143 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
325 |
274 |
$0.00 |
| 96127 |
|
620 |
357 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
55 |
54 |
$0.00 |
| 3011F |
|
78 |
60 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
186 |
136 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
72 |
68 |
$0.00 |
| 99407 |
|
71 |
53 |
$0.00 |
| 97802 |
|
29 |
25 |
$0.00 |
| 3079F |
|
16 |
12 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
323 |
178 |
$0.00 |
| 3074F |
|
53 |
38 |
$0.00 |
| 90688 |
|
60 |
57 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
13 |
$0.00 |
| 82962 |
|
19 |
19 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
51 |
$0.00 |
| 90658 |
|
124 |
104 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
386 |
367 |
$0.00 |
| 80305 |
|
3,282 |
2,237 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
157 |
157 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,813 |
1,393 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,547 |
1,706 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,935 |
675 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,411 |
715 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
149 |
$0.00 |
| 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 |
570 |
518 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
185 |
175 |
$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 |
32 |
25 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,300 |
1,692 |
$0.00 |
| 3077F |
|
38 |
28 |
$0.00 |
| 97803 |
|
750 |
564 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
66 |
39 |
$0.00 |
| D1110 |
Prophylaxis - adult |
275 |
254 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
813 |
610 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
24 |
$0.00 |
| 81002 |
|
280 |
236 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
154 |
137 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
91 |
40 |
$0.00 |
| 3078F |
|
47 |
35 |
$0.00 |
| 99442 |
|
234 |
183 |
$0.00 |
| 96137 |
|
54 |
16 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
33 |
29 |
$0.00 |
| 90836 |
|
79 |
13 |
$0.00 |
| 96130 |
|
28 |
12 |
$0.00 |
| 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 |
41 |
41 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
27 |
13 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$0.00 |
| 1160F |
|
15 |
14 |
$0.00 |
| 90838 |
|
26 |
25 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
29 |
14 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
17 |
17 |
$0.00 |