| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
8,809 |
7,754 |
$1.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,391 |
8,309 |
$1.26M |
| H2015 |
Comprehensive community support services, per 15 minutes |
7,052 |
3,303 |
$1.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,336 |
6,518 |
$985K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,676 |
1,780 |
$468K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,538 |
1,430 |
$446K |
| 90791 |
Psychiatric diagnostic evaluation |
1,787 |
1,765 |
$309K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
1,447 |
553 |
$269K |
| 99441 |
|
1,184 |
1,066 |
$201K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
708 |
659 |
$97K |
| 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 |
3,844 |
2,829 |
$88K |
| Q3014 |
Telehealth originating site facility fee |
1,820 |
1,239 |
$72K |
| 90832 |
Psychotherapy, 30 minutes with patient |
371 |
248 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
175 |
174 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
102 |
101 |
$17K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
313 |
239 |
$15K |
| 99442 |
|
75 |
73 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
75 |
73 |
$13K |
| 0011A |
|
68 |
66 |
$11K |
| 0012A |
|
59 |
59 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$4K |
| 91301 |
|
18 |
17 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,039 |
1,990 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
188 |
$768.21 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
22 |
20 |
$615.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,340 |
1,327 |
$598.40 |
| 80061 |
Lipid panel |
845 |
842 |
$550.17 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
229 |
205 |
$347.68 |
| 90688 |
|
174 |
174 |
$183.39 |
| 86703 |
|
210 |
210 |
$183.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
124 |
$39.10 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$8.81 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
35 |
35 |
$8.51 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
68 |
68 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
800 |
585 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
970 |
969 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
268 |
265 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
217 |
215 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
89 |
86 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
404 |
404 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$0.00 |
| 82043 |
|
42 |
42 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
12 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,137 |
1,125 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
68 |
68 |
$0.00 |
| 81002 |
|
26 |
25 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
467 |
466 |
$0.00 |
| D1110 |
Prophylaxis - adult |
425 |
425 |
$0.00 |
| D0330 |
Panoramic radiographic image |
145 |
143 |
$0.00 |
| 82570 |
|
42 |
41 |
$0.00 |
| 81025 |
|
25 |
24 |
$0.00 |