| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,673 |
24,621 |
$3.98M |
| D0999 |
Unspecified diagnostic procedure, by report |
731 |
673 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,038 |
8,863 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,183 |
4,486 |
$96K |
| 3008F |
|
2,473 |
2,084 |
$89K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,892 |
1,785 |
$72K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,431 |
1,602 |
$60K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,685 |
1,649 |
$55K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,155 |
997 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,441 |
619 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
705 |
677 |
$16K |
| H0031 |
Mental health assessment, by non-physician |
418 |
344 |
$14K |
| D9999 |
Unspecified adjunctive procedure, by report |
131 |
112 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
280 |
$10K |
| 99215 |
Prolong outpt/office vis |
189 |
158 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
436 |
426 |
$8K |
| 81002 |
|
306 |
254 |
$7K |
| 90686 |
|
128 |
126 |
$7K |
| 92551 |
|
409 |
391 |
$7K |
| 90461 |
|
425 |
404 |
$7K |
| 99173 |
|
459 |
442 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
196 |
181 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
414 |
404 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
483 |
398 |
$6K |
| 94760 |
|
222 |
195 |
$6K |
| 90670 |
|
142 |
137 |
$4K |
| D1120 |
Prophylaxis - child |
424 |
339 |
$4K |
| 90674 |
|
65 |
62 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
76 |
43 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
221 |
215 |
$3K |
| 90633 |
|
28 |
28 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
71 |
$2K |
| 90680 |
|
72 |
70 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
356 |
283 |
$2K |
| 36416 |
|
25 |
24 |
$2K |
| 87807 |
|
154 |
144 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
630 |
550 |
$2K |
| D1206 |
Topical application of fluoride varnish |
587 |
459 |
$2K |
| 85018 |
|
19 |
18 |
$2K |
| 90648 |
|
83 |
83 |
$2K |
| 83655 |
|
15 |
15 |
$2K |
| 90707 |
|
13 |
13 |
$1K |
| 90716 |
|
13 |
13 |
$1K |
| D1351 |
Sealant - per tooth |
137 |
26 |
$1K |
| 90658 |
|
46 |
44 |
$1K |
| D1110 |
Prophylaxis - adult |
136 |
113 |
$1K |
| 90723 |
|
36 |
36 |
$1K |
| 0013A |
|
27 |
26 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$903.05 |
| 99460 |
|
12 |
12 |
$868.81 |
| D0330 |
Panoramic radiographic image |
96 |
81 |
$810.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
53 |
$797.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$718.87 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
153 |
130 |
$616.00 |
| 90649 |
|
18 |
18 |
$535.20 |
| 90696 |
|
17 |
14 |
$535.20 |
| D0274 |
Bitewings - four radiographic images |
117 |
98 |
$447.70 |
| 90715 |
|
30 |
30 |
$401.40 |
| 90710 |
|
16 |
13 |
$401.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
29 |
28 |
$396.45 |
| 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 |
2,448 |
2,029 |
$186.56 |
| 3078F |
|
1,408 |
1,186 |
$138.25 |
| 90734 |
|
30 |
29 |
$133.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
156 |
144 |
$51.31 |
| 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 |
47 |
28 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
43 |
29 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
16 |
$0.00 |
| D1310 |
|
92 |
72 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
299 |
290 |
$0.00 |
| 3074F |
|
1,256 |
1,051 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23 |
15 |
$0.00 |
| 97035 |
|
24 |
12 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
16 |
14 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
32 |
25 |
$0.00 |
| 99381 |
|
16 |
16 |
$0.00 |
| 91301 |
|
58 |
53 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| D0601 |
|
33 |
24 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
32 |
$0.00 |