| Code | Description | Claims | Beneficiaries | Total Paid |
| H2020 |
Therapeutic behavioral services, per diem |
64,875 |
30,232 |
$6.48M |
| T1015 |
Clinic visit/encounter, all-inclusive |
50,959 |
32,797 |
$5.39M |
| D0999 |
Unspecified diagnostic procedure, by report |
5,402 |
3,705 |
$564K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,205 |
395 |
$7K |
| D1110 |
Prophylaxis - adult |
617 |
461 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
741 |
538 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
678 |
534 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
411 |
326 |
$902.55 |
| D0120 |
Periodic oral evaluation - established patient |
198 |
159 |
$572.04 |
| D0220 |
Intraoral - periapical first radiographic image |
738 |
546 |
$548.26 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,366 |
20,022 |
$420.60 |
| 90832 |
Psychotherapy, 30 minutes with patient |
29,036 |
12,945 |
$279.94 |
| 3077F |
|
440 |
400 |
$120.00 |
| 3079F |
|
401 |
367 |
$100.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,277 |
2,740 |
$89.88 |
| 3074F |
|
387 |
352 |
$45.00 |
| 3078F |
|
305 |
264 |
$45.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
397 |
332 |
$34.22 |
| 3080F |
|
68 |
61 |
$30.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,767 |
3,137 |
$19.86 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
10,647 |
4,043 |
$15.44 |
| 36415 |
Collection of venous blood by venipuncture |
4,536 |
4,047 |
$1.72 |
| 96160 |
|
1,115 |
777 |
$0.02 |
| 1126F |
|
1,460 |
1,331 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,328 |
3,045 |
$0.00 |
| 3008F |
|
7,019 |
6,292 |
$0.00 |
| 92551 |
|
27 |
26 |
$0.00 |
| 1036F |
|
4,262 |
3,378 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,018 |
927 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,438 |
927 |
$0.00 |
| 2001F |
|
7,331 |
6,545 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,098 |
713 |
$0.00 |
| 90686 |
|
935 |
846 |
$0.00 |
| 1111F |
|
5,500 |
4,486 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
198 |
122 |
$0.00 |
| 1034F |
|
1,395 |
1,201 |
$0.00 |
| 1125F |
|
317 |
297 |
$0.00 |
| 93000 |
|
65 |
57 |
$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 |
115 |
94 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
454 |
317 |
$0.00 |
| 36416 |
|
47 |
39 |
$0.00 |
| 85018 |
|
93 |
75 |
$0.00 |
| 3048F |
|
49 |
47 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
27 |
$0.00 |
| 0011A |
|
41 |
16 |
$0.00 |
| 0012A |
|
35 |
14 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
24 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
41 |
$0.00 |
| 87428 |
|
14 |
13 |
$0.00 |
| 1159F |
|
1,114 |
1,008 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
4,044 |
2,715 |
$0.00 |
| 4004F |
|
1,083 |
998 |
$0.00 |
| 80305 |
|
507 |
305 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
535 |
474 |
$0.00 |
| 81003 |
|
255 |
203 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
394 |
361 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
42 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
81 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
392 |
315 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
390 |
154 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
340 |
172 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
47 |
39 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
68 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
46 |
43 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
29 |
28 |
$0.00 |