| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,744,987 |
1,141,958 |
$269.68M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
16,673 |
3,634 |
$7.48M |
| 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 |
70,118 |
52,467 |
$3.77M |
| 90832 |
Psychotherapy, 30 minutes with patient |
343,108 |
189,644 |
$3.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392,979 |
333,253 |
$3.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176,693 |
152,257 |
$1.59M |
| 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 |
29,546 |
17,459 |
$1.03M |
| 90834 |
Psychotherapy, 45 minutes with patient |
72,230 |
44,510 |
$725K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
10,214 |
9,026 |
$591K |
| 99442 |
|
57,647 |
49,487 |
$534K |
| 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 |
50,643 |
39,936 |
$520K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
256,486 |
61,936 |
$342K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41,418 |
35,608 |
$340K |
| 11721 |
|
11,271 |
9,445 |
$304K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28,752 |
23,683 |
$198K |
| 99443 |
|
15,782 |
13,694 |
$100K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,088 |
7,786 |
$89K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,079 |
6,996 |
$84K |
| 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 |
386 |
263 |
$71K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
18,630 |
8,740 |
$50K |
| 92557 |
|
1,570 |
1,323 |
$49K |
| 96127 |
|
42,474 |
39,184 |
$46K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
306 |
289 |
$44K |
| 99215 |
Prolong outpt/office vis |
5,333 |
4,654 |
$30K |
| 98967 |
|
3,772 |
2,326 |
$26K |
| 91306 |
|
3,942 |
3,575 |
$22K |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
329 |
203 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,232 |
2,005 |
$21K |
| 99441 |
|
1,898 |
1,551 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27,461 |
25,230 |
$19K |
| 11056 |
|
1,589 |
1,370 |
$19K |
| 90686 |
|
30,056 |
28,159 |
$18K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,361 |
3,921 |
$17K |
| 0124A |
|
2,866 |
2,346 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,246 |
7,832 |
$15K |
| 98968 |
|
2,661 |
1,526 |
$14K |
| 91312 |
|
2,552 |
2,152 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
3,282 |
2,860 |
$13K |
| 97803 |
|
2,059 |
1,657 |
$11K |
| 90662 |
|
893 |
718 |
$10K |
| 91305 |
|
1,773 |
1,574 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,062 |
7,106 |
$9K |
| 95117 |
|
345 |
173 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,875 |
3,503 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
1,296 |
1,065 |
$7K |
| 11055 |
|
400 |
336 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,200 |
773 |
$6K |
| 97802 |
|
2,054 |
1,646 |
$6K |
| 0064A |
|
4,010 |
3,615 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,913 |
3,679 |
$4K |
| 92015 |
Determination of refractive state |
807 |
736 |
$4K |
| 99451 |
|
358 |
272 |
$4K |
| 11102 |
|
668 |
628 |
$4K |
| 92567 |
|
1,490 |
1,261 |
$4K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
16,952 |
7,967 |
$4K |
| 92083 |
|
135 |
110 |
$3K |
| 91320 |
|
445 |
351 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,356 |
1,253 |
$3K |
| 82947 |
|
5,453 |
4,593 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,758 |
1,654 |
$2K |
| 96160 |
|
983 |
908 |
$2K |
| 20610 |
|
372 |
332 |
$2K |
| 99421 |
|
130 |
93 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,389 |
4,136 |
$2K |
| 92133 |
|
113 |
98 |
$2K |
| 0004A |
|
1,348 |
1,280 |
$1K |
| 91300 |
|
7,912 |
7,276 |
$1K |
| 0054A |
|
1,003 |
858 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
65 |
60 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
205 |
186 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
600 |
557 |
$1K |
| 81025 |
|
13,185 |
11,913 |
$1K |
| 20550 |
|
336 |
318 |
$1K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
83 |
66 |
$932.90 |
| 91301 |
|
11,794 |
11,349 |
$902.64 |
| 31575 |
|
140 |
127 |
$814.88 |
| 11720 |
|
78 |
71 |
$692.70 |
| 99460 |
|
12 |
12 |
$613.08 |
| 90656 |
|
3,858 |
3,676 |
$611.56 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
319 |
279 |
$545.76 |
| 0011A |
|
6,053 |
5,845 |
$538.06 |
| 0002A |
|
3,134 |
3,019 |
$497.94 |
| 99205 |
Prolong outpt/office vis |
141 |
136 |
$483.85 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$449.13 |
| 90480 |
|
802 |
678 |
$439.50 |
| 0001A |
|
3,359 |
3,234 |
$426.92 |
| 0012A |
|
5,655 |
5,550 |
$363.03 |
| 11901 |
|
456 |
445 |
$338.58 |
| 92228 |
|
55 |
49 |
$318.88 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
91 |
80 |
$318.60 |
| 82962 |
|
726 |
610 |
$315.00 |
| 93000 |
|
234 |
224 |
$311.43 |
| 81003 |
|
560 |
504 |
$297.20 |
| 80305 |
|
783 |
660 |
$272.08 |
| 90715 |
|
1,551 |
1,451 |
$270.62 |
| 0034A |
|
179 |
170 |
$224.68 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,629 |
5,452 |
$178.06 |
| 36416 |
|
838 |
764 |
$153.60 |
| 99024 |
|
16 |
13 |
$153.60 |
| 99243 |
|
89 |
86 |
$148.36 |
| 90734 |
|
1,175 |
1,112 |
$148.36 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
17 |
16 |
$145.60 |
| D0220 |
Intraoral - periapical first radiographic image |
23,598 |
19,632 |
$144.33 |
| 95251 |
|
70 |
62 |
$135.48 |
| 99406 |
|
41 |
39 |
$131.83 |
| 99201 |
|
17 |
16 |
$128.37 |
| 99051 |
|
1,606 |
1,475 |
$127.36 |
| 99384 |
|
149 |
144 |
$116.97 |
| 51725 |
|
12 |
12 |
$105.75 |
| 90461 |
|
9,915 |
9,363 |
$93.56 |
| 11730 |
|
15 |
13 |
$54.68 |
| 0052A |
|
341 |
323 |
$40.00 |
| 0051A |
|
247 |
235 |
$40.00 |
| 0071A |
|
1,022 |
995 |
$40.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,003 |
5,719 |
$21.19 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,197 |
5,033 |
$2.80 |
| D0140 |
Limited oral evaluation - problem focused |
10,791 |
9,812 |
$0.00 |
| 90677 |
|
1,056 |
1,037 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
17,633 |
15,789 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,573 |
1,262 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,619 |
5,354 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
4,224 |
4,052 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
24,069 |
12,221 |
$0.00 |
| 0081A |
|
35 |
34 |
$0.00 |
| 90698 |
|
2,239 |
2,198 |
$0.00 |
| D5899 |
|
5,529 |
3,145 |
$0.00 |
| 0072A |
|
890 |
862 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
876 |
791 |
$0.00 |
| 90744 |
|
681 |
669 |
$0.00 |
| 90651 |
|
2,601 |
2,500 |
$0.00 |
| 92551 |
|
147 |
130 |
$0.00 |
| 90619 |
|
184 |
180 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
63 |
40 |
$0.00 |
| 91303 |
|
904 |
878 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,612 |
1,189 |
$0.00 |
| 90660 |
|
36 |
30 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
891 |
558 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
281 |
270 |
$0.00 |
| 90688 |
|
338 |
309 |
$0.00 |
| 90723 |
|
116 |
114 |
$0.00 |
| 0154A |
|
151 |
150 |
$0.00 |
| 91307 |
|
2,393 |
2,212 |
$0.00 |
| 99383 |
|
129 |
126 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
444 |
411 |
$0.00 |
| 86580 |
|
988 |
792 |
$0.00 |
| 0031A |
|
716 |
693 |
$0.00 |
| 0074A |
|
59 |
59 |
$0.00 |
| 99386 |
|
13 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
76 |
69 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
116 |
114 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
246 |
224 |
$0.00 |
| 90716 |
|
52 |
49 |
$0.00 |
| 90732 |
|
83 |
78 |
$0.00 |
| 99412 |
|
88 |
84 |
$0.00 |
| 99050 |
|
90 |
83 |
$0.00 |
| 85018 |
|
80 |
77 |
$0.00 |
| 0082A |
|
41 |
41 |
$0.00 |
| 90674 |
|
58 |
58 |
$0.00 |
| 99385 |
|
62 |
60 |
$0.00 |
| 11900 |
|
14 |
12 |
$0.00 |
| D1351 |
Sealant - per tooth |
107 |
31 |
$0.00 |
| 90670 |
|
2,056 |
2,014 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36,492 |
30,028 |
$0.00 |
| D0330 |
Panoramic radiographic image |
2,000 |
1,727 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,051 |
3,841 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
11,308 |
10,263 |
$0.00 |
| H2013 |
Psychiatric health facility service, per diem |
6,301 |
3,520 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12,050 |
11,101 |
$0.00 |
| D1120 |
Prophylaxis - child |
4,196 |
4,015 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,489 |
1,111 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
413 |
344 |
$0.00 |
| 87210 |
|
1,180 |
1,107 |
$0.00 |
| 81002 |
|
11,412 |
8,309 |
$0.00 |
| 80101 |
|
1,834 |
1,670 |
$0.00 |
| 99411 |
|
2,643 |
2,281 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
419 |
384 |
$0.00 |
| 90633 |
|
1,916 |
1,850 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,180 |
1,085 |
$0.00 |
| 99401 |
|
128 |
118 |
$0.00 |
| 17110 |
|
157 |
153 |
$0.00 |
| 99078 |
|
272 |
232 |
$0.00 |
| 90648 |
|
244 |
236 |
$0.00 |
| 90710 |
|
245 |
233 |
$0.00 |
| 90685 |
|
360 |
339 |
$0.00 |
| 90746 |
|
34 |
29 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
658 |
435 |
$0.00 |
| 90681 |
|
108 |
106 |
$0.00 |
| 99242 |
|
36 |
36 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
241 |
175 |
$0.00 |
| 91308 |
|
168 |
158 |
$0.00 |
| 90750 |
|
71 |
68 |
$0.00 |
| 99173 |
|
182 |
166 |
$0.00 |
| 92552 |
|
27 |
27 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
14 |
$0.00 |
| 85014 |
|
99 |
96 |
$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 |
238 |
234 |
$0.00 |
| 90649 |
|
27 |
27 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
107 |
92 |
$0.00 |
| 11100 |
|
65 |
62 |
$0.00 |
| 90672 |
|
100 |
87 |
$0.00 |
| 82075 |
|
12 |
12 |
$0.00 |
| 0013A |
|
14 |
14 |
$0.00 |
| 83037 |
|
15 |
14 |
$0.00 |