| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
146,037 |
108,668 |
$22.36M |
| H2020 |
Therapeutic behavioral services, per diem |
61,642 |
32,739 |
$6.47M |
| D0999 |
Unspecified diagnostic procedure, by report |
52,518 |
36,705 |
$5.73M |
| D7140 |
Extraction, erupted tooth or exposed root |
15,127 |
6,909 |
$72K |
| 99051 |
|
6,197 |
4,578 |
$39K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
7,557 |
5,479 |
$15K |
| D1110 |
Prophylaxis - adult |
8,544 |
6,685 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
13,893 |
9,551 |
$12K |
| 3074F |
|
71,441 |
48,923 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
8,115 |
6,885 |
$5K |
| 3078F |
|
65,127 |
44,732 |
$5K |
| D0330 |
Panoramic radiographic image |
3,638 |
2,626 |
$4K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,427 |
895 |
$4K |
| D0272 |
Bitewings - two radiographic images |
5,197 |
4,237 |
$4K |
| 3079F |
|
33,630 |
24,390 |
$4K |
| 3077F |
|
24,774 |
18,450 |
$3K |
| 3080F |
|
15,764 |
11,774 |
$2K |
| 3075F |
|
18,568 |
13,518 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
363 |
217 |
$2K |
| D0274 |
Bitewings - four radiographic images |
1,201 |
836 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81,961 |
61,616 |
$900.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,385 |
3,111 |
$420.01 |
| D2140 |
|
181 |
138 |
$388.74 |
| D0230 |
Intraoral - periapical each additional radiographic image |
697 |
323 |
$371.26 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,909 |
32,696 |
$235.39 |
| D1120 |
Prophylaxis - child |
2,493 |
2,328 |
$175.10 |
| D1208 |
Topical application of fluoride, excluding varnish |
2,104 |
1,958 |
$152.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
39,911 |
23,260 |
$128.93 |
| D0140 |
Limited oral evaluation - problem focused |
14,912 |
10,399 |
$105.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
16,114 |
7,919 |
$56.16 |
| D9110 |
|
729 |
463 |
$55.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,274 |
4,787 |
$13.39 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,308 |
1,091 |
$0.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,853 |
1,536 |
$0.02 |
| 81003 |
|
5,591 |
3,782 |
$0.01 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
777 |
639 |
$0.01 |
| 1003F |
|
129,759 |
90,190 |
$0.00 |
| 1160F |
|
104,247 |
72,692 |
$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 |
851 |
667 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
803 |
598 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
697 |
603 |
$0.00 |
| 1158F |
|
121,053 |
83,715 |
$0.00 |
| 1159F |
|
104,607 |
72,945 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
3,290 |
1,957 |
$0.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
133 |
93 |
$0.00 |
| 81025 |
|
2,632 |
2,085 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
43 |
43 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,498 |
2,721 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
62 |
41 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
980 |
751 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
795 |
540 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
260 |
205 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,440 |
1,075 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,397 |
972 |
$0.00 |
| 90670 |
|
179 |
160 |
$0.00 |
| 99173 |
|
836 |
634 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
514 |
457 |
$0.00 |
| 90734 |
|
55 |
54 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
337 |
$0.00 |
| 90715 |
|
115 |
95 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
636 |
511 |
$0.00 |
| 99401 |
|
241 |
180 |
$0.00 |
| 80305 |
|
149 |
123 |
$0.00 |
| 99201 |
|
101 |
89 |
$0.00 |
| 99382 |
|
587 |
445 |
$0.00 |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
33 |
28 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
88 |
$0.00 |
| 92015 |
Determination of refractive state |
149 |
131 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
420 |
295 |
$0.00 |
| 81002 |
|
1,600 |
807 |
$0.00 |
| 90700 |
|
84 |
71 |
$0.00 |
| 2028F |
|
141 |
129 |
$0.00 |
| 80348 |
|
459 |
260 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
48 |
$0.00 |
| V2020 |
Frames, purchases |
196 |
156 |
$0.00 |
| 3288F |
|
58 |
51 |
$0.00 |
| D1999 |
|
96 |
96 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
103 |
79 |
$0.00 |
| 96160 |
|
28 |
25 |
$0.00 |
| 90671 |
|
48 |
29 |
$0.00 |
| 86703 |
|
28 |
27 |
$0.00 |
| 90633 |
|
175 |
150 |
$0.00 |
| 90473 |
|
16 |
14 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
13 |
13 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
14 |
12 |
$0.00 |
| 90685 |
|
21 |
21 |
$0.00 |
| 99442 |
|
237 |
119 |
$0.00 |
| 2001F |
|
136,884 |
94,880 |
$0.00 |
| 2010F |
|
133,116 |
92,568 |
$0.00 |
| 1126F |
|
86,508 |
60,368 |
$0.00 |
| D1330 |
|
3,390 |
2,696 |
$0.00 |
| 2000F |
|
122,040 |
84,758 |
$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 |
5,337 |
4,581 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,258 |
2,593 |
$0.00 |
| 1125F |
|
42,094 |
30,120 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,095 |
1,656 |
$0.00 |
| 3008F |
|
124,903 |
86,532 |
$0.00 |
| 92551 |
|
187 |
144 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,073 |
1,645 |
$0.00 |
| 92250 |
|
140 |
124 |
$0.00 |
| 1111F |
|
92 |
79 |
$0.00 |
| 96127 |
|
928 |
628 |
$0.00 |
| 97802 |
|
661 |
546 |
$0.00 |
| 90686 |
|
1,590 |
1,408 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,223 |
1,816 |
$0.00 |
| 00000 |
|
1,311 |
969 |
$0.00 |
| 90647 |
|
87 |
72 |
$0.00 |
| 99441 |
|
28 |
16 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
375 |
284 |
$0.00 |
| 99385 |
|
66 |
64 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
211 |
127 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
354 |
136 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
50 |
42 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
56 |
55 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
267 |
156 |
$0.00 |
| 90651 |
|
125 |
112 |
$0.00 |
| 90677 |
|
70 |
58 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
177 |
115 |
$0.00 |
| 85018 |
|
95 |
80 |
$0.00 |
| 76801 |
|
131 |
98 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
525 |
490 |
$0.00 |
| D1351 |
Sealant - per tooth |
95 |
25 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
146 |
132 |
$0.00 |
| 99386 |
|
62 |
59 |
$0.00 |
| 59430 |
|
54 |
26 |
$0.00 |
| D0601 |
|
45 |
45 |
$0.00 |
| 82962 |
|
37 |
31 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
45 |
31 |
$0.00 |
| 90680 |
|
63 |
53 |
$0.00 |
| 99443 |
|
284 |
143 |
$0.00 |
| 90656 |
|
67 |
54 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
33 |
27 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
87 |
80 |
$0.00 |
| 99406 |
|
35 |
31 |
$0.00 |
| D0603 |
|
12 |
12 |
$0.00 |
| 90697 |
|
70 |
53 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
45 |
38 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
19 |
17 |
$0.00 |
| 90620 |
|
18 |
14 |
$0.00 |
| D0602 |
|
36 |
12 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
36 |
27 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
27 |
26 |
$0.00 |
| 90723 |
|
30 |
28 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
29 |
14 |
$0.00 |
| 99384 |
|
20 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
13 |
$0.00 |