| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
42,709 |
28,465 |
$4.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,565 |
19,905 |
$3.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,516 |
12,693 |
$2.19M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,445 |
1,419 |
$127K |
| 90686 |
|
8,284 |
8,118 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
774 |
761 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,310 |
1,205 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
639 |
594 |
$96K |
| 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 |
1,981 |
1,914 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
566 |
557 |
$83K |
| D1206 |
Topical application of fluoride varnish |
11,702 |
9,834 |
$79K |
| 90837 |
Psychotherapy, 53 minutes with patient |
642 |
478 |
$75K |
| 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 |
2,436 |
2,186 |
$75K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
680 |
655 |
$72K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,329 |
1,713 |
$67K |
| D1120 |
Prophylaxis - child |
6,080 |
6,049 |
$66K |
| D0120 |
Periodic oral evaluation - established patient |
7,486 |
7,446 |
$63K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,695 |
1,617 |
$52K |
| 87428 |
|
1,649 |
1,592 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18,221 |
17,550 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,581 |
1,476 |
$37K |
| 90834 |
Psychotherapy, 45 minutes with patient |
460 |
370 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,878 |
4,718 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
189 |
184 |
$34K |
| D1351 |
Sealant - per tooth |
3,030 |
1,185 |
$32K |
| D1110 |
Prophylaxis - adult |
3,289 |
3,268 |
$31K |
| 90832 |
Psychotherapy, 30 minutes with patient |
596 |
517 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
183 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,094 |
2,008 |
$29K |
| D0274 |
Bitewings - four radiographic images |
3,331 |
3,314 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,658 |
1,652 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
119 |
107 |
$19K |
| 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 |
217 |
202 |
$18K |
| D7140 |
Extraction, erupted tooth or exposed root |
439 |
230 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
432 |
415 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,085 |
584 |
$16K |
| 90670 |
|
1,118 |
1,076 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
70 |
$13K |
| 90648 |
|
1,027 |
980 |
$12K |
| 83655 |
|
1,345 |
1,303 |
$12K |
| 99383 |
|
72 |
71 |
$11K |
| D4355 |
|
383 |
382 |
$10K |
| 99385 |
|
128 |
122 |
$10K |
| 99215 |
Prolong outpt/office vis |
53 |
47 |
$9K |
| 99188 |
|
682 |
671 |
$8K |
| H0031 |
Mental health assessment, by non-physician |
86 |
72 |
$8K |
| 81002 |
|
2,708 |
2,511 |
$7K |
| 90723 |
|
604 |
582 |
$7K |
| 99460 |
|
53 |
53 |
$7K |
| 85018 |
|
3,312 |
3,180 |
$6K |
| 36416 |
|
3,217 |
3,094 |
$6K |
| 90656 |
|
515 |
511 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$5K |
| 99381 |
|
27 |
27 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$5K |
| 99173 |
|
250 |
245 |
$4K |
| 90633 |
|
349 |
337 |
$4K |
| 90715 |
|
165 |
161 |
$4K |
| 99177 |
|
85 |
78 |
$3K |
| 99382 |
|
16 |
16 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
2,230 |
2,187 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,540 |
4,359 |
$3K |
| 99384 |
|
14 |
14 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
1,293 |
1,265 |
$3K |
| 90716 |
|
203 |
198 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
91 |
85 |
$2K |
| D1999 |
|
223 |
209 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$2K |
| 90707 |
|
178 |
174 |
$2K |
| 90688 |
|
223 |
222 |
$2K |
| 90662 |
|
41 |
41 |
$2K |
| 90651 |
|
106 |
103 |
$1K |
| D0272 |
Bitewings - two radiographic images |
136 |
136 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
302 |
302 |
$1K |
| 90687 |
|
82 |
81 |
$1K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
17 |
13 |
$885.00 |
| 83021 |
|
28 |
28 |
$624.12 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$564.41 |
| 90680 |
|
33 |
33 |
$527.24 |
| 74021 |
|
13 |
13 |
$526.20 |
| 85014 |
|
363 |
343 |
$441.68 |
| 82043 |
|
82 |
77 |
$367.34 |
| 92551 |
|
41 |
37 |
$319.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$213.08 |
| 90734 |
|
27 |
26 |
$208.10 |
| 87807 |
|
18 |
16 |
$157.20 |
| 81001 |
|
22 |
22 |
$50.72 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$48.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$10.66 |
| D1354 |
|
934 |
292 |
$0.00 |
| D4910 |
|
107 |
106 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
513 |
450 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
130 |
80 |
$0.00 |
| D1355 |
|
43 |
12 |
$0.00 |
| 3044F |
|
68 |
67 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
52 |
44 |
$0.00 |