| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,576 |
21,394 |
$281K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
33,099 |
6,620 |
$260K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
6,710 |
4,168 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,223 |
14,423 |
$144K |
| D0191 |
|
10,663 |
9,911 |
$140K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,984 |
905 |
$133K |
| D1351 |
Sealant - per tooth |
8,089 |
2,333 |
$129K |
| D1206 |
Topical application of fluoride varnish |
10,151 |
9,456 |
$118K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16,258 |
239 |
$102K |
| 90839 |
|
3,431 |
2,474 |
$85K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,848 |
1,710 |
$78K |
| D0603 |
|
7,740 |
7,177 |
$60K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,133 |
2,485 |
$57K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,285 |
2,495 |
$47K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
922 |
566 |
$44K |
| D1110 |
Prophylaxis - adult |
1,216 |
1,140 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,068 |
2,447 |
$35K |
| D0602 |
|
3,831 |
3,637 |
$32K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,207 |
935 |
$31K |
| H2014 |
Skills training and development, per 15 minutes |
3,353 |
1,744 |
$30K |
| D0210 |
Intraoral - complete series of radiographic images |
916 |
862 |
$30K |
| H0038 |
Self-help/peer services, per 15 minutes |
749 |
348 |
$27K |
| D0140 |
Limited oral evaluation - problem focused |
583 |
536 |
$21K |
| 99215 |
Prolong outpt/office vis |
3,087 |
2,423 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
784 |
744 |
$19K |
| D1120 |
Prophylaxis - child |
611 |
564 |
$18K |
| D0274 |
Bitewings - four radiographic images |
851 |
798 |
$15K |
| D7140 |
Extraction, erupted tooth or exposed root |
194 |
54 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,707 |
1,552 |
$14K |
| H2010 |
Comprehensive medication services, per 15 minutes |
1,225 |
974 |
$13K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
423 |
110 |
$13K |
| D2140 |
|
278 |
163 |
$12K |
| 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 |
2,606 |
978 |
$12K |
| 98927 |
|
276 |
227 |
$9K |
| D0145 |
Oral evaluation for a patient under three years of age |
374 |
362 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,043 |
6,640 |
$8K |
| 0012A |
|
400 |
398 |
$7K |
| 0011A |
|
408 |
405 |
$7K |
| 96152 |
|
578 |
447 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,146 |
714 |
$5K |
| T1016 |
Case management, each 15 minutes |
1,300 |
810 |
$5K |
| H0032 |
Mental health service plan development by non-physician |
401 |
381 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
931 |
824 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
195 |
188 |
$4K |
| D2160 |
|
60 |
39 |
$3K |
| 99606 |
|
1,871 |
1,523 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13 |
13 |
$2K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
1,034 |
1,020 |
$2K |
| 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 |
5,974 |
3,181 |
$2K |
| H2011 |
Crisis intervention service, per 15 minutes |
49 |
38 |
$2K |
| D1355 |
|
462 |
123 |
$2K |
| D0272 |
Bitewings - two radiographic images |
164 |
160 |
$2K |
| 0064A |
|
117 |
117 |
$2K |
| 96150 |
|
162 |
159 |
$2K |
| 96158 |
|
491 |
413 |
$1K |
| 99607 |
|
2,099 |
1,632 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,011 |
951 |
$1K |
| H0031 |
Mental health assessment, by non-physician |
76 |
75 |
$1K |
| D4355 |
|
27 |
25 |
$1K |
| 96160 |
|
5,315 |
4,605 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
180 |
147 |
$895.88 |
| 90686 |
|
1,216 |
1,206 |
$838.21 |
| D1321 |
|
134 |
120 |
$810.00 |
| H0006 |
Alcohol and/or drug services; case management |
26 |
14 |
$767.59 |
| 0031A |
|
62 |
62 |
$634.23 |
| D0601 |
|
164 |
159 |
$628.00 |
| 90620 |
|
15 |
14 |
$619.44 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
544 |
278 |
$579.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
420 |
374 |
$482.98 |
| 96127 |
|
894 |
869 |
$475.85 |
| 96156 |
|
114 |
111 |
$441.56 |
| 99443 |
|
217 |
206 |
$430.35 |
| D4910 |
|
16 |
15 |
$377.40 |
| 90661 |
|
29 |
29 |
$314.31 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
83 |
$310.38 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
18 |
13 |
$266.82 |
| 90791 |
Psychiatric diagnostic evaluation |
32 |
26 |
$252.50 |
| 0071A |
|
39 |
39 |
$223.89 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
95 |
$202.76 |
| 0004A |
|
38 |
38 |
$200.00 |
| 99442 |
|
74 |
72 |
$184.33 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$122.32 |
| D1354 |
|
80 |
14 |
$119.00 |
| 90656 |
|
115 |
115 |
$109.17 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$95.26 |
| 90674 |
|
88 |
86 |
$92.16 |
| 90658 |
|
74 |
74 |
$87.44 |
| 0124A |
|
14 |
14 |
$80.00 |
| 80354 |
|
190 |
30 |
$57.54 |
| 80346 |
|
190 |
30 |
$57.54 |
| 90688 |
|
192 |
188 |
$53.50 |
| 80305 |
|
2,076 |
1,556 |
$47.92 |
| 90480 |
|
29 |
29 |
$43.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
272 |
269 |
$27.17 |
| 98967 |
|
14 |
14 |
$25.86 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
13 |
$13.50 |
| 99417 |
Prolong home eval add 15m |
70 |
68 |
$2.13 |
| 91306 |
|
119 |
119 |
$0.21 |
| D1310 |
|
3,973 |
3,567 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
478 |
472 |
$0.00 |
| D1330 |
|
4,373 |
3,939 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
313 |
310 |
$0.00 |
| 82728 |
|
24 |
24 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
419 |
416 |
$0.00 |
| 91307 |
|
107 |
105 |
$0.00 |
| 91301 |
|
807 |
732 |
$0.00 |
| D1320 |
|
263 |
256 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
202 |
198 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
706 |
226 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
15 |
15 |
$0.00 |
| 0072A |
|
40 |
40 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 91303 |
|
56 |
56 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
17 |
17 |
$0.00 |
| 86803 |
|
14 |
14 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
15 |
$0.00 |
| 85610 |
|
107 |
63 |
$0.00 |
| 80061 |
Lipid panel |
279 |
278 |
$0.00 |
| 90840 |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
86 |
$0.00 |
| H2023 |
Supported employment, per 15 minutes |
295 |
116 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
82 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 90715 |
|
17 |
17 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
95 |
95 |
$0.00 |
| 91300 |
|
70 |
70 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$0.00 |
| 0013A |
|
32 |
32 |
$0.00 |
| 90750 |
|
12 |
12 |
$0.00 |
| D9410 |
|
12 |
12 |
$0.00 |
| 91312 |
|
14 |
14 |
$0.00 |