| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
468,701 |
325,996 |
$82.01M |
| D0999 |
Unspecified diagnostic procedure, by report |
22,306 |
19,490 |
$3.96M |
| 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 |
7,356 |
6,027 |
$313K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
3,284 |
2,423 |
$253K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
29 |
14 |
$26K |
| D1999 |
|
82 |
74 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
217,726 |
175,243 |
$18K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
184 |
177 |
$16K |
| 91322 |
|
405 |
394 |
$15K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
5,536 |
5,185 |
$15K |
| 3074F |
|
70,891 |
61,847 |
$13K |
| 3079F |
|
27,341 |
24,568 |
$12K |
| 3078F |
|
61,150 |
53,751 |
$10K |
| 3077F |
|
11,410 |
9,983 |
$9K |
| 3075F |
|
14,921 |
13,711 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
270 |
249 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61,765 |
54,271 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,261 |
5,923 |
$7K |
| 59430 |
|
1,977 |
1,755 |
$6K |
| 3044F |
|
2,336 |
2,212 |
$6K |
| 90651 |
|
6,685 |
6,271 |
$4K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
31 |
25 |
$4K |
| 91321 |
|
164 |
154 |
$3K |
| 3051F |
|
789 |
761 |
$3K |
| 99460 |
|
204 |
164 |
$3K |
| 90480 |
|
459 |
402 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
212 |
170 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
57 |
50 |
$2K |
| 90734 |
|
3,237 |
2,977 |
$2K |
| 3052F |
|
490 |
462 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,790 |
11,540 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,145 |
14,219 |
$1K |
| 90677 |
|
1,906 |
1,847 |
$1K |
| 99382 |
|
1,262 |
1,185 |
$1K |
| 90620 |
|
3,054 |
2,868 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,161 |
13,974 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,193 |
6,752 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,137 |
11,348 |
$1K |
| 0011A |
|
33 |
31 |
$1K |
| 90715 |
|
8,093 |
7,616 |
$985.67 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$909.00 |
| 90670 |
|
7,708 |
7,044 |
$790.97 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
25 |
$741.70 |
| 90791 |
Psychiatric diagnostic evaluation |
4,292 |
3,918 |
$675.68 |
| 90633 |
|
7,534 |
7,006 |
$652.23 |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,195 |
5,564 |
$640.11 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,838 |
4,464 |
$559.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41,698 |
39,060 |
$545.14 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
10,061 |
9,421 |
$538.63 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,438 |
5,140 |
$511.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,495 |
14,440 |
$482.48 |
| 99385 |
|
1,421 |
1,320 |
$476.09 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,115 |
2,908 |
$455.04 |
| 90710 |
|
5,814 |
5,374 |
$382.64 |
| 99381 |
|
3,171 |
2,979 |
$336.82 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19,751 |
18,590 |
$303.58 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,526 |
3,157 |
$275.98 |
| 90723 |
|
6,104 |
5,622 |
$275.92 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
859 |
717 |
$263.22 |
| 90686 |
|
9,415 |
8,728 |
$222.13 |
| 90700 |
|
3,231 |
3,007 |
$209.28 |
| 11981 |
|
171 |
162 |
$194.34 |
| 90674 |
|
78 |
77 |
$192.40 |
| D0330 |
Panoramic radiographic image |
2,210 |
2,208 |
$154.00 |
| 90694 |
|
93 |
88 |
$151.63 |
| 90696 |
|
2,934 |
2,763 |
$149.80 |
| 90688 |
|
3,959 |
3,667 |
$148.55 |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,200 |
4,019 |
$132.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
11,289 |
10,575 |
$120.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,163 |
1,915 |
$117.19 |
| 80053 |
Comprehensive metabolic panel |
3,036 |
2,731 |
$113.96 |
| 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 |
85 |
59 |
$105.52 |
| 99384 |
|
1,060 |
996 |
$104.96 |
| 90647 |
|
6,889 |
6,340 |
$104.40 |
| 99383 |
|
1,681 |
1,588 |
$96.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,875 |
4,503 |
$78.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,720 |
2,718 |
$78.24 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
889 |
727 |
$72.80 |
| 59025 |
Fetal non-stress test |
1,492 |
833 |
$72.32 |
| 36415 |
Collection of venous blood by venipuncture |
17,583 |
16,406 |
$70.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,391 |
3,046 |
$62.60 |
| 99442 |
|
1,195 |
1,102 |
$55.62 |
| 81025 |
|
5,197 |
4,816 |
$54.15 |
| 90756 |
|
540 |
430 |
$51.98 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
86 |
83 |
$51.31 |
| 80061 |
Lipid panel |
3,319 |
2,881 |
$49.76 |
| 90474 |
|
3,372 |
3,129 |
$48.90 |
| 90685 |
|
141 |
132 |
$48.80 |
| 82570 |
|
1,819 |
1,593 |
$46.60 |
| 36416 |
|
7,337 |
6,777 |
$44.82 |
| 99441 |
|
1,719 |
1,538 |
$42.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,560 |
6,087 |
$41.95 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,747 |
2,459 |
$40.18 |
| D1110 |
Prophylaxis - adult |
598 |
598 |
$40.00 |
| 82043 |
|
1,844 |
1,610 |
$39.40 |
| 90714 |
|
184 |
173 |
$32.44 |
| D0120 |
Periodic oral evaluation - established patient |
4,865 |
4,861 |
$28.00 |
| 81001 |
|
2,047 |
1,822 |
$27.74 |
| 81003 |
|
4,020 |
3,210 |
$26.16 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,186 |
1,033 |
$24.84 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,809 |
1,716 |
$22.61 |
| 93000 |
|
711 |
647 |
$22.15 |
| 11982 |
|
455 |
419 |
$20.25 |
| D0274 |
Bitewings - four radiographic images |
1,630 |
1,630 |
$19.94 |
| 87081 |
|
940 |
839 |
$17.40 |
| 84439 |
|
740 |
657 |
$10.02 |
| 87220 |
|
2,192 |
2,072 |
$9.40 |
| 87210 |
|
1,802 |
1,713 |
$9.40 |
| 88720 |
|
1,683 |
1,377 |
$8.80 |
| 83550 |
|
176 |
159 |
$8.56 |
| 82728 |
|
181 |
172 |
$7.16 |
| D0220 |
Intraoral - periapical first radiographic image |
3,132 |
3,071 |
$6.61 |
| 83540 |
|
177 |
160 |
$6.38 |
| 82950 |
|
612 |
574 |
$4.66 |
| 85018 |
|
1,349 |
1,221 |
$2.32 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,826 |
1,477 |
$0.00 |
| 90681 |
|
3,735 |
3,474 |
$0.00 |
| 90713 |
|
659 |
609 |
$0.00 |
| 1159F |
|
51,321 |
42,135 |
$0.00 |
| 96160 |
|
71 |
69 |
$0.00 |
| 3046F |
|
1,259 |
1,199 |
$0.00 |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
1,571 |
996 |
$0.00 |
| D1120 |
Prophylaxis - child |
5,264 |
5,264 |
$0.00 |
| 0502F |
|
11,390 |
7,123 |
$0.00 |
| 80305 |
|
415 |
346 |
$0.00 |
| D2940 |
|
454 |
282 |
$0.00 |
| 1160F |
|
51,314 |
42,136 |
$0.00 |
| 2028F |
|
725 |
703 |
$0.00 |
| 90707 |
|
853 |
777 |
$0.00 |
| 4274F |
|
16,000 |
13,258 |
$0.00 |
| 69209 |
|
336 |
296 |
$0.00 |
| 4004F |
|
5,273 |
4,838 |
$0.00 |
| 4040F |
|
8,588 |
7,284 |
$0.00 |
| 90671 |
|
2,251 |
2,074 |
$0.00 |
| 90746 |
|
287 |
282 |
$0.00 |
| 85007 |
|
20 |
20 |
$0.00 |
| 3045F |
|
392 |
341 |
$0.00 |
| 90380 |
|
176 |
166 |
$0.00 |
| 85610 |
|
56 |
39 |
$0.00 |
| 99201 |
|
206 |
190 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
96 |
84 |
$0.00 |
| 90687 |
|
14 |
12 |
$0.00 |
| 90658 |
|
679 |
671 |
$0.00 |
| D0270 |
|
86 |
82 |
$0.00 |
| D1354 |
|
158 |
64 |
$0.00 |
| D4341 |
|
26 |
13 |
$0.00 |
| D4910 |
|
12 |
12 |
$0.00 |
| 90749 |
|
12 |
12 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
30 |
26 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
12 |
$0.00 |
| 90653 |
|
25 |
23 |
$0.00 |
| 1126F |
|
16,979 |
14,372 |
$0.00 |
| 90716 |
|
1,016 |
920 |
$0.00 |
| 3008F |
|
92,983 |
79,204 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
6,871 |
6,869 |
$0.00 |
| 80050 |
General health panel |
1,469 |
1,308 |
$0.00 |
| 3080F |
|
8,704 |
7,702 |
$0.00 |
| 90680 |
|
1,333 |
1,209 |
$0.00 |
| 2000F |
|
52,555 |
44,079 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
2,677 |
2,637 |
$0.00 |
| 87807 |
|
706 |
685 |
$0.00 |
| 83735 |
|
427 |
371 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
1,714 |
1,713 |
$0.00 |
| 86701 |
|
425 |
377 |
$0.00 |
| 1036F |
|
42,998 |
35,560 |
$0.00 |
| 83986 |
|
437 |
416 |
$0.00 |
| 3351F |
|
22,509 |
20,870 |
$0.00 |
| D0601 |
|
566 |
566 |
$0.00 |
| 1125F |
|
3,707 |
3,334 |
$0.00 |
| D0603 |
|
2,696 |
2,691 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
418 |
366 |
$0.00 |
| 94760 |
|
384 |
345 |
$0.00 |
| 3352F |
|
2,621 |
2,474 |
$0.00 |
| 99386 |
|
307 |
286 |
$0.00 |
| 3353F |
|
1,939 |
1,815 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
568 |
545 |
$0.00 |
| 1034F |
|
14,181 |
11,727 |
$0.00 |
| 2001F |
|
44,381 |
36,791 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
25 |
$0.00 |
| 90619 |
|
2,772 |
2,640 |
$0.00 |
| 90697 |
|
2,795 |
2,641 |
$0.00 |
| D1351 |
Sealant - per tooth |
650 |
249 |
$0.00 |
| D0602 |
|
523 |
523 |
$0.00 |
| 1035F |
|
96 |
86 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
198 |
162 |
$0.00 |
| 4010F |
|
5,671 |
4,534 |
$0.00 |
| 1170F |
|
87 |
81 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
358 |
269 |
$0.00 |
| 2010F |
|
60,822 |
50,842 |
$0.00 |
| 58300 |
|
106 |
103 |
$0.00 |
| 58301 |
|
45 |
37 |
$0.00 |
| 0500F |
|
210 |
201 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
858 |
748 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| D1310 |
|
14 |
14 |
$0.00 |
| 90732 |
|
114 |
90 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |
| 4037F |
|
3,975 |
3,889 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
40 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
144 |
143 |
$0.00 |
| 0503F |
|
195 |
173 |
$0.00 |
| 99443 |
|
131 |
126 |
$0.00 |
| 90656 |
|
1,238 |
1,186 |
$0.00 |
| 96380 |
|
249 |
233 |
$0.00 |
| 81015 |
|
19 |
12 |
$0.00 |
| 1111F |
|
425 |
415 |
$0.00 |
| 83690 |
|
49 |
40 |
$0.00 |
| 90381 |
|
173 |
158 |
$0.00 |
| 90744 |
|
31 |
29 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
17 |
13 |
$0.00 |
| 85027 |
|
19 |
19 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
27 |
26 |
$0.00 |