| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,329 |
29,044 |
$3.43M |
| D0999 |
Unspecified diagnostic procedure, by report |
15,438 |
13,000 |
$2.72M |
| H0049 |
Alcohol and/or drug screening |
10,391 |
10,339 |
$1.61M |
| Q3014 |
Telehealth originating site facility fee |
15,460 |
8,620 |
$1.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,958 |
8,571 |
$894K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,102 |
3,215 |
$893K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
6,931 |
1,910 |
$819K |
| 36416 |
|
5,215 |
5,157 |
$416K |
| 80305 |
|
4,118 |
3,382 |
$408K |
| 36415 |
Collection of venous blood by venipuncture |
5,823 |
5,717 |
$318K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,498 |
2,284 |
$303K |
| 86803 |
|
3,036 |
3,014 |
$191K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,290 |
965 |
$181K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,699 |
1,695 |
$172K |
| 81025 |
|
2,717 |
2,382 |
$145K |
| 81002 |
|
2,051 |
1,724 |
$144K |
| 90832 |
Psychotherapy, 30 minutes with patient |
989 |
768 |
$126K |
| H2011 |
Crisis intervention service, per 15 minutes |
1,318 |
966 |
$123K |
| 86703 |
|
3,577 |
3,546 |
$117K |
| 81003 |
|
1,505 |
1,469 |
$77K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
752 |
750 |
$68K |
| 87522 |
Neg quan hep c or qual rna |
1,044 |
1,023 |
$63K |
| 90656 |
|
1,546 |
1,535 |
$62K |
| 87430 |
|
530 |
521 |
$56K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,789 |
4,755 |
$48K |
| 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 |
2,429 |
2,105 |
$48K |
| 99215 |
Prolong outpt/office vis |
547 |
531 |
$47K |
| 82274 |
|
1,146 |
1,144 |
$46K |
| 90715 |
|
983 |
979 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
289 |
$30K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
145 |
144 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
148 |
$19K |
| 82044 |
|
713 |
708 |
$17K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
271 |
262 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
152 |
$14K |
| 99173 |
|
312 |
311 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
353 |
352 |
$12K |
| 90651 |
|
231 |
231 |
$12K |
| 80061 |
Lipid panel |
1,539 |
1,528 |
$10K |
| 90670 |
|
240 |
240 |
$10K |
| 88164 |
|
116 |
115 |
$9K |
| 90632 |
|
201 |
201 |
$9K |
| 90686 |
|
241 |
241 |
$9K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
86 |
86 |
$8K |
| 90732 |
|
250 |
250 |
$7K |
| 92587 |
|
306 |
306 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
93 |
93 |
$5K |
| 93000 |
|
64 |
63 |
$5K |
| 90746 |
|
124 |
123 |
$5K |
| 90723 |
|
93 |
93 |
$4K |
| 90734 |
|
141 |
141 |
$4K |
| 99383 |
|
24 |
24 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$3K |
| 90756 |
|
44 |
44 |
$3K |
| 99080 |
|
184 |
182 |
$2K |
| 99384 |
|
27 |
27 |
$2K |
| 90658 |
|
57 |
57 |
$2K |
| 90647 |
|
106 |
106 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$1K |
| 90633 |
|
29 |
29 |
$1K |
| 90696 |
|
12 |
12 |
$516.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
69 |
$453.62 |
| 90660 |
|
12 |
12 |
$366.12 |
| 90681 |
|
12 |
12 |
$332.43 |
| 99188 |
|
14 |
14 |
$312.50 |
| 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 |
195 |
99 |
$273.99 |
| 90710 |
|
24 |
24 |
$205.21 |
| D0220 |
Intraoral - periapical first radiographic image |
1,217 |
1,163 |
$33.94 |
| D1206 |
Topical application of fluoride varnish |
267 |
260 |
$18.84 |
| D1208 |
Topical application of fluoride, excluding varnish |
1,166 |
1,151 |
$17.81 |
| D0180 |
|
401 |
397 |
$0.00 |
| D1110 |
Prophylaxis - adult |
682 |
670 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
118 |
113 |
$0.00 |
| D0330 |
Panoramic radiographic image |
40 |
40 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
67 |
48 |
$0.00 |
| D4910 |
|
26 |
26 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
121 |
119 |
$0.00 |
| D1330 |
|
1,848 |
1,816 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
152 |
142 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
51 |
51 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
56 |
56 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
337 |
233 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
24 |
14 |
$0.00 |