| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
71,233 |
49,767 |
$14.82M |
| T1016 |
Case management, each 15 minutes |
6,280 |
5,142 |
$142K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
11,212 |
5,791 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,524 |
4,827 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,568 |
18,709 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,584 |
4,978 |
$869.17 |
| 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 |
665 |
511 |
$735.41 |
| 0064A |
|
69 |
66 |
$390.00 |
| 90686 |
|
2,759 |
2,543 |
$345.90 |
| 0001A |
|
321 |
312 |
$286.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,224 |
1,141 |
$265.30 |
| 0011A |
|
540 |
508 |
$189.33 |
| D1120 |
Prophylaxis - child |
271 |
259 |
$160.00 |
| 0012A |
|
325 |
318 |
$130.00 |
| D1206 |
Topical application of fluoride varnish |
1,376 |
1,179 |
$119.46 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
321 |
263 |
$109.89 |
| D0220 |
Intraoral - periapical first radiographic image |
1,425 |
1,225 |
$90.22 |
| 0002A |
|
167 |
165 |
$40.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,254 |
3,166 |
$35.60 |
| D0230 |
Intraoral - periapical each additional radiographic image |
935 |
443 |
$33.03 |
| 96150 |
|
618 |
401 |
$19.79 |
| D1354 |
|
1,601 |
186 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
1,222 |
1,186 |
$0.00 |
| 90670 |
|
431 |
361 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
274 |
251 |
$0.00 |
| D0190 |
|
1,538 |
1,247 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,059 |
1,790 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,580 |
1,486 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
490 |
383 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
293 |
281 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
663 |
525 |
$0.00 |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$0.00 |
| 90715 |
|
228 |
202 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
165 |
139 |
$0.00 |
| 99442 |
|
319 |
278 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
225 |
163 |
$0.00 |
| D0270 |
|
18 |
14 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
317 |
292 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
316 |
293 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$0.00 |
| 90734 |
|
15 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$0.00 |
| 0071A |
|
44 |
43 |
$0.00 |
| D1321 |
|
101 |
101 |
$0.00 |
| 97803 |
|
49 |
42 |
$0.00 |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 4274F |
|
34 |
34 |
$0.00 |
| D1330 |
|
3,094 |
2,337 |
$0.00 |
| D1310 |
|
3,410 |
2,508 |
$0.00 |
| 96156 |
|
709 |
638 |
$0.00 |
| D1320 |
|
749 |
578 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
439 |
374 |
$0.00 |
| 97802 |
|
1,042 |
915 |
$0.00 |
| 90651 |
|
167 |
145 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
345 |
333 |
$0.00 |
| 90680 |
|
41 |
38 |
$0.00 |
| D9995 |
|
143 |
133 |
$0.00 |
| 90698 |
|
103 |
100 |
$0.00 |
| D0603 |
|
444 |
360 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
745 |
602 |
$0.00 |
| 99441 |
|
112 |
107 |
$0.00 |
| 1036F |
|
187 |
179 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
115 |
96 |
$0.00 |
| 0031A |
|
16 |
16 |
$0.00 |
| 90474 |
|
16 |
13 |
$0.00 |
| D0602 |
|
45 |
38 |
$0.00 |
| 0072A |
|
19 |
16 |
$0.00 |
| D0601 |
|
44 |
37 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |