| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
9,016 |
5,210 |
$39K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
4,324 |
1,299 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,736 |
6,592 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
850 |
765 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,365 |
3,731 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,907 |
1,369 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
453 |
426 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
866 |
810 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,126 |
871 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,166 |
1,778 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,389 |
2,248 |
$3K |
| 99215 |
Prolong outpt/office vis |
974 |
860 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
215 |
212 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
15,467 |
11,303 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
55 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
521 |
494 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,303 |
1,065 |
$1K |
| D0190 |
|
134 |
97 |
$835.55 |
| D1120 |
Prophylaxis - child |
54 |
47 |
$711.45 |
| 92015 |
Determination of refractive state |
30 |
30 |
$682.76 |
| 0071A |
|
140 |
126 |
$559.78 |
| D1206 |
Topical application of fluoride varnish |
130 |
105 |
$557.60 |
| 0072A |
|
104 |
90 |
$360.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
829 |
801 |
$280.48 |
| 0001A |
|
71 |
62 |
$240.00 |
| 99443 |
|
278 |
236 |
$233.18 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
115 |
54 |
$192.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
297 |
288 |
$186.89 |
| 99409 |
|
130 |
107 |
$181.96 |
| 0054A |
|
13 |
12 |
$160.00 |
| 0002A |
|
42 |
32 |
$160.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$141.13 |
| 0004A |
|
218 |
78 |
$120.00 |
| 90461 |
|
22 |
22 |
$67.54 |
| 80305 |
|
1,818 |
1,468 |
$54.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
40 |
$54.40 |
| 81025 |
|
62 |
62 |
$29.26 |
| 86580 |
|
12 |
12 |
$24.26 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
833 |
718 |
$20.98 |
| 36415 |
Collection of venous blood by venipuncture |
157 |
139 |
$15.96 |
| 82962 |
|
100 |
91 |
$3.54 |
| D1110 |
Prophylaxis - adult |
58 |
48 |
$0.00 |
| 98968 |
|
2,562 |
1,454 |
$0.00 |
| 81003 |
|
179 |
138 |
$0.00 |
| 99442 |
|
147 |
136 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
23 |
21 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
32 |
24 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
14 |
$0.00 |
| 91312 |
|
18 |
14 |
$0.00 |
| 97001 |
|
34 |
12 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
13 |
$0.00 |
| 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 |
1,253 |
751 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
22 |
14 |
$0.00 |
| D9920 |
|
13 |
13 |
$0.00 |
| 90686 |
|
1,194 |
1,147 |
$0.00 |
| 90674 |
|
137 |
133 |
$0.00 |
| D1330 |
|
80 |
71 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
24 |
14 |
$0.00 |
| 91305 |
|
15 |
14 |
$0.00 |
| 85027 |
|
13 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
33 |
28 |
$0.00 |
| D1310 |
|
12 |
12 |
$0.00 |
| 99384 |
|
15 |
13 |
$0.00 |