| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,083,650 |
2,167,246 |
$511.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086,914 |
930,218 |
$6.68M |
| 90832 |
Psychotherapy, 30 minutes with patient |
595,293 |
301,863 |
$4.63M |
| 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 |
77,963 |
66,809 |
$2.72M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
22,598 |
19,078 |
$2.12M |
| 99442 |
|
189,220 |
167,826 |
$1.26M |
| 90834 |
Psychotherapy, 45 minutes with patient |
90,767 |
55,522 |
$839K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97,842 |
78,423 |
$734K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
105,856 |
42,400 |
$678K |
| 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 |
4,857 |
3,195 |
$533K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100,387 |
85,320 |
$418K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,960 |
35,275 |
$225K |
| 98967 |
|
10,985 |
7,306 |
$183K |
| 98940 |
|
43,238 |
21,319 |
$106K |
| 99443 |
|
12,507 |
11,452 |
$60K |
| 98968 |
|
3,327 |
2,262 |
$49K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
11,437 |
4,518 |
$45K |
| 90791 |
Psychiatric diagnostic evaluation |
11,278 |
9,059 |
$43K |
| 90686 |
|
123,965 |
120,360 |
$28K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
428 |
426 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18,715 |
17,656 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53,240 |
51,036 |
$22K |
| G0008 |
Administration of influenza virus vaccine |
488 |
375 |
$14K |
| 0064A |
|
3,799 |
3,689 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,231 |
4,045 |
$10K |
| 0134A |
|
808 |
765 |
$9K |
| 90656 |
|
10,150 |
9,874 |
$6K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,326 |
904 |
$5K |
| 96153 |
|
404 |
168 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
10,463 |
10,053 |
$5K |
| 99215 |
Prolong outpt/office vis |
1,191 |
1,103 |
$4K |
| 97803 |
|
2,702 |
2,493 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
692 |
614 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
615 |
519 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
259 |
179 |
$3K |
| 0054A |
|
225 |
207 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,816 |
1,705 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17,121 |
16,298 |
$3K |
| 91320 |
|
2,224 |
1,889 |
$2K |
| 91306 |
|
3,761 |
3,653 |
$2K |
| 0124A |
|
551 |
511 |
$2K |
| 0004A |
|
2,055 |
1,962 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,389 |
1,333 |
$2K |
| 96160 |
|
25,996 |
24,842 |
$2K |
| 0012A |
|
8,894 |
8,575 |
$1K |
| 91313 |
|
805 |
764 |
$846.98 |
| 0011A |
|
9,211 |
8,801 |
$596.12 |
| 0002A |
|
6,268 |
5,974 |
$540.75 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
34,771 |
15,351 |
$538.37 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
163,070 |
158,394 |
$519.19 |
| 0001A |
|
6,731 |
6,351 |
$416.94 |
| 99201 |
|
183 |
176 |
$371.06 |
| 97802 |
|
1,787 |
1,768 |
$287.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22,153 |
21,076 |
$197.36 |
| 85018 |
|
57,421 |
55,741 |
$188.39 |
| 90715 |
|
2,312 |
2,257 |
$184.05 |
| 90688 |
|
86 |
75 |
$183.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34,236 |
33,501 |
$181.90 |
| 96127 |
|
113,038 |
110,147 |
$179.70 |
| 91300 |
|
19,579 |
17,657 |
$162.16 |
| 90677 |
|
3,052 |
2,969 |
$161.04 |
| 99385 |
|
467 |
450 |
$160.64 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
5,453 |
3,389 |
$152.88 |
| 99407 |
|
961 |
899 |
$144.18 |
| 99497 |
|
198 |
119 |
$142.68 |
| 81000 |
|
3,178 |
2,976 |
$139.68 |
| 0034A |
|
29 |
27 |
$138.07 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35,779 |
35,075 |
$88.46 |
| 90732 |
|
45 |
45 |
$84.89 |
| 90480 |
|
4,745 |
4,319 |
$55.72 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
53 |
30 |
$54.01 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21,850 |
21,255 |
$51.60 |
| 82948 |
|
3,972 |
3,789 |
$37.56 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
195 |
116 |
$31.04 |
| 90611 |
|
169 |
143 |
$3.37 |
| 90674 |
|
6,912 |
6,759 |
$0.00 |
| 92551 |
|
86,839 |
84,774 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26,522 |
23,188 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
53,483 |
43,404 |
$0.00 |
| 90716 |
|
6,629 |
6,483 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
26,270 |
23,945 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
22,060 |
12,223 |
$0.00 |
| D0602 |
|
35,467 |
31,527 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
60,987 |
56,826 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
9,094 |
6,240 |
$0.00 |
| 99172 |
|
44,890 |
43,868 |
$0.00 |
| 90723 |
|
6,446 |
6,256 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
3,099 |
2,188 |
$0.00 |
| 96161 |
|
10,888 |
10,578 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
11,641 |
9,268 |
$0.00 |
| 91301 |
|
19,531 |
18,561 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
9,287 |
3,966 |
$0.00 |
| 90697 |
|
4,480 |
4,398 |
$0.00 |
| 91307 |
|
5,998 |
5,498 |
$0.00 |
| 90651 |
|
5,089 |
4,967 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
6,756 |
5,889 |
$0.00 |
| 90647 |
|
6,405 |
6,239 |
$0.00 |
| D0601 |
|
3,923 |
3,658 |
$0.00 |
| D1351 |
Sealant - per tooth |
20,155 |
6,316 |
$0.00 |
| 90619 |
|
1,876 |
1,831 |
$0.00 |
| D0603 |
|
17,809 |
15,778 |
$0.00 |
| 91315 |
|
61 |
59 |
$0.00 |
| 0072A |
|
1,804 |
1,739 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
37,814 |
36,437 |
$0.00 |
| 99000 |
|
144 |
132 |
$0.00 |
| 86580 |
|
274 |
250 |
$0.00 |
| 91317 |
|
12 |
12 |
$0.00 |
| 90696 |
|
191 |
179 |
$0.00 |
| 0074A |
|
71 |
68 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,644 |
2,594 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,169 |
1,021 |
$0.00 |
| 99381 |
|
193 |
182 |
$0.00 |
| 90743 |
|
181 |
178 |
$0.00 |
| D5899 |
|
854 |
494 |
$0.00 |
| 91318 |
|
175 |
172 |
$0.00 |
| 88720 |
|
55 |
41 |
$0.00 |
| 99384 |
|
54 |
52 |
$0.00 |
| 94760 |
|
27 |
25 |
$0.00 |
| 82043 |
|
98 |
93 |
$0.00 |
| 98943 |
|
328 |
157 |
$0.00 |
| 0081A |
|
12 |
12 |
$0.00 |
| 91305 |
|
566 |
523 |
$0.00 |
| 94010 |
|
94 |
94 |
$0.00 |
| 0031A |
|
237 |
223 |
$0.00 |
| 91319 |
|
128 |
122 |
$0.00 |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
265 |
204 |
$0.00 |
| 90739 |
|
40 |
40 |
$0.00 |
| 91303 |
|
292 |
277 |
$0.00 |
| 94761 |
|
89 |
85 |
$0.00 |
| 99386 |
|
24 |
24 |
$0.00 |
| D2330 |
|
13 |
12 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
66 |
55 |
$0.00 |
| 0154A |
|
59 |
57 |
$0.00 |
| 97804 |
|
23 |
12 |
$0.00 |
| 93000 |
|
45 |
40 |
$0.00 |
| 90381 |
|
29 |
29 |
$0.00 |
| 88142 |
|
27 |
26 |
$0.00 |
| 0111A |
|
30 |
26 |
$0.00 |
| 90681 |
|
2,875 |
2,800 |
$0.00 |
| 90670 |
|
14,838 |
14,467 |
$0.00 |
| 90461 |
|
53,585 |
52,355 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,700 |
10,224 |
$0.00 |
| D0270 |
|
552 |
529 |
$0.00 |
| D1110 |
Prophylaxis - adult |
30,574 |
28,455 |
$0.00 |
| D1120 |
Prophylaxis - child |
55,051 |
50,227 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27,767 |
26,542 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
24,989 |
22,966 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25,995 |
22,472 |
$0.00 |
| 81025 |
|
4,517 |
4,266 |
$0.00 |
| 90707 |
|
5,476 |
5,363 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
9,032 |
7,014 |
$0.00 |
| 90633 |
|
7,405 |
7,276 |
$0.00 |
| 90734 |
|
2,062 |
2,026 |
$0.00 |
| 99173 |
|
42,170 |
41,112 |
$0.00 |
| 90671 |
|
1,859 |
1,829 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
431 |
303 |
$0.00 |
| 90649 |
|
2,622 |
2,596 |
$0.00 |
| 90685 |
|
809 |
791 |
$0.00 |
| 91312 |
|
576 |
534 |
$0.00 |
| 99411 |
|
452 |
225 |
$0.00 |
| D1354 |
|
1,200 |
505 |
$0.00 |
| D2940 |
|
228 |
180 |
$0.00 |
| 90714 |
|
72 |
69 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
458 |
442 |
$0.00 |
| 90648 |
|
90 |
88 |
$0.00 |
| 90700 |
|
231 |
227 |
$0.00 |
| 83655 |
|
764 |
749 |
$0.00 |
| 59025 |
Fetal non-stress test |
31 |
26 |
$0.00 |
| 0071A |
|
2,284 |
2,221 |
$0.00 |
| 90661 |
|
69 |
65 |
$0.00 |
| 91321 |
|
113 |
111 |
$0.00 |
| D9110 |
|
104 |
56 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
875 |
850 |
$0.00 |
| D0190 |
|
2,239 |
2,222 |
$0.00 |
| 87806 |
|
12 |
12 |
$0.00 |
| 1160F |
|
193 |
115 |
$0.00 |
| 90746 |
|
172 |
171 |
$0.00 |
| D2140 |
|
209 |
170 |
$0.00 |
| 97810 |
|
362 |
185 |
$0.00 |
| 90785 |
|
162 |
95 |
$0.00 |
| 91308 |
|
130 |
116 |
$0.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
109 |
93 |
$0.00 |
| 90713 |
|
174 |
172 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
198 |
119 |
$0.00 |
| 91311 |
|
132 |
115 |
$0.00 |
| 91322 |
|
14 |
14 |
$0.00 |
| 3288F |
|
193 |
115 |
$0.00 |
| 0003A |
|
14 |
13 |
$0.00 |
| 3720F |
|
193 |
115 |
$0.00 |
| 94664 |
|
12 |
12 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
17 |
$0.00 |
| 99408 |
|
16 |
16 |
$0.00 |
| D0191 |
|
15 |
15 |
$0.00 |
| D2999 |
|
15 |
12 |
$0.00 |