| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,912 |
2,682 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,237 |
1,629 |
$83K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
1,505 |
795 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,678 |
1,736 |
$56K |
| 90837 |
Psychotherapy, 53 minutes with patient |
825 |
448 |
$56K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,797 |
2,579 |
$41K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,608 |
638 |
$29K |
| 90834 |
Psychotherapy, 45 minutes with patient |
520 |
325 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
790 |
524 |
$21K |
| 90832 |
Psychotherapy, 30 minutes with patient |
441 |
278 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
78 |
73 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
315 |
258 |
$5K |
| D1110 |
Prophylaxis - adult |
207 |
154 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
382 |
286 |
$4K |
| 99215 |
Prolong outpt/office vis |
49 |
38 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
390 |
297 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
202 |
164 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
72 |
41 |
$2K |
| 87634 |
|
30 |
28 |
$2K |
| 0012A |
|
61 |
61 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
164 |
76 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
40 |
38 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
34 |
24 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
29 |
13 |
$1K |
| D1354 |
|
144 |
52 |
$977.70 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
13 |
$911.24 |
| 0013A |
|
17 |
16 |
$572.40 |
| D2940 |
|
24 |
14 |
$570.49 |
| 0011A |
|
35 |
35 |
$559.02 |
| 99000 |
|
242 |
160 |
$380.24 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$366.60 |
| 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 |
59 |
31 |
$359.93 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$229.56 |
| D0274 |
Bitewings - four radiographic images |
45 |
15 |
$225.51 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$161.45 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33 |
27 |
$97.88 |
| 96127 |
|
34 |
15 |
$71.88 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
15 |
$8.57 |
| D1999 |
|
54 |
37 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
16 |
16 |
$0.00 |
| 98943 |
|
151 |
56 |
$0.00 |
| 91301 |
|
35 |
35 |
$0.00 |
| D1330 |
|
28 |
27 |
$0.00 |