| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,184 |
20,962 |
$3.33M |
| D0999 |
Unspecified diagnostic procedure, by report |
10,017 |
5,741 |
$739K |
| H2020 |
Therapeutic behavioral services, per diem |
2,885 |
1,713 |
$274K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,533 |
600 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,470 |
1,087 |
$4K |
| D1110 |
Prophylaxis - adult |
1,431 |
1,080 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,393 |
10,634 |
$2K |
| D0330 |
Panoramic radiographic image |
928 |
675 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
418 |
312 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
1,364 |
1,003 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,737 |
5,427 |
$1K |
| D0274 |
Bitewings - four radiographic images |
1,824 |
1,345 |
$204.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,509 |
1,866 |
$132.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,861 |
4,014 |
$125.61 |
| 82948 |
|
602 |
486 |
$43.01 |
| D1120 |
Prophylaxis - child |
58 |
49 |
$35.02 |
| 36415 |
Collection of venous blood by venipuncture |
6,222 |
3,756 |
$31.39 |
| 82947 |
|
601 |
480 |
$18.78 |
| 82962 |
|
4,106 |
2,851 |
$17.82 |
| 90674 |
|
131 |
103 |
$0.07 |
| 90834 |
Psychotherapy, 45 minutes with patient |
870 |
484 |
$0.00 |
| D1330 |
|
526 |
408 |
$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 |
1,471 |
1,115 |
$0.00 |
| D0603 |
|
451 |
341 |
$0.00 |
| 90688 |
|
570 |
421 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
379 |
224 |
$0.00 |
| 92551 |
|
218 |
163 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
223 |
146 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
56 |
$0.00 |
| 86769 |
|
69 |
35 |
$0.00 |
| 81001 |
|
1,164 |
802 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
268 |
153 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
42 |
26 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
80 |
60 |
$0.00 |
| 97802 |
|
205 |
155 |
$0.00 |
| 3008F |
|
88 |
74 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
96 |
83 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
54 |
41 |
$0.00 |
| 85018 |
|
605 |
396 |
$0.00 |
| D0602 |
|
92 |
64 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
14 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$0.00 |
| D1310 |
|
18 |
17 |
$0.00 |
| 90732 |
|
172 |
123 |
$0.00 |
| D0001 |
|
72 |
44 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
41 |
13 |
$0.00 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
52 |
28 |
$0.00 |
| D0601 |
|
33 |
21 |
$0.00 |
| 87807 |
|
24 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
239 |
138 |
$0.00 |
| 99173 |
|
241 |
150 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
523 |
365 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,783 |
2,078 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
222 |
161 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
129 |
$0.00 |
| 82274 |
|
389 |
134 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
545 |
340 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
314 |
235 |
$0.00 |
| 90750 |
|
97 |
76 |
$0.00 |
| 81025 |
|
51 |
26 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
105 |
50 |
$0.00 |
| 90658 |
|
130 |
102 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
267 |
168 |
$0.00 |
| 90863 |
|
68 |
50 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
314 |
272 |
$0.00 |
| 81003 |
|
225 |
183 |
$0.00 |
| 90685 |
|
196 |
119 |
$0.00 |
| 90661 |
|
62 |
54 |
$0.00 |
| D0270 |
|
116 |
102 |
$0.00 |
| 90715 |
|
38 |
28 |
$0.00 |
| 99051 |
|
18 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
37 |
21 |
$0.00 |