| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
6,165 |
5,362 |
$1.24M |
| 87631 |
|
3,995 |
3,514 |
$387K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,886 |
3,407 |
$172K |
| 87640 |
|
4,754 |
4,313 |
$114K |
| 87481 |
|
1,494 |
1,299 |
$106K |
| 87498 |
|
3,995 |
3,514 |
$99K |
| 87529 |
|
2,070 |
1,804 |
$99K |
| 87581 |
|
3,995 |
3,514 |
$99K |
| 87486 |
|
3,886 |
3,407 |
$96K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,115 |
3,616 |
$95K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,068 |
1,801 |
$46K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,969 |
1,719 |
$45K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,067 |
1,800 |
$42K |
| 87653 |
|
1,490 |
1,295 |
$37K |
| 87563 |
|
1,492 |
1,297 |
$36K |
| 87511 |
|
1,561 |
1,346 |
$27K |
| 87641 |
|
976 |
709 |
$24K |
| 87541 |
|
872 |
617 |
$22K |
| D7140 |
Extraction, erupted tooth or exposed root |
233 |
147 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
230 |
168 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
454 |
443 |
$10K |
| D1110 |
Prophylaxis - adult |
318 |
310 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,036 |
982 |
$9K |
| D0330 |
Panoramic radiographic image |
266 |
253 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
182 |
128 |
$9K |
| D1120 |
Prophylaxis - child |
393 |
382 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
479 |
466 |
$7K |
| 87634 |
|
1,035 |
982 |
$7K |
| D0274 |
Bitewings - four radiographic images |
400 |
388 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
374 |
365 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
398 |
366 |
$6K |
| 87500 |
|
89 |
81 |
$2K |
| D1351 |
Sealant - per tooth |
91 |
26 |
$2K |
| D0272 |
Bitewings - two radiographic images |
171 |
168 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
343 |
328 |
$1K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
17 |
16 |
$825.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
17 |
$130.00 |
| D0270 |
|
12 |
12 |
$55.00 |