| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,576 |
30,426 |
$4.68M |
| H2020 |
Therapeutic behavioral services, per diem |
21,882 |
11,038 |
$1.65M |
| D0999 |
Unspecified diagnostic procedure, by report |
3,061 |
2,308 |
$270K |
| 99051 |
|
537 |
487 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
606 |
265 |
$2K |
| 3074F |
|
23,720 |
16,674 |
$1K |
| 3078F |
|
20,615 |
14,592 |
$987.20 |
| 3079F |
|
10,049 |
7,080 |
$730.62 |
| D0220 |
Intraoral - periapical first radiographic image |
1,073 |
904 |
$518.00 |
| 3077F |
|
6,411 |
4,620 |
$435.00 |
| 3075F |
|
5,276 |
3,660 |
$315.00 |
| 3080F |
|
4,479 |
3,170 |
$290.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16,179 |
8,725 |
$283.62 |
| D1110 |
Prophylaxis - adult |
226 |
208 |
$260.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
190 |
176 |
$168.00 |
| 1003F |
|
37,201 |
25,921 |
$143.30 |
| D0120 |
Periodic oral evaluation - established patient |
261 |
235 |
$78.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,111 |
19,110 |
$41.53 |
| 2000F |
|
38,983 |
27,314 |
$0.00 |
| 1126F |
|
24,195 |
16,703 |
$0.00 |
| 2001F |
|
41,203 |
28,755 |
$0.00 |
| 1125F |
|
15,245 |
11,236 |
$0.00 |
| 2010F |
|
39,363 |
27,656 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,067 |
7,312 |
$0.00 |
| 3008F |
|
35,807 |
25,747 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,571 |
2,092 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,242 |
1,660 |
$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 |
2,227 |
1,935 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
746 |
618 |
$0.00 |
| 00000 |
|
498 |
371 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
177 |
173 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,371 |
1,178 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 36514 |
|
78 |
50 |
$0.00 |
| 90686 |
|
422 |
377 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
33 |
$0.00 |
| D1330 |
|
115 |
80 |
$0.00 |
| 99383 |
|
43 |
33 |
$0.00 |
| 92551 |
|
180 |
131 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 99384 |
|
56 |
32 |
$0.00 |
| 99406 |
|
485 |
216 |
$0.00 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
19 |
13 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
12 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
26 |
$0.00 |
| 85018 |
|
30 |
16 |
$0.00 |
| D0603 |
|
18 |
17 |
$0.00 |
| 1158F |
|
38,565 |
26,969 |
$0.00 |
| 1159F |
|
34,082 |
24,282 |
$0.00 |
| 1160F |
|
33,608 |
24,085 |
$0.00 |
| 86703 |
|
23 |
14 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
360 |
216 |
$0.00 |
| D9110 |
|
91 |
75 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
236 |
184 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
235 |
195 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
26 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
281 |
248 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
64 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
623 |
495 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
197 |
170 |
$0.00 |
| 90715 |
|
157 |
127 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
68 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
299 |
222 |
$0.00 |
| 81003 |
|
858 |
585 |
$0.00 |
| 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 |
475 |
344 |
$0.00 |
| 90749 |
|
31 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
202 |
150 |
$0.00 |
| 99442 |
|
286 |
163 |
$0.00 |
| 81025 |
|
111 |
91 |
$0.00 |
| 96160 |
|
47 |
37 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
229 |
170 |
$0.00 |
| 90473 |
|
27 |
27 |
$0.00 |
| 99173 |
|
188 |
124 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
12 |
$0.00 |
| 2028F |
|
21 |
13 |
$0.00 |
| 90633 |
|
18 |
14 |
$0.00 |
| 90649 |
|
22 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$0.00 |
| 90734 |
|
24 |
13 |
$0.00 |
| D1120 |
Prophylaxis - child |
19 |
15 |
$0.00 |