| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,424 |
30,205 |
$2.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,998 |
11,410 |
$600K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,112 |
10,071 |
$357K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,004 |
2,636 |
$63K |
| D0330 |
Panoramic radiographic image |
3,992 |
2,604 |
$56K |
| D1110 |
Prophylaxis - adult |
3,784 |
2,488 |
$45K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,538 |
667 |
$38K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,338 |
2,704 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
980 |
536 |
$30K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,009 |
562 |
$24K |
| 99406 |
|
7,422 |
3,602 |
$23K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,038 |
603 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
2,823 |
1,904 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
694 |
230 |
$17K |
| D0140 |
Limited oral evaluation - problem focused |
1,971 |
1,274 |
$17K |
| D0274 |
Bitewings - four radiographic images |
4,074 |
2,813 |
$16K |
| 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 |
3,188 |
1,854 |
$15K |
| 99385 |
|
409 |
203 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
315 |
166 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,763 |
1,189 |
$9K |
| D1120 |
Prophylaxis - child |
1,302 |
865 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
177 |
71 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
196 |
177 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,074 |
529 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
2,288 |
1,363 |
$4K |
| 0012A |
|
154 |
112 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
128 |
65 |
$4K |
| 0011A |
|
172 |
111 |
$4K |
| 90686 |
|
794 |
373 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
80 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
122 |
42 |
$3K |
| 96127 |
|
12,930 |
6,458 |
$2K |
| D0272 |
Bitewings - two radiographic images |
727 |
493 |
$2K |
| D1206 |
Topical application of fluoride varnish |
702 |
490 |
$1K |
| 99386 |
|
39 |
17 |
$1K |
| 97802 |
|
12,679 |
5,915 |
$1K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
16 |
12 |
$993.76 |
| D2331 |
|
49 |
24 |
$634.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
125 |
$628.73 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
102 |
38 |
$557.50 |
| 82962 |
|
819 |
326 |
$530.32 |
| 90658 |
|
228 |
130 |
$480.00 |
| 36416 |
|
566 |
229 |
$395.02 |
| 92250 |
|
82 |
38 |
$371.73 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
49 |
26 |
$255.04 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
50 |
26 |
$141.15 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
36 |
12 |
$128.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
53 |
27 |
$55.00 |
| 81002 |
|
52 |
24 |
$46.83 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23,220 |
10,955 |
$44.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
115 |
56 |
$37.78 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,228 |
4,049 |
$7.32 |
| 91301 |
|
330 |
211 |
$0.14 |
| S9470 |
Nutritional counseling, dietitian visit |
4,548 |
1,912 |
$0.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
992 |
506 |
$0.01 |
| 3075F |
|
1,422 |
783 |
$0.00 |
| 1000F |
|
23,544 |
11,293 |
$0.00 |
| 3080F |
|
798 |
427 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
9,017 |
4,400 |
$0.00 |
| 3079F |
|
2,696 |
1,499 |
$0.00 |
| 3008F |
|
18,726 |
8,648 |
$0.00 |
| 3044F |
|
389 |
201 |
$0.00 |
| 3074F |
|
3,199 |
1,759 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,121 |
572 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
426 |
203 |
$0.00 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
14 |
12 |
$0.00 |
| 3077F |
|
1,090 |
584 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
6,474 |
2,945 |
$0.00 |
| 99071 |
|
3,741 |
1,542 |
$0.00 |
| 98960 |
|
584 |
282 |
$0.00 |
| 80061 |
Lipid panel |
130 |
60 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,769 |
910 |
$0.00 |
| 3078F |
|
2,213 |
1,218 |
$0.00 |