| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,464 |
29,130 |
$5.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,807 |
5,451 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,681 |
3,438 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
545 |
523 |
$542.49 |
| 99215 |
Prolong outpt/office vis |
626 |
598 |
$378.70 |
| 36415 |
Collection of venous blood by venipuncture |
367 |
363 |
$374.81 |
| 3078F |
|
102 |
96 |
$290.00 |
| 3074F |
|
66 |
62 |
$205.00 |
| 4010F |
|
111 |
104 |
$170.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
197 |
196 |
$102.85 |
| 3044F |
|
16 |
13 |
$30.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
45 |
$23.40 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,266 |
1,218 |
$15.17 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
518 |
403 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
754 |
744 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
46 |
27 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,281 |
1,278 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,383 |
1,376 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
402 |
401 |
$0.00 |
| D5899 |
|
354 |
272 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
197 |
197 |
$0.00 |
| 3048F |
|
18 |
17 |
$0.00 |
| D1330 |
|
20 |
20 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
77 |
74 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$0.00 |
| 0012A |
|
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
119 |
118 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
48 |
42 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
428 |
425 |
$0.00 |
| D2331 |
|
16 |
12 |
$0.00 |
| 3061F |
|
58 |
54 |
$0.00 |
| D1351 |
Sealant - per tooth |
60 |
15 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
19 |
19 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
14 |
12 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
700 |
693 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
328 |
259 |
$0.00 |
| D1120 |
Prophylaxis - child |
875 |
872 |
$0.00 |
| D1110 |
Prophylaxis - adult |
1,845 |
1,839 |
$0.00 |
| 81002 |
|
53 |
52 |
$0.00 |
| 99442 |
|
40 |
38 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
1,035 |
1,030 |
$0.00 |
| 98940 |
|
1,507 |
714 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
71 |
69 |
$0.00 |
| D0330 |
Panoramic radiographic image |
232 |
230 |
$0.00 |
| 90461 |
|
28 |
28 |
$0.00 |
| D9110 |
|
12 |
12 |
$0.00 |