| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,441 |
15,239 |
$5.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,936 |
9,891 |
$2.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,690 |
4,362 |
$912K |
| 90832 |
Psychotherapy, 30 minutes with patient |
315 |
157 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
285 |
281 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
230 |
221 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
266 |
260 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
299 |
279 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
3,593 |
3,259 |
$34K |
| 90834 |
Psychotherapy, 45 minutes with patient |
436 |
262 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
190 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
149 |
144 |
$21K |
| 82962 |
|
1,386 |
1,309 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
100 |
96 |
$17K |
| D1999 |
|
1,837 |
1,358 |
$16K |
| 99177 |
|
1,913 |
1,790 |
$16K |
| 3008F |
|
7,101 |
6,559 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
65 |
40 |
$15K |
| 90686 |
|
958 |
934 |
$14K |
| 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 |
318 |
260 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,550 |
2,426 |
$12K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
227 |
221 |
$9K |
| 85018 |
|
2,938 |
2,796 |
$9K |
| 80061 |
Lipid panel |
859 |
820 |
$6K |
| 99383 |
|
40 |
40 |
$6K |
| 81003 |
|
1,107 |
1,000 |
$6K |
| 0011A |
|
49 |
37 |
$5K |
| 0002A |
|
33 |
33 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
26 |
$5K |
| 0001A |
|
40 |
40 |
$4K |
| 0012A |
|
31 |
31 |
$4K |
| 92552 |
|
823 |
794 |
$4K |
| 99188 |
|
256 |
249 |
$3K |
| 82948 |
|
207 |
169 |
$3K |
| 83655 |
|
421 |
407 |
$2K |
| 81002 |
|
614 |
557 |
$2K |
| 36416 |
|
41 |
40 |
$2K |
| 3078F |
|
702 |
646 |
$2K |
| 0031A |
|
12 |
12 |
$2K |
| 3079F |
|
828 |
778 |
$1K |
| 91322 |
|
12 |
12 |
$1K |
| 81025 |
|
69 |
61 |
$1K |
| 3074F |
|
766 |
711 |
$994.29 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
704 |
497 |
$975.08 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
47 |
46 |
$950.03 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
38 |
$855.85 |
| D1120 |
Prophylaxis - child |
1,812 |
1,795 |
$777.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$750.16 |
| D1206 |
Topical application of fluoride varnish |
2,592 |
2,570 |
$710.26 |
| D0120 |
Periodic oral evaluation - established patient |
1,211 |
1,197 |
$525.00 |
| 90633 |
|
55 |
54 |
$491.45 |
| 90656 |
|
48 |
46 |
$491.40 |
| 90480 |
|
12 |
12 |
$463.32 |
| 0003A |
|
33 |
31 |
$335.25 |
| 3075F |
|
221 |
207 |
$318.83 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
255 |
202 |
$314.79 |
| D0274 |
Bitewings - four radiographic images |
1,463 |
1,452 |
$311.61 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,154 |
1,147 |
$281.97 |
| 90651 |
|
64 |
61 |
$273.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
255 |
235 |
$215.44 |
| 3077F |
|
597 |
558 |
$203.18 |
| D0330 |
Panoramic radiographic image |
925 |
919 |
$197.92 |
| D0140 |
Limited oral evaluation - problem focused |
942 |
916 |
$138.92 |
| D1110 |
Prophylaxis - adult |
523 |
522 |
$123.01 |
| 90710 |
|
13 |
13 |
$109.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
199 |
$81.20 |
| D0220 |
Intraoral - periapical first radiographic image |
1,106 |
1,075 |
$66.01 |
| 80053 |
Comprehensive metabolic panel |
14 |
12 |
$31.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$17.40 |
| D0210 |
Intraoral - complete series of radiographic images |
43 |
43 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
211 |
115 |
$0.00 |
| D0603 |
|
450 |
450 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
472 |
385 |
$0.00 |
| 3080F |
|
120 |
115 |
$0.00 |
| D1351 |
Sealant - per tooth |
417 |
152 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
28 |
26 |
$0.00 |
| D0602 |
|
29 |
29 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
85 |
84 |
$0.00 |
| 3046F |
|
83 |
82 |
$0.00 |
| D1354 |
|
175 |
85 |
$0.00 |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
21 |
13 |
$0.00 |
| 0071A |
|
15 |
12 |
$0.00 |