| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
109,814 |
79,669 |
$8.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,590 |
31,827 |
$714K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,239 |
17,967 |
$677K |
| 90834 |
Psychotherapy, 45 minutes with patient |
19,675 |
8,186 |
$480K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,514 |
5,222 |
$90K |
| 99442 |
|
7,358 |
3,952 |
$76K |
| D1110 |
Prophylaxis - adult |
3,870 |
2,615 |
$55K |
| 91322 |
|
660 |
560 |
$53K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,621 |
3,969 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,068 |
8,178 |
$46K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,340 |
1,123 |
$45K |
| 90791 |
Psychiatric diagnostic evaluation |
1,152 |
755 |
$43K |
| D1120 |
Prophylaxis - child |
4,808 |
3,256 |
$41K |
| 90746 |
|
1,018 |
842 |
$40K |
| D1206 |
Topical application of fluoride varnish |
5,684 |
3,838 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
3,949 |
2,524 |
$34K |
| 90674 |
|
3,427 |
2,261 |
$33K |
| 0012A |
|
825 |
825 |
$31K |
| 0011A |
|
869 |
858 |
$30K |
| 90480 |
|
1,159 |
982 |
$29K |
| D0330 |
Panoramic radiographic image |
1,735 |
1,064 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
702 |
504 |
$25K |
| D0230 |
Intraoral - periapical each additional radiographic image |
10,472 |
3,720 |
$23K |
| D0274 |
Bitewings - four radiographic images |
3,973 |
2,725 |
$23K |
| 90686 |
|
4,733 |
4,163 |
$21K |
| 90715 |
|
2,099 |
1,638 |
$21K |
| 99215 |
Prolong outpt/office vis |
818 |
559 |
$21K |
| 90716 |
|
821 |
613 |
$19K |
| 90651 |
|
371 |
333 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,835 |
1,302 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,374 |
1,964 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
6,821 |
4,452 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,806 |
1,197 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,864 |
2,393 |
$13K |
| 99443 |
|
852 |
494 |
$12K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
551 |
265 |
$11K |
| 0002A |
|
271 |
262 |
$10K |
| 0001A |
|
275 |
257 |
$10K |
| 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 |
814 |
673 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
608 |
462 |
$8K |
| 0064A |
|
171 |
154 |
$7K |
| 90633 |
|
1,265 |
942 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,776 |
2,042 |
$6K |
| 0071A |
|
151 |
147 |
$6K |
| 99441 |
|
946 |
488 |
$5K |
| D0272 |
Bitewings - two radiographic images |
1,656 |
1,184 |
$5K |
| 90661 |
|
409 |
391 |
$5K |
| 91321 |
|
65 |
58 |
$4K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,055 |
614 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
180 |
94 |
$4K |
| 90714 |
|
329 |
262 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
316 |
258 |
$4K |
| 97802 |
|
340 |
224 |
$4K |
| D0240 |
|
410 |
137 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
247 |
143 |
$4K |
| 0124A |
|
166 |
104 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
506 |
392 |
$3K |
| 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 |
248 |
137 |
$3K |
| 90671 |
|
49 |
27 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
133 |
79 |
$2K |
| 99385 |
|
113 |
75 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
748 |
554 |
$2K |
| 90713 |
|
1,628 |
1,271 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
116 |
93 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
28 |
$2K |
| 81003 |
|
3,300 |
2,342 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
270 |
181 |
$2K |
| 0072A |
|
33 |
33 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
161 |
123 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
65 |
$1K |
| 0004A |
|
25 |
25 |
$1K |
| 82962 |
|
2,867 |
2,247 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
125 |
86 |
$1K |
| 90707 |
|
84 |
69 |
$892.49 |
| D7140 |
Extraction, erupted tooth or exposed root |
48 |
25 |
$865.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
185 |
145 |
$812.40 |
| 90734 |
|
233 |
185 |
$811.16 |
| 90461 |
|
4,785 |
1,503 |
$750.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
254 |
230 |
$743.73 |
| 0134A |
|
23 |
16 |
$359.46 |
| 90723 |
|
262 |
213 |
$337.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
29 |
$297.84 |
| 91300 |
|
1,042 |
939 |
$108.61 |
| 91307 |
|
262 |
250 |
$101.92 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
25 |
$86.17 |
| 90744 |
|
383 |
260 |
$40.00 |
| 85018 |
|
406 |
358 |
$24.88 |
| 91301 |
|
1,899 |
1,874 |
$18.14 |
| 91306 |
|
166 |
151 |
$0.01 |
| 91313 |
|
53 |
45 |
$0.01 |
| 3008F |
|
20,223 |
11,873 |
$0.00 |
| 3074F |
|
17,500 |
14,659 |
$0.00 |
| 3079F |
|
5,048 |
3,612 |
$0.00 |
| D0603 |
|
456 |
322 |
$0.00 |
| 3075F |
|
1,161 |
977 |
$0.00 |
| 3080F |
|
65 |
50 |
$0.00 |
| D0601 |
|
185 |
125 |
$0.00 |
| D0602 |
|
349 |
241 |
$0.00 |
| 90647 |
|
212 |
170 |
$0.00 |
| 3044F |
|
362 |
275 |
$0.00 |
| D1330 |
|
272 |
222 |
$0.00 |
| 99381 |
|
17 |
13 |
$0.00 |
| 93000 |
|
14 |
13 |
$0.00 |
| 90696 |
|
15 |
12 |
$0.00 |
| 91305 |
|
17 |
12 |
$0.00 |
| 3078F |
|
19,457 |
13,799 |
$0.00 |
| 3077F |
|
605 |
494 |
$0.00 |
| 81025 |
|
574 |
452 |
$0.00 |
| 3046F |
|
71 |
67 |
$0.00 |
| 91312 |
|
147 |
89 |
$0.00 |
| 90681 |
|
101 |
82 |
$0.00 |
| 87210 |
|
59 |
57 |
$0.00 |
| 3045F |
|
141 |
133 |
$0.00 |
| 90670 |
|
332 |
273 |
$0.00 |
| 99201 |
|
16 |
13 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 91311 |
|
23 |
12 |
$0.00 |
| 90785 |
|
30 |
27 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |