| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
100,619 |
73,655 |
$5.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,095 |
38,366 |
$1.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,637 |
22,269 |
$1.26M |
| D1110 |
Prophylaxis - adult |
16,798 |
12,535 |
$292K |
| D0120 |
Periodic oral evaluation - established patient |
22,640 |
16,975 |
$207K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
11,980 |
8,973 |
$176K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
5,497 |
3,434 |
$162K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,542 |
2,022 |
$121K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,174 |
2,089 |
$112K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
4,099 |
2,491 |
$112K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,354 |
4,086 |
$108K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
80 |
73 |
$89K |
| D0330 |
Panoramic radiographic image |
3,769 |
2,734 |
$84K |
| D0272 |
Bitewings - two radiographic images |
18,353 |
14,045 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,755 |
3,120 |
$74K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
5,057 |
1,647 |
$73K |
| D1120 |
Prophylaxis - child |
4,897 |
3,922 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,098 |
1,360 |
$62K |
| 90791 |
Psychiatric diagnostic evaluation |
1,112 |
586 |
$53K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,823 |
4,282 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,580 |
2,851 |
$44K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
786 |
530 |
$41K |
| D0220 |
Intraoral - periapical first radiographic image |
15,181 |
10,983 |
$39K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,105 |
636 |
$34K |
| 90686 |
|
3,892 |
3,150 |
$31K |
| D0274 |
Bitewings - four radiographic images |
1,410 |
977 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
425 |
287 |
$28K |
| D0230 |
Intraoral - periapical each additional radiographic image |
10,738 |
4,563 |
$28K |
| D1206 |
Topical application of fluoride varnish |
2,138 |
1,305 |
$21K |
| 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 |
2,500 |
2,037 |
$20K |
| D0140 |
Limited oral evaluation - problem focused |
2,095 |
1,388 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,843 |
3,493 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
554 |
340 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
387 |
323 |
$18K |
| 97803 |
|
1,153 |
1,003 |
$18K |
| 92523 |
|
147 |
133 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
433 |
283 |
$16K |
| 36416 |
|
8,083 |
5,458 |
$15K |
| 80305 |
|
2,602 |
1,486 |
$15K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,828 |
690 |
$14K |
| 97802 |
|
384 |
370 |
$13K |
| 82962 |
|
8,923 |
5,936 |
$12K |
| 0012A |
|
322 |
246 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
309 |
197 |
$8K |
| 99402 |
|
482 |
207 |
$8K |
| 99401 |
|
638 |
311 |
$8K |
| D2331 |
|
134 |
84 |
$7K |
| 0011A |
|
338 |
222 |
$7K |
| 92551 |
|
1,624 |
1,102 |
$6K |
| 90715 |
|
292 |
253 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
641 |
499 |
$6K |
| 81025 |
|
1,201 |
864 |
$5K |
| D2330 |
|
166 |
98 |
$5K |
| 99382 |
|
67 |
62 |
$4K |
| 99385 |
|
100 |
64 |
$4K |
| D2332 |
|
39 |
28 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
107 |
77 |
$4K |
| 0064A |
|
70 |
68 |
$3K |
| 90682 |
|
63 |
57 |
$3K |
| 99173 |
|
2,430 |
1,480 |
$3K |
| 99215 |
Prolong outpt/office vis |
49 |
29 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
36 |
$3K |
| 93000 |
|
345 |
303 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
43 |
37 |
$2K |
| 99384 |
|
33 |
30 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
155 |
143 |
$2K |
| 88142 |
|
199 |
116 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
415 |
256 |
$1K |
| 90732 |
|
12 |
12 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
105 |
79 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
154 |
129 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
128 |
82 |
$1K |
| 81000 |
|
850 |
487 |
$1K |
| 90662 |
|
12 |
12 |
$675.56 |
| D2140 |
|
15 |
14 |
$600.00 |
| 85018 |
|
650 |
488 |
$566.41 |
| 99177 |
|
59 |
53 |
$534.50 |
| 90651 |
|
335 |
283 |
$513.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
40 |
$421.52 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
18 |
18 |
$288.18 |
| 90734 |
|
124 |
110 |
$220.42 |
| 81002 |
|
165 |
132 |
$121.34 |
| 90461 |
|
419 |
319 |
$45.00 |
| 90656 |
|
63 |
63 |
$20.04 |
| 90621 |
|
41 |
30 |
$0.05 |
| 1034F |
|
5,767 |
5,126 |
$0.00 |
| 3008F |
|
38,396 |
33,647 |
$0.00 |
| 3080F |
|
3,443 |
3,075 |
$0.00 |
| 2001F |
|
38,396 |
33,649 |
$0.00 |
| 1111F |
|
16,784 |
14,642 |
$0.00 |
| 3079F |
|
13,293 |
12,045 |
$0.00 |
| 3074F |
|
22,676 |
20,260 |
$0.00 |
| 3075F |
|
5,990 |
5,562 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
25,464 |
22,469 |
$0.00 |
| 1036F |
|
21,357 |
18,738 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
4,340 |
3,881 |
$0.00 |
| 3048F |
|
7,330 |
6,377 |
$0.00 |
| 3049F |
|
3,130 |
2,705 |
$0.00 |
| 3044F |
|
243 |
229 |
$0.00 |
| 91301 |
|
281 |
264 |
$0.00 |
| 1126F |
|
925 |
884 |
$0.00 |
| 1101F |
|
14 |
13 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 1125F |
|
166 |
161 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
178 |
171 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 90716 |
|
15 |
12 |
$0.00 |
| 3077F |
|
5,270 |
4,707 |
$0.00 |
| 4004F |
|
6,193 |
5,667 |
$0.00 |
| 3078F |
|
17,405 |
15,724 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
5,148 |
4,597 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
24,711 |
21,812 |
$0.00 |
| 3050F |
|
777 |
680 |
$0.00 |
| 1159F |
|
1,359 |
1,277 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| 3288F |
|
14 |
13 |
$0.00 |
| 90633 |
|
148 |
128 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 90710 |
|
63 |
57 |
$0.00 |
| 90672 |
|
16 |
12 |
$0.00 |