| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
91,114 |
62,844 |
$11.82M |
| D0999 |
Unspecified diagnostic procedure, by report |
10,087 |
8,120 |
$780K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,212 |
25,220 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,765 |
5,898 |
$6K |
| 99000 |
|
163 |
152 |
$4K |
| 0012A |
|
89 |
89 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,172 |
3,747 |
$2K |
| 0011A |
|
107 |
107 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,663 |
3,285 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,310 |
13,905 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,263 |
2,052 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,179 |
1,959 |
$635.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,265 |
2,937 |
$522.33 |
| 0004A |
|
21 |
12 |
$431.34 |
| 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 |
53 |
30 |
$369.32 |
| D9995 |
|
144 |
101 |
$325.00 |
| 90670 |
|
2,569 |
2,190 |
$305.74 |
| 0502F |
|
3,781 |
2,432 |
$281.26 |
| 90698 |
|
1,970 |
1,719 |
$256.52 |
| 90671 |
|
38 |
38 |
$246.20 |
| 90633 |
|
1,923 |
1,647 |
$240.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,043 |
1,749 |
$225.70 |
| 90680 |
|
1,133 |
1,023 |
$175.99 |
| 90744 |
|
943 |
826 |
$149.66 |
| 90715 |
|
1,054 |
925 |
$143.95 |
| 90658 |
|
3,050 |
2,662 |
$143.53 |
| 81025 |
|
2,894 |
2,532 |
$129.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,950 |
2,395 |
$118.88 |
| 90651 |
|
115 |
109 |
$100.26 |
| 90619 |
|
239 |
229 |
$87.92 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
77 |
$85.65 |
| 85018 |
|
1,661 |
1,541 |
$81.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
50 |
$70.56 |
| 81002 |
|
1,408 |
1,226 |
$67.40 |
| 11721 |
|
80 |
74 |
$54.30 |
| 90707 |
|
608 |
532 |
$50.13 |
| 99215 |
Prolong outpt/office vis |
462 |
414 |
$49.95 |
| 96127 |
|
62 |
53 |
$42.00 |
| 90649 |
|
1,554 |
1,394 |
$41.60 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
535 |
471 |
$40.50 |
| 90710 |
|
801 |
720 |
$33.42 |
| 90716 |
|
636 |
568 |
$33.42 |
| 99381 |
|
85 |
85 |
$32.15 |
| 82962 |
|
169 |
150 |
$29.55 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
885 |
778 |
$22.00 |
| 90620 |
|
29 |
27 |
$16.71 |
| 90734 |
|
1,135 |
991 |
$15.40 |
| 99441 |
|
222 |
162 |
$14.00 |
| 82948 |
|
1,290 |
1,048 |
$10.32 |
| 90648 |
|
301 |
244 |
$6.40 |
| 90791 |
Psychiatric diagnostic evaluation |
34 |
16 |
$4.00 |
| D0330 |
Panoramic radiographic image |
2,913 |
2,561 |
$0.00 |
| D1120 |
Prophylaxis - child |
775 |
717 |
$0.00 |
| 3078F |
|
156 |
135 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
123 |
106 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
883 |
818 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
43 |
43 |
$0.00 |
| D1110 |
Prophylaxis - adult |
302 |
259 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
2,315 |
2,054 |
$0.00 |
| D4341 |
|
305 |
188 |
$0.00 |
| 90700 |
|
44 |
29 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
389 |
335 |
$0.00 |
| 97803 |
|
207 |
167 |
$0.00 |
| 87210 |
|
486 |
429 |
$0.00 |
| 3077F |
|
163 |
142 |
$0.00 |
| 99201 |
|
83 |
64 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
316 |
173 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
64 |
$0.00 |
| 90681 |
|
58 |
47 |
$0.00 |
| 90621 |
|
27 |
27 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
194 |
85 |
$0.00 |
| 90461 |
|
244 |
207 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
38 |
$0.00 |
| 99382 |
|
15 |
15 |
$0.00 |
| 99442 |
|
21 |
19 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
631 |
573 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,721 |
1,527 |
$0.00 |
| 99383 |
|
153 |
135 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,849 |
1,665 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
163 |
128 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
300 |
283 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,710 |
733 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,638 |
724 |
$0.00 |
| D0603 |
|
309 |
308 |
$0.00 |
| 3074F |
|
92 |
82 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
1,989 |
1,705 |
$0.00 |
| 3080F |
|
82 |
72 |
$0.00 |
| 90696 |
|
670 |
600 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
55 |
54 |
$0.00 |
| 3079F |
|
90 |
79 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
796 |
736 |
$0.00 |
| 0500F |
|
66 |
53 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
314 |
212 |
$0.00 |
| D0601 |
|
27 |
27 |
$0.00 |
| 3075F |
|
42 |
35 |
$0.00 |
| 90723 |
|
157 |
136 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
98 |
82 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
49 |
38 |
$0.00 |
| 90732 |
|
18 |
17 |
$0.00 |
| 99384 |
|
110 |
97 |
$0.00 |
| 3008F |
|
41 |
41 |
$0.00 |
| 90686 |
|
56 |
52 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
18 |
12 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |