| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
46,292 |
36,782 |
$3.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,851 |
16,838 |
$618K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,566 |
7,972 |
$446K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,370 |
910 |
$90K |
| D0330 |
Panoramic radiographic image |
4,242 |
2,984 |
$59K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,163 |
2,942 |
$36K |
| D1110 |
Prophylaxis - adult |
3,191 |
2,353 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
3,223 |
2,358 |
$18K |
| D0140 |
Limited oral evaluation - problem focused |
2,622 |
1,861 |
$17K |
| D0274 |
Bitewings - four radiographic images |
4,080 |
3,157 |
$16K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
790 |
475 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,069 |
572 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
600 |
292 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
408 |
232 |
$11K |
| 90674 |
|
784 |
422 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,553 |
828 |
$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 |
1,724 |
1,373 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
248 |
138 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
5,339 |
3,842 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
734 |
230 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,140 |
864 |
$5K |
| 80305 |
|
1,094 |
496 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,403 |
1,568 |
$5K |
| 90686 |
|
575 |
353 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
231 |
134 |
$4K |
| 99441 |
|
800 |
400 |
$4K |
| 99215 |
Prolong outpt/office vis |
52 |
42 |
$3K |
| D0272 |
Bitewings - two radiographic images |
1,231 |
885 |
$3K |
| D1120 |
Prophylaxis - child |
626 |
449 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
192 |
107 |
$3K |
| 90756 |
|
243 |
135 |
$2K |
| 99442 |
|
184 |
96 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
551 |
344 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
378 |
175 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
25 |
$877.91 |
| D1206 |
Topical application of fluoride varnish |
213 |
157 |
$825.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
13 |
$734.58 |
| 90834 |
Psychotherapy, 45 minutes with patient |
26 |
14 |
$731.53 |
| 90734 |
|
65 |
36 |
$483.52 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
46 |
28 |
$455.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
24 |
13 |
$337.68 |
| 90656 |
|
14 |
14 |
$312.90 |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
16 |
$213.88 |
| 81002 |
|
227 |
156 |
$167.14 |
| 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 |
31 |
12 |
$162.71 |
| 3044F |
|
180 |
129 |
$20.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
435 |
189 |
$7.72 |
| D0603 |
|
344 |
306 |
$0.00 |
| 1036F |
|
14,739 |
7,680 |
$0.00 |
| 3074F |
|
18,071 |
9,439 |
$0.00 |
| 3079F |
|
11,990 |
6,261 |
$0.00 |
| 3075F |
|
4,423 |
2,351 |
$0.00 |
| D0602 |
|
163 |
151 |
$0.00 |
| 3080F |
|
1,076 |
553 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
96 |
52 |
$0.00 |
| 1111F |
|
24 |
13 |
$0.00 |
| D0601 |
|
330 |
281 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
24 |
13 |
$0.00 |
| 4004F |
|
13,105 |
6,718 |
$0.00 |
| 3078F |
|
11,828 |
6,230 |
$0.00 |
| 3077F |
|
2,255 |
1,163 |
$0.00 |
| 90461 |
|
108 |
43 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
85 |
47 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
29 |
15 |
$0.00 |
| 81025 |
|
26 |
26 |
$0.00 |