| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,396 |
39,104 |
$6.21M |
| T1017 |
Targeted case management, each 15 minutes |
128,761 |
13,732 |
$3.73M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,752 |
10,430 |
$1.83M |
| D0120 |
Periodic oral evaluation - established patient |
15,713 |
5,425 |
$1.10M |
| 92557 |
|
31,853 |
4,428 |
$995K |
| D4910 |
|
5,754 |
3,602 |
$841K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
3,097 |
1,221 |
$718K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,105 |
3,170 |
$490K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,957 |
746 |
$295K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,231 |
2,205 |
$268K |
| 92567 |
|
4,183 |
2,576 |
$249K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,978 |
754 |
$229K |
| D4999 |
|
1,117 |
668 |
$157K |
| 92609 |
|
1,285 |
588 |
$117K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
722 |
455 |
$95K |
| D0140 |
Limited oral evaluation - problem focused |
1,245 |
466 |
$89K |
| V5299 |
Hearing service, miscellaneous |
794 |
762 |
$78K |
| D0999 |
Unspecified diagnostic procedure, by report |
341 |
325 |
$72K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
270 |
261 |
$39K |
| D1206 |
Topical application of fluoride varnish |
310 |
113 |
$35K |
| 99490 |
Ccm add 20min |
3,121 |
2,600 |
$34K |
| D1110 |
Prophylaxis - adult |
332 |
168 |
$27K |
| 96116 |
|
93 |
91 |
$26K |
| V5264 |
Ear mold/insert, not disposable, any type |
543 |
542 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
125 |
$22K |
| 90674 |
|
995 |
488 |
$21K |
| 92579 |
|
276 |
157 |
$18K |
| V5266 |
Battery for use in hearing device |
1,049 |
1,044 |
$14K |
| D1330 |
|
92 |
40 |
$11K |
| 90756 |
|
391 |
202 |
$8K |
| 92594 |
|
84 |
80 |
$8K |
| 92552 |
|
147 |
50 |
$8K |
| D0171 |
|
107 |
47 |
$7K |
| 92595 |
|
53 |
53 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
70 |
25 |
$4K |
| 0012A |
|
103 |
103 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
22 |
12 |
$3K |
| 92593 |
|
42 |
42 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
17 |
$3K |
| 92650 |
|
25 |
25 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| D9430 |
|
18 |
12 |
$2K |
| 11721 |
|
14 |
14 |
$1K |
| 0011A |
|
118 |
117 |
$1K |
| 92592 |
|
14 |
12 |
$1K |
| 90661 |
|
28 |
14 |
$592.62 |
| 92558 |
|
13 |
13 |
$576.23 |
| 99484 |
|
25 |
13 |
$263.16 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
13 |
12 |
$186.23 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$173.68 |
| 91301 |
|
74 |
68 |
$0.00 |
| 99422 |
|
17 |
17 |
$0.00 |
| D9997 |
|
30 |
29 |
$0.00 |