| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,743 |
2,235 |
$1.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
825 |
720 |
$410K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
782 |
683 |
$372K |
| 90834 |
Psychotherapy, 45 minutes with patient |
216 |
108 |
$133K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
197 |
192 |
$111K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
334 |
316 |
$107K |
| 90832 |
Psychotherapy, 30 minutes with patient |
180 |
91 |
$102K |
| D1206 |
Topical application of fluoride varnish |
359 |
359 |
$78K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
257 |
196 |
$69K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
70 |
$38K |
| D1110 |
Prophylaxis - adult |
156 |
156 |
$36K |
| 90837 |
Psychotherapy, 53 minutes with patient |
33 |
16 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
744 |
644 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
489 |
434 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
200 |
200 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
119 |
118 |
$10K |
| 87430 |
|
350 |
316 |
$9K |
| D0274 |
Bitewings - four radiographic images |
43 |
43 |
$9K |
| 0011A |
|
21 |
20 |
$8K |
| 42700 |
|
21 |
15 |
$7K |
| 0001A |
|
13 |
13 |
$7K |
| 80053 |
Comprehensive metabolic panel |
447 |
396 |
$6K |
| 0002A |
|
12 |
12 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
13 |
$4K |
| 81001 |
|
68 |
55 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
102 |
95 |
$3K |
| 80061 |
Lipid panel |
44 |
42 |
$3K |
| 92015 |
Determination of refractive state |
288 |
278 |
$3K |
| W0037 |
|
821 |
821 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
223 |
206 |
$2K |
| 90686 |
|
180 |
177 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$719.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
177 |
159 |
$719.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
41 |
$0.00 |
| 91322 |
|
16 |
15 |
$0.00 |
| 84439 |
|
59 |
55 |
$0.00 |
| 91300 |
|
32 |
30 |
$0.00 |
| 87420 |
|
17 |
17 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 81025 |
|
13 |
12 |
$0.00 |
| 91301 |
|
49 |
44 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,345 |
1,007 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
24 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |
| 90651 |
|
16 |
14 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
12 |
$0.00 |
| 91307 |
|
17 |
15 |
$0.00 |