| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,633 |
11,155 |
$2.50M |
| H2020 |
Therapeutic behavioral services, per diem |
6,097 |
2,626 |
$673K |
| D0999 |
Unspecified diagnostic procedure, by report |
4,461 |
2,883 |
$358K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,099 |
4,652 |
$158.06 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,332 |
1,068 |
$25.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,418 |
1,864 |
$20.00 |
| 3078F |
|
794 |
552 |
$20.00 |
| 3074F |
|
891 |
619 |
$10.00 |
| 3079F |
|
285 |
224 |
$10.00 |
| 3075F |
|
71 |
57 |
$5.00 |
| 81003 |
|
1,067 |
633 |
$0.00 |
| D1120 |
Prophylaxis - child |
1,000 |
865 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
799 |
507 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
792 |
586 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,361 |
2,697 |
$0.00 |
| 82947 |
|
137 |
84 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
952 |
668 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
106 |
84 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
81 |
31 |
$0.00 |
| D1110 |
Prophylaxis - adult |
668 |
570 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,288 |
400 |
$0.00 |
| 99173 |
|
188 |
151 |
$0.00 |
| 90473 |
|
85 |
82 |
$0.00 |
| 1159F |
|
566 |
440 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
192 |
131 |
$0.00 |
| 3077F |
|
37 |
29 |
$0.00 |
| 96160 |
|
77 |
66 |
$0.00 |
| 99177 |
|
551 |
411 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
43 |
$0.00 |
| 90672 |
|
208 |
132 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16 |
15 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
221 |
142 |
$0.00 |
| 90633 |
|
39 |
36 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
46 |
44 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
697 |
450 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
981 |
841 |
$0.00 |
| 1036F |
|
1,453 |
898 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,175 |
607 |
$0.00 |
| 3008F |
|
2,311 |
1,683 |
$0.00 |
| 1126F |
|
337 |
295 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
826 |
686 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
638 |
472 |
$0.00 |
| 2001F |
|
2,302 |
1,672 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,741 |
1,500 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
872 |
855 |
$0.00 |
| 1111F |
|
136 |
119 |
$0.00 |
| 85018 |
|
198 |
133 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
128 |
111 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
398 |
295 |
$0.00 |
| 90686 |
|
320 |
189 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
636 |
368 |
$0.00 |
| 92551 |
|
200 |
158 |
$0.00 |
| 99174 |
|
197 |
190 |
$0.00 |
| D0603 |
|
81 |
79 |
$0.00 |
| 87428 |
|
94 |
62 |
$0.00 |
| 3048F |
|
27 |
19 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
122 |
104 |
$0.00 |
| D1351 |
Sealant - per tooth |
103 |
38 |
$0.00 |
| 1125F |
|
281 |
235 |
$0.00 |
| D0602 |
|
117 |
117 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
64 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
30 |
$0.00 |
| 96127 |
|
14 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$0.00 |