| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
659 |
652 |
$333K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
5,940 |
4,721 |
$304K |
| D0120 |
Periodic oral evaluation - established patient |
328 |
315 |
$164K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,659 |
4,472 |
$132K |
| D1120 |
Prophylaxis - child |
107 |
99 |
$36K |
| D1330 |
|
61 |
60 |
$15K |
| D2740 |
Crown - porcelain/ceramic |
16 |
16 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$4.53 |