| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
3,873 |
1,534 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,598 |
1,383 |
$93K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,120 |
562 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
968 |
771 |
$37K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
129 |
94 |
$9K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
179 |
154 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
36 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
181 |
$3K |
| D0330 |
Panoramic radiographic image |
44 |
43 |
$1K |
| D1110 |
Prophylaxis - adult |
36 |
34 |
$989.77 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
56 |
54 |
$974.95 |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
24 |
$780.00 |
| 90686 |
|
68 |
58 |
$418.66 |
| D0274 |
Bitewings - four radiographic images |
26 |
25 |
$260.00 |
| 90674 |
|
13 |
12 |
$89.82 |
| 96127 |
|
21 |
16 |
$3.97 |
| 3008F |
|
32 |
26 |
$0.00 |
| 3074F |
|
14 |
12 |
$0.00 |