| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,069 |
6,083 |
$419K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,559 |
1,312 |
$148K |
| 90834 |
Psychotherapy, 45 minutes with patient |
271 |
157 |
$21K |
| D1110 |
Prophylaxis - adult |
341 |
283 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
506 |
397 |
$16K |
| D0274 |
Bitewings - four radiographic images |
324 |
279 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
215 |
207 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
652 |
621 |
$9K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
344 |
285 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
402 |
342 |
$8K |
| D0330 |
Panoramic radiographic image |
66 |
57 |
$5K |
| D7140 |
Extraction, erupted tooth or exposed root |
39 |
16 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
69 |
56 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
61 |
41 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
115 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
34 |
27 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
12 |
$572.56 |
| 81002 |
|
12 |
12 |
$67.58 |