| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
8,309 |
5,252 |
$508K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,088 |
6,820 |
$355K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,093 |
3,529 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,849 |
1,622 |
$175K |
| D0220 |
Intraoral - periapical first radiographic image |
3,892 |
3,408 |
$88K |
| D1110 |
Prophylaxis - adult |
1,148 |
1,027 |
$80K |
| D7140 |
Extraction, erupted tooth or exposed root |
470 |
208 |
$68K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
351 |
315 |
$51K |
| 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 |
2,568 |
2,287 |
$49K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,795 |
1,169 |
$36K |
| D0140 |
Limited oral evaluation - problem focused |
674 |
582 |
$36K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,980 |
1,589 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
565 |
513 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
376 |
283 |
$17K |
| D0330 |
Panoramic radiographic image |
124 |
116 |
$12K |
| D0274 |
Bitewings - four radiographic images |
204 |
183 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
89 |
74 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
68 |
65 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
81 |
81 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
15 |
$4K |
| D1206 |
Topical application of fluoride varnish |
85 |
73 |
$3K |
| 99215 |
Prolong outpt/office vis |
17 |
14 |
$2K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
49 |
39 |
$1K |
| D1330 |
|
174 |
159 |
$0.00 |