| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
5,914 |
4,899 |
$1.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,130 |
5,494 |
$1.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,984 |
4,927 |
$1.32M |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,082 |
980 |
$430K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,034 |
556 |
$234K |
| 90834 |
Psychotherapy, 45 minutes with patient |
285 |
147 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
151 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
55 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
54 |
$15K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
117 |
84 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
467 |
401 |
$12K |
| 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 |
716 |
587 |
$10K |
| D1110 |
Prophylaxis - adult |
842 |
818 |
$8K |
| D0330 |
Panoramic radiographic image |
281 |
222 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
158 |
128 |
$3K |
| 90686 |
|
78 |
77 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
338 |
281 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
258 |
240 |
$2K |
| 99408 |
|
694 |
624 |
$2K |
| D0274 |
Bitewings - four radiographic images |
156 |
146 |
$2K |
| 0012A |
|
41 |
39 |
$1K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
356 |
343 |
$1K |
| 90688 |
|
73 |
57 |
$1K |
| 0011A |
|
37 |
36 |
$1K |
| D7140 |
Extraction, erupted tooth or exposed root |
98 |
46 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
183 |
155 |
$905.89 |
| 96127 |
|
695 |
648 |
$304.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
172 |
162 |
$153.50 |
| D1206 |
Topical application of fluoride varnish |
27 |
26 |
$150.00 |
| D0220 |
Intraoral - periapical first radiographic image |
138 |
137 |
$99.95 |
| 80305 |
|
1,246 |
773 |
$25.20 |
| 90687 |
|
69 |
64 |
$20.17 |
| 1160F |
|
1,000 |
891 |
$0.00 |
| 1159F |
|
1,605 |
1,411 |
$0.00 |
| 81002 |
|
93 |
84 |
$0.00 |
| 97803 |
|
22 |
18 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16 |
14 |
$0.00 |
| 82962 |
|
77 |
66 |
$0.00 |
| 36416 |
|
520 |
430 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
452 |
403 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
55 |
$0.00 |
| 99406 |
|
45 |
45 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 90674 |
|
16 |
16 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |