| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
2,333 |
1,584 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,182 |
3,584 |
$107K |
| 98940 |
|
1,836 |
1,119 |
$25K |
| D1206 |
Topical application of fluoride varnish |
1,015 |
996 |
$14K |
| D1110 |
Prophylaxis - adult |
204 |
202 |
$7K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
338 |
207 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
403 |
397 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
85 |
$3K |
| 98942 |
|
101 |
52 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
30 |
25 |
$2K |
| 99000 |
|
694 |
522 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
29 |
24 |
$2K |
| 0012A |
|
38 |
38 |
$936.87 |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
13 |
$816.65 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
27 |
$758.53 |
| 0124A |
|
32 |
28 |
$654.43 |
| 0011A |
|
43 |
42 |
$542.08 |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$541.17 |
| D0140 |
Limited oral evaluation - problem focused |
26 |
25 |
$532.81 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
12 |
$471.70 |
| 90686 |
|
77 |
69 |
$401.07 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$261.84 |
| 87807 |
|
18 |
15 |
$222.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$178.97 |
| 36415 |
Collection of venous blood by venipuncture |
441 |
365 |
$156.42 |
| 90674 |
|
12 |
12 |
$145.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
16 |
$85.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$62.89 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
76 |
74 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$0.00 |
| 91301 |
|
82 |
82 |
$0.00 |