| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,510 |
12,905 |
$2.29M |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,330 |
2,191 |
$790K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,094 |
3,093 |
$502K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,577 |
1,366 |
$227K |
| 90834 |
Psychotherapy, 45 minutes with patient |
369 |
197 |
$63K |
| D0140 |
Limited oral evaluation - problem focused |
491 |
187 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
1,441 |
182 |
$29K |
| 99493 |
|
326 |
206 |
$23K |
| D9996 |
|
218 |
106 |
$19K |
| 99442 |
|
104 |
98 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
520 |
115 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
123 |
111 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
39 |
$7K |
| D0180 |
|
120 |
30 |
$5K |
| 97802 |
|
14 |
14 |
$3K |
| 99397 |
|
94 |
19 |
$3K |
| D0170 |
|
30 |
15 |
$3K |
| 97803 |
|
12 |
12 |
$2K |
| T2022 |
Case management, per month |
31 |
29 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
25 |
13 |
$2K |