| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
118,681 |
75,834 |
$12.75M |
| H2020 |
Therapeutic behavioral services, per diem |
105,788 |
54,361 |
$11.11M |
| D0999 |
Unspecified diagnostic procedure, by report |
18,982 |
11,874 |
$1.64M |
| 99051 |
|
1,856 |
1,386 |
$21K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,855 |
940 |
$9K |
| D1110 |
Prophylaxis - adult |
3,173 |
2,349 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
645 |
551 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
828 |
646 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
3,691 |
2,708 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
3,079 |
2,217 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,468 |
51,344 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
34,077 |
14,821 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
16,980 |
5,132 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
3,315 |
2,367 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,947 |
5,206 |
$314.52 |
| 90791 |
Psychiatric diagnostic evaluation |
3,767 |
2,742 |
$297.39 |
| 99385 |
|
391 |
287 |
$264.73 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,561 |
9,632 |
$238.88 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,447 |
3,017 |
$188.06 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15,752 |
11,523 |
$152.13 |
| 3074F |
|
3,382 |
2,600 |
$85.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,917 |
7,206 |
$83.41 |
| 3079F |
|
2,192 |
1,793 |
$70.00 |
| 3078F |
|
2,138 |
1,697 |
$40.00 |
| 3044F |
|
43 |
40 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
10,349 |
8,245 |
$29.39 |
| 3080F |
|
375 |
311 |
$25.00 |
| 90656 |
|
135 |
112 |
$22.35 |
| D0272 |
Bitewings - two radiographic images |
311 |
177 |
$21.43 |
| 3077F |
|
839 |
692 |
$20.00 |
| 87428 |
|
809 |
555 |
$18.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,279 |
866 |
$14.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,494 |
977 |
$11.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,922 |
1,936 |
$10.50 |
| 81025 |
|
836 |
561 |
$10.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,358 |
1,463 |
$0.00 |
| D1120 |
Prophylaxis - child |
653 |
447 |
$0.00 |
| 1159F |
|
7,792 |
5,961 |
$0.00 |
| 80305 |
|
5,816 |
3,119 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
368 |
287 |
$0.00 |
| 81003 |
|
2,336 |
1,558 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
551 |
480 |
$0.00 |
| 4004F |
|
3,169 |
2,518 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
294 |
234 |
$0.00 |
| 99334 |
|
235 |
181 |
$0.00 |
| 1160F |
|
738 |
616 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
541 |
451 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
531 |
440 |
$0.00 |
| 96160 |
|
1,129 |
847 |
$0.00 |
| 82947 |
|
120 |
95 |
$0.00 |
| 99177 |
|
1,221 |
483 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,262 |
807 |
$0.00 |
| D1203 |
|
165 |
147 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
170 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
25 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
327 |
251 |
$0.00 |
| 99173 |
|
296 |
203 |
$0.00 |
| 99348 |
|
92 |
47 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
24 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
46 |
25 |
$0.00 |
| 2001F |
|
30,763 |
23,649 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,349 |
918 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,669 |
2,212 |
$0.00 |
| 3008F |
|
30,419 |
23,486 |
$0.00 |
| 1036F |
|
14,588 |
10,597 |
$0.00 |
| 1125F |
|
3,025 |
2,366 |
$0.00 |
| 1111F |
|
6,851 |
5,620 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
147 |
117 |
$0.00 |
| 1126F |
|
16,706 |
13,379 |
$0.00 |
| 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 |
1,506 |
978 |
$0.00 |
| 90686 |
|
587 |
393 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,295 |
3,183 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
199 |
163 |
$0.00 |
| 1034F |
|
2,753 |
2,253 |
$0.00 |
| 3048F |
|
1,018 |
896 |
$0.00 |
| 99335 |
|
143 |
122 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
47 |
29 |
$0.00 |
| 92551 |
|
374 |
284 |
$0.00 |
| 3075F |
|
502 |
414 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,216 |
774 |
$0.00 |
| 36416 |
|
36 |
24 |
$0.00 |
| 85018 |
|
143 |
96 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
125 |
67 |
$0.00 |
| 93000 |
|
64 |
55 |
$0.00 |
| 00000 |
|
14 |
14 |
$0.00 |
| 90660 |
|
24 |
14 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
20 |
18 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
33 |
24 |
$0.00 |
| 3049F |
|
13 |
13 |
$0.00 |
| 0012A |
|
49 |
24 |
$0.00 |
| 99386 |
|
12 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
51 |
32 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
47 |
28 |
$0.00 |
| 1035F |
|
19 |
14 |
$0.00 |
| 99174 |
|
28 |
28 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$0.00 |