| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
80,105 |
64,577 |
$13.54M |
| D0999 |
Unspecified diagnostic procedure, by report |
6,714 |
6,053 |
$1.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,611 |
32,933 |
$997K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,954 |
5,773 |
$385K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,328 |
6,227 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,159 |
5,028 |
$270K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,382 |
4,046 |
$247K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,210 |
4,704 |
$232K |
| 99381 |
|
1,028 |
1,014 |
$141K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,744 |
2,170 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,530 |
2,394 |
$97K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,753 |
3,414 |
$78K |
| 90791 |
Psychiatric diagnostic evaluation |
706 |
687 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,754 |
1,705 |
$35K |
| 90619 |
|
661 |
642 |
$30K |
| 99000 |
|
12,787 |
11,435 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,002 |
7,679 |
$24K |
| 87428 |
|
1,561 |
1,408 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,862 |
2,717 |
$15K |
| 0001A |
|
403 |
354 |
$13K |
| 0002A |
|
259 |
256 |
$10K |
| 0071A |
|
167 |
161 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
608 |
593 |
$4K |
| 99383 |
|
38 |
38 |
$3K |
| 0072A |
|
81 |
75 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,632 |
16,098 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
52 |
39 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
14 |
$1K |
| 90620 |
|
531 |
520 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17,665 |
9,846 |
$1K |
| 92551 |
|
5,078 |
4,938 |
$925.30 |
| 81002 |
|
433 |
418 |
$776.36 |
| 80305 |
|
491 |
480 |
$306.46 |
| D0120 |
Periodic oral evaluation - established patient |
2,062 |
1,972 |
$201.95 |
| 90686 |
|
7,607 |
7,488 |
$201.57 |
| D0274 |
Bitewings - four radiographic images |
1,810 |
1,748 |
$175.83 |
| D1351 |
Sealant - per tooth |
2,560 |
673 |
$169.44 |
| D1120 |
Prophylaxis - child |
1,981 |
1,914 |
$147.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
3,704 |
3,637 |
$124.20 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
794 |
614 |
$75.34 |
| D0272 |
Bitewings - two radiographic images |
771 |
746 |
$46.76 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
647 |
637 |
$41.00 |
| 86580 |
|
12 |
12 |
$32.30 |
| 92552 |
|
259 |
227 |
$29.75 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,090 |
949 |
$27.11 |
| 90474 |
|
2,129 |
2,039 |
$27.02 |
| 90700 |
|
499 |
493 |
$23.60 |
| 90648 |
|
3,509 |
3,437 |
$20.01 |
| D1206 |
Topical application of fluoride varnish |
517 |
450 |
$14.70 |
| 36415 |
Collection of venous blood by venipuncture |
3,109 |
2,915 |
$9.31 |
| 90473 |
|
329 |
317 |
$7.84 |
| 96160 |
|
244 |
215 |
$4.50 |
| 91307 |
|
293 |
270 |
$0.21 |
| 90734 |
|
597 |
590 |
$0.01 |
| 90680 |
|
3,092 |
3,000 |
$0.00 |
| D0603 |
|
3,389 |
3,351 |
$0.00 |
| 36416 |
|
4,532 |
3,925 |
$0.00 |
| 90716 |
|
663 |
654 |
$0.00 |
| 3074F |
|
1,500 |
1,345 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
390 |
303 |
$0.00 |
| 90651 |
|
1,498 |
1,472 |
$0.00 |
| 1125F |
|
15 |
15 |
$0.00 |
| 90723 |
|
2,343 |
2,283 |
$0.00 |
| 90696 |
|
533 |
517 |
$0.00 |
| 90698 |
|
562 |
539 |
$0.00 |
| 90697 |
|
30 |
28 |
$0.00 |
| 90677 |
|
967 |
929 |
$0.00 |
| 1036F |
|
217 |
183 |
$0.00 |
| 3008F |
|
2,026 |
1,784 |
$0.00 |
| D0602 |
|
550 |
547 |
$0.00 |
| D0601 |
|
57 |
57 |
$0.00 |
| 96127 |
|
408 |
376 |
$0.00 |
| 90656 |
|
298 |
293 |
$0.00 |
| 96161 |
|
79 |
78 |
$0.00 |
| 1126F |
|
284 |
274 |
$0.00 |
| 91305 |
|
32 |
27 |
$0.00 |
| 94760 |
|
25 |
24 |
$0.00 |
| 90633 |
|
2,402 |
2,364 |
$0.00 |
| D0330 |
Panoramic radiographic image |
322 |
315 |
$0.00 |
| 99173 |
|
6,304 |
6,151 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
1,497 |
1,463 |
$0.00 |
| D1110 |
Prophylaxis - adult |
650 |
627 |
$0.00 |
| 90710 |
|
506 |
495 |
$0.00 |
| 90707 |
|
614 |
607 |
$0.00 |
| 90670 |
|
3,996 |
3,924 |
$0.00 |
| 3078F |
|
1,476 |
1,327 |
$0.00 |
| 90715 |
|
429 |
426 |
$0.00 |
| 91300 |
|
748 |
657 |
$0.00 |
| 99051 |
|
226 |
157 |
$0.00 |
| 3725F |
|
513 |
472 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
87 |
$0.00 |