| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,922 |
12,549 |
$8.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,797 |
3,439 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,406 |
1,271 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
477 |
446 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
627 |
340 |
$17K |
| D1999 |
|
469 |
432 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,151 |
1,088 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
249 |
233 |
$2K |
| 91322 |
|
21 |
21 |
$2K |
| 90686 |
|
172 |
166 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
41 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
287 |
256 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
407 |
361 |
$974.74 |
| 90480 |
|
21 |
21 |
$797.33 |
| D1206 |
Topical application of fluoride varnish |
781 |
740 |
$122.95 |
| 0012A |
|
127 |
124 |
$37.25 |
| 0013A |
|
13 |
13 |
$36.94 |
| D0220 |
Intraoral - periapical first radiographic image |
141 |
138 |
$22.52 |
| 0011A |
|
87 |
87 |
$16.94 |
| 81002 |
|
202 |
183 |
$10.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
147 |
139 |
$9.72 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$0.00 |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
42 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
44 |
14 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$0.00 |
| 82043 |
|
92 |
85 |
$0.00 |
| D1330 |
|
89 |
89 |
$0.00 |
| 0001A |
|
16 |
16 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
19 |
13 |
$0.00 |