| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,381 |
23,128 |
$897K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,185 |
3,586 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,526 |
3,905 |
$108K |
| 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 |
5,917 |
4,619 |
$59K |
| 90834 |
Psychotherapy, 45 minutes with patient |
935 |
509 |
$40K |
| D0330 |
Panoramic radiographic image |
923 |
871 |
$34K |
| D0120 |
Periodic oral evaluation - established patient |
871 |
740 |
$16K |
| D1110 |
Prophylaxis - adult |
537 |
452 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,519 |
1,343 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,592 |
1,418 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
173 |
168 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
142 |
$12K |
| D1206 |
Topical application of fluoride varnish |
553 |
496 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
283 |
273 |
$8K |
| D1120 |
Prophylaxis - child |
251 |
239 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
338 |
333 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
126 |
116 |
$7K |
| 80305 |
|
1,106 |
892 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
73 |
$6K |
| 81002 |
|
1,970 |
1,667 |
$3K |
| 81025 |
|
693 |
604 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
303 |
262 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
70 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
146 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
33 |
$2K |
| 90756 |
|
85 |
69 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
28 |
$2K |
| 0011A |
|
82 |
55 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
180 |
98 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
16 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
60 |
27 |
$1K |
| D7140 |
Extraction, erupted tooth or exposed root |
20 |
14 |
$1K |
| 90686 |
|
69 |
46 |
$1K |
| 0012A |
|
45 |
31 |
$1K |
| 99173 |
|
246 |
217 |
$1K |
| 90688 |
|
67 |
57 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
104 |
88 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
12 |
$959.16 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
24 |
24 |
$767.04 |
| 93000 |
|
45 |
40 |
$596.53 |
| D0274 |
Bitewings - four radiographic images |
35 |
28 |
$371.28 |
| 72100 |
|
18 |
16 |
$172.78 |