| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
10,189 |
8,784 |
$197K |
| D1110 |
Prophylaxis - adult |
2,164 |
2,164 |
$72K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,411 |
614 |
$50K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,108 |
5,800 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
884 |
763 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
1,992 |
1,992 |
$43K |
| 99310 |
Prolong nursin fac eval 15m |
954 |
802 |
$35K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,277 |
1,277 |
$22K |
| D1206 |
Topical application of fluoride varnish |
855 |
855 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
231 |
222 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
404 |
216 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
435 |
433 |
$10K |
| 99335 |
|
832 |
652 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
185 |
185 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,597 |
896 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
995 |
991 |
$6K |
| 99349 |
|
306 |
269 |
$6K |
| 99334 |
|
679 |
659 |
$6K |
| D0272 |
Bitewings - two radiographic images |
296 |
296 |
$4K |
| D9410 |
|
117 |
96 |
$4K |
| 99348 |
|
194 |
168 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 99344 |
|
14 |
13 |
$1K |
| 99305 |
|
18 |
14 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
22 |
21 |
$0.00 |