| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,957 |
5,066 |
$2.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,339 |
2,773 |
$1.69M |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,052 |
1,088 |
$1.13M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,042 |
753 |
$601K |
| 99215 |
Prolong outpt/office vis |
884 |
686 |
$520K |
| 90837 |
Psychotherapy, 53 minutes with patient |
836 |
497 |
$478K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,010 |
469 |
$429K |
| D0140 |
Limited oral evaluation - problem focused |
1,295 |
1,224 |
$352K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
626 |
572 |
$308K |
| 90832 |
Psychotherapy, 30 minutes with patient |
407 |
268 |
$250K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
387 |
384 |
$225K |
| D1206 |
Topical application of fluoride varnish |
657 |
633 |
$201K |
| D0220 |
Intraoral - periapical first radiographic image |
1,557 |
1,462 |
$181K |
| 91301 |
|
391 |
314 |
$147K |
| H2014 |
Skills training and development, per 15 minutes |
231 |
95 |
$146K |
| 90791 |
Psychiatric diagnostic evaluation |
168 |
162 |
$106K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
179 |
173 |
$100K |
| 91300 |
|
129 |
125 |
$66K |
| D0120 |
Periodic oral evaluation - established patient |
267 |
253 |
$43K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
146 |
133 |
$37K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
71 |
57 |
$33K |
| 99205 |
Prolong outpt/office vis |
57 |
51 |
$32K |
| 91307 |
|
60 |
60 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
106 |
$31K |
| H0031 |
Mental health assessment, by non-physician |
26 |
26 |
$19K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
66 |
49 |
$16K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
24 |
24 |
$15K |
| D1110 |
Prophylaxis - adult |
78 |
72 |
$10K |
| D1120 |
Prophylaxis - child |
121 |
111 |
$9K |
| 90480 |
|
16 |
15 |
$9K |
| D0330 |
Panoramic radiographic image |
84 |
82 |
$8K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
41 |
27 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
13 |
$6K |
| D0274 |
Bitewings - four radiographic images |
51 |
49 |
$5K |
| D0272 |
Bitewings - two radiographic images |
28 |
26 |
$5K |
| D9110 |
|
16 |
12 |
$1K |
| D1330 |
|
109 |
102 |
$1K |
| 90686 |
|
27 |
25 |
$479.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
198 |
185 |
$215.36 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
52 |
48 |
$34.43 |
| V2020 |
Frames, purchases |
151 |
144 |
$33.09 |
| 0011A |
|
176 |
137 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
164 |
151 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
253 |
231 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
82 |
76 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
57 |
53 |
$0.00 |
| 0012A |
|
142 |
110 |
$0.00 |
| 0001A |
|
49 |
49 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| D9985 |
|
23 |
21 |
$0.00 |
| 0072A |
|
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
17 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
19 |
$0.00 |
| 80305 |
|
783 |
501 |
$0.00 |
| 92015 |
Determination of refractive state |
301 |
299 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
143 |
135 |
$0.00 |
| 0002A |
|
45 |
45 |
$0.00 |
| 0071A |
|
22 |
22 |
$0.00 |
| 81025 |
|
14 |
12 |
$0.00 |
| 0013A |
|
43 |
43 |
$0.00 |