| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,778 |
11,561 |
$1.42M |
| 36415 |
Collection of venous blood by venipuncture |
21,490 |
6,644 |
$759K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,390 |
1,014 |
$174K |
| D1110 |
Prophylaxis - adult |
1,259 |
978 |
$105K |
| D0120 |
Periodic oral evaluation - established patient |
4,171 |
979 |
$105K |
| D0140 |
Limited oral evaluation - problem focused |
2,506 |
861 |
$100K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,517 |
783 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
776 |
703 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
544 |
$78K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,224 |
532 |
$68K |
| D0220 |
Intraoral - periapical first radiographic image |
1,310 |
688 |
$42K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
360 |
301 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
940 |
242 |
$22K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
169 |
156 |
$17K |
| D9430 |
|
123 |
115 |
$12K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
240 |
84 |
$11K |
| 90656 |
|
358 |
119 |
$11K |
| D5110 |
|
71 |
62 |
$8K |
| 99000 |
|
54 |
24 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
31 |
12 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
13 |
$2K |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$565.41 |
| D0230 |
Intraoral - periapical each additional radiographic image |
38 |
37 |
$273.42 |