| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
75,623 |
58,793 |
$13.42M |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,269 |
3,474 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,615 |
4,231 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,528 |
5,908 |
$135K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,506 |
747 |
$60K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,176 |
766 |
$27K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
5,361 |
3,617 |
$26K |
| D1206 |
Topical application of fluoride varnish |
32,381 |
28,140 |
$24K |
| 99215 |
Prolong outpt/office vis |
449 |
383 |
$22K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
3,827 |
2,639 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
10,919 |
9,579 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,025 |
796 |
$13K |
| D1120 |
Prophylaxis - child |
9,666 |
8,736 |
$13K |
| D1110 |
Prophylaxis - adult |
5,768 |
5,176 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
200 |
176 |
$12K |
| D7140 |
Extraction, erupted tooth or exposed root |
4,290 |
2,293 |
$10K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
655 |
377 |
$10K |
| 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 |
393 |
332 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,337 |
1,259 |
$7K |
| D0191 |
|
12,585 |
11,062 |
$6K |
| 99443 |
|
408 |
278 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
6,782 |
5,659 |
$5K |
| 0071A |
|
187 |
104 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
5,498 |
5,040 |
$5K |
| D1351 |
Sealant - per tooth |
17,661 |
4,218 |
$5K |
| D0274 |
Bitewings - four radiographic images |
5,984 |
5,308 |
$5K |
| D0330 |
Panoramic radiographic image |
5,759 |
4,918 |
$5K |
| 0001A |
|
122 |
115 |
$4K |
| 0012A |
|
169 |
151 |
$4K |
| D0272 |
Bitewings - two radiographic images |
2,596 |
2,279 |
$4K |
| 0011A |
|
201 |
173 |
$3K |
| 0072A |
|
138 |
75 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
114 |
58 |
$3K |
| 0002A |
|
73 |
70 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
223 |
136 |
$2K |
| T1016 |
Case management, each 15 minutes |
118 |
63 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
38 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
7,242 |
6,289 |
$2K |
| 87631 |
|
15 |
13 |
$2K |
| 0064A |
|
81 |
47 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
29 |
$1K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
67 |
36 |
$1K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
46 |
25 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
38 |
18 |
$1K |
| 99205 |
Prolong outpt/office vis |
23 |
20 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
80 |
64 |
$867.06 |
| 0004A |
|
26 |
25 |
$839.52 |
| 90619 |
|
47 |
44 |
$786.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
53 |
$767.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
52 |
$751.04 |
| D2330 |
|
22 |
12 |
$720.84 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
19 |
$588.45 |
| 90480 |
|
15 |
14 |
$534.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$513.10 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,046 |
335 |
$455.43 |
| 90686 |
|
53 |
43 |
$442.38 |
| Q3014 |
Telehealth originating site facility fee |
247 |
173 |
$428.01 |
| 81025 |
|
115 |
101 |
$416.05 |
| 99442 |
|
63 |
38 |
$379.08 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
13 |
$210.54 |
| 96127 |
|
219 |
132 |
$205.52 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
400 |
362 |
$170.78 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
47 |
12 |
$169.86 |
| 90785 |
|
23 |
13 |
$149.16 |
| 3008F |
|
3,129 |
2,582 |
$140.00 |
| 90656 |
|
14 |
14 |
$135.00 |
| D0270 |
|
1,484 |
1,247 |
$73.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$26.48 |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,166 |
1,569 |
$7.71 |
| 99417 |
Prolong home eval add 15m |
75 |
34 |
$4.16 |
| 91301 |
|
388 |
339 |
$0.31 |
| 91307 |
|
339 |
186 |
$0.11 |
| 91300 |
|
257 |
226 |
$0.07 |
| 3078F |
|
2,666 |
2,228 |
$0.00 |
| D9110 |
|
14 |
12 |
$0.00 |
| D1354 |
|
3,041 |
677 |
$0.00 |
| TX693 |
|
13 |
13 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
20 |
14 |
$0.00 |
| D0180 |
|
16 |
16 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
13 |
$0.00 |
| 4004F |
|
23 |
18 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |
| 3075F |
|
46 |
36 |
$0.00 |
| 3074F |
|
2,673 |
2,240 |
$0.00 |
| D9995 |
|
198 |
174 |
$0.00 |
| 3079F |
|
158 |
139 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
532 |
495 |
$0.00 |
| D0170 |
|
31 |
30 |
$0.00 |
| D4346 |
|
48 |
45 |
$0.00 |
| 91306 |
|
81 |
47 |
$0.00 |
| D0603 |
|
34 |
33 |
$0.00 |
| D0240 |
|
38 |
17 |
$0.00 |
| 91305 |
|
36 |
18 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
12 |
12 |
$0.00 |