| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,351 |
16,389 |
$1.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,821 |
7,037 |
$364K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,400 |
7,062 |
$273K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,819 |
2,753 |
$121K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,272 |
345 |
$41K |
| 90837 |
Psychotherapy, 53 minutes with patient |
831 |
342 |
$37K |
| D0330 |
Panoramic radiographic image |
1,744 |
1,114 |
$31K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,267 |
513 |
$27K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,464 |
859 |
$15K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
655 |
333 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
838 |
538 |
$7K |
| D1110 |
Prophylaxis - adult |
670 |
340 |
$7K |
| 99215 |
Prolong outpt/office vis |
153 |
82 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
284 |
166 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
177 |
92 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,983 |
1,387 |
$3K |
| D0274 |
Bitewings - four radiographic images |
762 |
464 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
835 |
534 |
$2K |
| D1206 |
Topical application of fluoride varnish |
503 |
319 |
$2K |
| 81000 |
|
898 |
335 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
32 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
209 |
99 |
$922.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
26 |
$805.19 |
| 0064A |
|
40 |
32 |
$729.00 |
| 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 |
47 |
38 |
$652.60 |
| 0011A |
|
31 |
28 |
$632.11 |
| D0120 |
Periodic oral evaluation - established patient |
48 |
38 |
$392.84 |
| 96152 |
|
79 |
70 |
$236.85 |
| 96127 |
|
48 |
30 |
$99.86 |
| 91301 |
|
52 |
37 |
$0.09 |
| D0603 |
|
30 |
25 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 81002 |
|
15 |
12 |
$0.00 |