| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,920 |
10,801 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,085 |
6,495 |
$234K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,600 |
854 |
$110K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,898 |
1,414 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,611 |
869 |
$22K |
| 90834 |
Psychotherapy, 45 minutes with patient |
745 |
395 |
$18K |
| D1110 |
Prophylaxis - adult |
833 |
459 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
1,084 |
641 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
401 |
276 |
$10K |
| D7140 |
Extraction, erupted tooth or exposed root |
236 |
82 |
$9K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,125 |
546 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
734 |
423 |
$7K |
| D0330 |
Panoramic radiographic image |
659 |
461 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,818 |
1,023 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
726 |
400 |
$6K |
| 90686 |
|
698 |
377 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
535 |
326 |
$5K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
336 |
275 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
87 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
138 |
76 |
$4K |
| D0274 |
Bitewings - four radiographic images |
551 |
328 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
871 |
244 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
989 |
587 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
227 |
123 |
$2K |
| 82962 |
|
1,620 |
954 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,286 |
723 |
$1K |
| 99385 |
|
37 |
19 |
$1K |
| 99386 |
|
28 |
14 |
$988.57 |
| 90688 |
|
91 |
42 |
$894.64 |
| D0210 |
Intraoral - complete series of radiographic images |
110 |
39 |
$851.44 |
| 99406 |
|
124 |
71 |
$572.38 |
| 99403 |
|
14 |
12 |
$556.57 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
12 |
$486.00 |
| 3078F |
|
332 |
285 |
$310.00 |
| 90658 |
|
19 |
19 |
$306.04 |
| 3074F |
|
330 |
284 |
$305.00 |
| 3046F |
|
361 |
216 |
$100.05 |
| 86580 |
|
32 |
16 |
$92.39 |
| 81002 |
|
74 |
52 |
$87.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
13 |
$37.61 |
| 4004F |
|
4,816 |
3,012 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
897 |
765 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,196 |
771 |
$0.00 |
| 1160F |
|
336 |
281 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
832 |
549 |
$0.00 |
| 90836 |
|
15 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
42 |
40 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,642 |
1,067 |
$0.00 |
| 1036F |
|
2,089 |
1,284 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
597 |
519 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
189 |
119 |
$0.00 |
| D9995 |
|
517 |
347 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
17 |
17 |
$0.00 |
| 3017F |
|
453 |
402 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
409 |
228 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
195 |
167 |
$0.00 |
| 3044F |
|
39 |
15 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
17 |
17 |
$0.00 |