| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
38,429 |
24,542 |
$3.56M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,169 |
3,168 |
$2.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,723 |
18,012 |
$1.67M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
12,729 |
2,828 |
$943K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
16,138 |
2,476 |
$941K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,320 |
3,610 |
$687K |
| D1110 |
Prophylaxis - adult |
9,262 |
7,586 |
$521K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,744 |
1,740 |
$517K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,094 |
4,827 |
$418K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
4,796 |
1,229 |
$395K |
| 90791 |
Psychiatric diagnostic evaluation |
2,348 |
2,188 |
$373K |
| D0120 |
Periodic oral evaluation - established patient |
5,835 |
4,892 |
$184K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,036 |
911 |
$138K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,099 |
814 |
$129K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,358 |
2,414 |
$113K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
851 |
769 |
$82K |
| D0274 |
Bitewings - four radiographic images |
2,778 |
2,738 |
$80K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,343 |
1,883 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
599 |
567 |
$59K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
629 |
563 |
$51K |
| D0330 |
Panoramic radiographic image |
1,347 |
1,314 |
$40K |
| D0140 |
Limited oral evaluation - problem focused |
1,934 |
1,662 |
$39K |
| 99442 |
|
1,181 |
1,125 |
$38K |
| D1120 |
Prophylaxis - child |
776 |
775 |
$38K |
| 11721 |
|
503 |
476 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
314 |
279 |
$29K |
| 11719 |
|
292 |
275 |
$26K |
| D0210 |
Intraoral - complete series of radiographic images |
916 |
908 |
$22K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
178 |
156 |
$22K |
| 99441 |
|
502 |
455 |
$20K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
518 |
129 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
1,318 |
1,290 |
$19K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
184 |
162 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
149 |
$15K |
| D2394 |
|
102 |
92 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
148 |
$14K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,235 |
1,205 |
$14K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
109 |
78 |
$13K |
| D0272 |
Bitewings - two radiographic images |
711 |
698 |
$12K |
| D2335 |
|
50 |
40 |
$9K |
| 99406 |
|
517 |
503 |
$6K |
| H2018 |
Psychosocial rehabilitation services, per diem |
13 |
13 |
$6K |
| 11720 |
|
78 |
71 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
281 |
243 |
$5K |
| D7140 |
Extraction, erupted tooth or exposed root |
56 |
36 |
$5K |
| 90686 |
|
231 |
214 |
$5K |
| D4910 |
|
48 |
30 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
37 |
$4K |
| 99080 |
|
3,910 |
3,685 |
$3K |
| D2160 |
|
17 |
14 |
$2K |
| 92607 |
|
22 |
14 |
$2K |
| 0011A |
|
65 |
65 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
14 |
$2K |
| 96127 |
|
519 |
519 |
$2K |
| 0012A |
|
52 |
52 |
$2K |
| D2330 |
|
14 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
256 |
253 |
$2K |
| D1206 |
Topical application of fluoride varnish |
41 |
41 |
$1K |
| D2140 |
|
14 |
12 |
$1K |
| D2331 |
|
15 |
12 |
$1K |
| 0031A |
|
24 |
24 |
$831.78 |
| 90756 |
|
29 |
26 |
$681.89 |
| 99443 |
|
22 |
15 |
$560.08 |
| 90674 |
|
12 |
12 |
$302.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
76 |
76 |
$0.71 |
| D1354 |
|
14 |
13 |
$0.00 |
| D0180 |
|
13 |
13 |
$0.00 |