| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,929 |
18,462 |
$286K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,603 |
3,041 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,571 |
6,124 |
$113K |
| 90834 |
Psychotherapy, 45 minutes with patient |
511 |
377 |
$63K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,832 |
6,341 |
$60K |
| 90686 |
|
2,255 |
2,212 |
$43K |
| 97810 |
|
1,106 |
796 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
749 |
684 |
$27K |
| 90791 |
Psychiatric diagnostic evaluation |
220 |
214 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
221 |
219 |
$22K |
| 91322 |
|
162 |
160 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,065 |
1,046 |
$16K |
| 97811 |
|
654 |
485 |
$15K |
| 0071A |
|
351 |
351 |
$13K |
| 0064A |
|
373 |
371 |
$12K |
| 0072A |
|
316 |
315 |
$12K |
| 0002A |
|
264 |
264 |
$10K |
| 87428 |
|
386 |
364 |
$10K |
| 0001A |
|
207 |
205 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
78 |
$7K |
| 0004A |
|
191 |
190 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
590 |
564 |
$5K |
| 90480 |
|
151 |
150 |
$5K |
| 99215 |
Prolong outpt/office vis |
230 |
209 |
$4K |
| 0134A |
|
97 |
97 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
15 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
752 |
745 |
$3K |
| 0012A |
|
67 |
67 |
$2K |
| 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 |
297 |
229 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
613 |
563 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
1,186 |
1,163 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| D1206 |
Topical application of fluoride varnish |
749 |
741 |
$1K |
| 0124A |
|
38 |
38 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
210 |
204 |
$1K |
| 0011A |
|
37 |
36 |
$1K |
| 90656 |
|
55 |
55 |
$974.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
112 |
$889.19 |
| D0274 |
Bitewings - four radiographic images |
416 |
413 |
$777.60 |
| 96160 |
|
307 |
301 |
$688.56 |
| 96127 |
|
105 |
97 |
$565.04 |
| D1110 |
Prophylaxis - adult |
41 |
41 |
$531.57 |
| D0230 |
Intraoral - periapical each additional radiographic image |
764 |
664 |
$524.37 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$436.74 |
| 80305 |
|
44 |
39 |
$348.61 |
| 81003 |
|
164 |
152 |
$221.15 |
| 81025 |
|
42 |
37 |
$203.32 |
| 99188 |
|
15 |
14 |
$175.00 |
| D4910 |
|
42 |
42 |
$147.00 |
| 87807 |
|
14 |
13 |
$106.76 |
| 92558 |
|
12 |
12 |
$105.02 |
| 99173 |
|
61 |
60 |
$98.42 |
| D9990 |
|
39 |
39 |
$60.00 |
| 91313 |
|
99 |
99 |
$0.00 |
| 91300 |
|
50 |
41 |
$0.00 |
| D1354 |
|
670 |
138 |
$0.00 |
| 91312 |
|
40 |
40 |
$0.00 |
| 99442 |
|
17 |
14 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
12 |
$0.00 |
| 91311 |
|
12 |
12 |
$0.00 |
| D0603 |
|
1,167 |
1,112 |
$0.00 |
| 91307 |
|
724 |
704 |
$0.00 |
| 91306 |
|
356 |
354 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
34 |
29 |
$0.00 |
| D0602 |
|
154 |
151 |
$0.00 |
| 91301 |
|
68 |
66 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
16 |
13 |
$0.00 |