| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
3,879 |
3,716 |
$853K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,590 |
3,520 |
$196K |
| 11721 |
|
3,130 |
3,085 |
$157K |
| 11720 |
|
862 |
859 |
$32K |
| G0127 |
Trimming of dystrophic nails, any number |
860 |
857 |
$31K |
| D9410 |
|
7,148 |
6,464 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
483 |
463 |
$24K |
| 11056 |
|
599 |
598 |
$23K |
| 11055 |
|
406 |
390 |
$16K |
| D4341 |
|
189 |
54 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
113 |
110 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,507 |
697 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
508 |
501 |
$4K |
| 11730 |
|
93 |
88 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
777 |
776 |
$3K |
| D1206 |
Topical application of fluoride varnish |
385 |
383 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
34 |
$2K |
| D4910 |
|
76 |
75 |
$2K |
| 11765 |
|
30 |
30 |
$1K |
| 11057 |
|
25 |
25 |
$910.00 |
| D1110 |
Prophylaxis - adult |
299 |
270 |
$458.19 |
| D0210 |
Intraoral - complete series of radiographic images |
118 |
114 |
$308.05 |
| D1208 |
Topical application of fluoride, excluding varnish |
246 |
219 |
$266.96 |
| D0120 |
Periodic oral evaluation - established patient |
517 |
488 |
$95.08 |