| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,035 |
36,082 |
$2.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,883 |
15,319 |
$1.14M |
| T1015 |
Clinic visit/encounter, all-inclusive |
38,224 |
29,185 |
$859K |
| D9999 |
Unspecified adjunctive procedure, by report |
8,200 |
6,534 |
$230K |
| 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 |
9,256 |
7,247 |
$209K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,008 |
1,881 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,008 |
1,867 |
$160K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,429 |
1,013 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,820 |
1,561 |
$139K |
| D1110 |
Prophylaxis - adult |
3,100 |
2,839 |
$126K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,470 |
1,307 |
$111K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,968 |
1,236 |
$102K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,198 |
2,916 |
$96K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,397 |
949 |
$86K |
| D0210 |
Intraoral - complete series of radiographic images |
1,883 |
1,563 |
$84K |
| D0120 |
Periodic oral evaluation - established patient |
4,056 |
3,634 |
$77K |
| 96158 |
|
3,651 |
3,006 |
$59K |
| D1120 |
Prophylaxis - child |
2,259 |
2,017 |
$56K |
| D0274 |
Bitewings - four radiographic images |
1,711 |
1,521 |
$48K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
957 |
659 |
$45K |
| D1206 |
Topical application of fluoride varnish |
2,245 |
2,034 |
$41K |
| 96156 |
|
2,284 |
1,930 |
$39K |
| D0140 |
Limited oral evaluation - problem focused |
1,259 |
1,088 |
$38K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,404 |
5,789 |
$30K |
| 99215 |
Prolong outpt/office vis |
385 |
311 |
$22K |
| 96152 |
|
2,576 |
2,086 |
$21K |
| 0012A |
|
714 |
611 |
$20K |
| 98940 |
|
1,124 |
429 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,484 |
1,324 |
$19K |
| 80061 |
Lipid panel |
3,120 |
2,794 |
$17K |
| 0011A |
|
746 |
612 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
543 |
471 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,542 |
1,336 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
190 |
168 |
$15K |
| 80305 |
|
1,585 |
1,230 |
$13K |
| D0272 |
Bitewings - two radiographic images |
662 |
556 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
131 |
110 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
728 |
592 |
$9K |
| D0330 |
Panoramic radiographic image |
246 |
223 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
325 |
294 |
$8K |
| 0064A |
|
270 |
246 |
$8K |
| 96150 |
|
757 |
652 |
$7K |
| 99383 |
|
69 |
64 |
$6K |
| 0001A |
|
181 |
177 |
$6K |
| 90686 |
|
1,573 |
1,400 |
$6K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
70 |
52 |
$6K |
| 90674 |
|
391 |
291 |
$6K |
| 0002A |
|
157 |
154 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
353 |
325 |
$5K |
| 0031A |
|
177 |
157 |
$5K |
| 99385 |
|
75 |
57 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
50 |
48 |
$5K |
| 90688 |
|
499 |
460 |
$5K |
| 0124A |
|
221 |
132 |
$5K |
| 99460 |
|
71 |
56 |
$4K |
| 99381 |
|
52 |
42 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
290 |
136 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
451 |
408 |
$3K |
| 0004A |
|
104 |
97 |
$3K |
| 90480 |
|
270 |
94 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
275 |
220 |
$3K |
| 98943 |
|
134 |
39 |
$2K |
| 0071A |
|
68 |
67 |
$2K |
| 0072A |
|
52 |
51 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
25 |
$1K |
| D2331 |
|
17 |
12 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
14 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
412 |
377 |
$1K |
| 90656 |
|
88 |
78 |
$1K |
| 92015 |
Determination of refractive state |
56 |
54 |
$811.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
421 |
315 |
$718.35 |
| 93000 |
|
64 |
62 |
$704.67 |
| 81002 |
|
510 |
398 |
$573.32 |
| 81025 |
|
210 |
183 |
$560.57 |
| 94010 |
|
65 |
57 |
$553.18 |
| 96151 |
|
45 |
44 |
$550.82 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
171 |
97 |
$531.56 |
| 90620 |
|
69 |
56 |
$449.51 |
| 94760 |
|
907 |
777 |
$402.79 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
13 |
$340.00 |
| 90658 |
|
73 |
57 |
$314.55 |
| 99188 |
|
47 |
43 |
$300.30 |
| 82962 |
|
153 |
119 |
$284.96 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$181.10 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
386 |
227 |
$13.61 |
| 90648 |
|
468 |
426 |
$8.00 |
| 85018 |
|
713 |
666 |
$0.00 |
| 87428 |
|
135 |
122 |
$0.00 |
| 90698 |
|
164 |
158 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
18 |
$0.00 |
| 90677 |
|
240 |
209 |
$0.00 |
| 90696 |
|
131 |
121 |
$0.00 |
| 90697 |
|
314 |
267 |
$0.00 |
| 90619 |
|
30 |
29 |
$0.00 |
| 90651 |
|
178 |
163 |
$0.00 |
| 90680 |
|
99 |
96 |
$0.00 |
| 90723 |
|
204 |
183 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
138 |
118 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
74 |
$0.00 |
| 90716 |
|
63 |
61 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
47 |
$0.00 |
| 90744 |
|
61 |
59 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
14 |
14 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
28 |
27 |
$0.00 |
| 90670 |
|
1,266 |
1,159 |
$0.00 |
| 83655 |
|
746 |
699 |
$0.00 |
| 90633 |
|
833 |
785 |
$0.00 |
| 90715 |
|
223 |
206 |
$0.00 |
| 90707 |
|
85 |
82 |
$0.00 |
| 90700 |
|
55 |
54 |
$0.00 |
| 90734 |
|
379 |
330 |
$0.00 |
| 91320 |
|
236 |
91 |
$0.00 |
| 90710 |
|
148 |
137 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
18 |
15 |
$0.00 |
| 90681 |
|
111 |
85 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
16 |
14 |
$0.00 |
| 90649 |
|
14 |
13 |
$0.00 |