| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,273 |
57,167 |
$1.97M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
21,187 |
16,508 |
$1.83M |
| H1000 |
Prenatal care, at-risk assessment |
12,685 |
10,147 |
$613K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,789 |
9,827 |
$459K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,598 |
4,290 |
$367K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,936 |
3,847 |
$321K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,029 |
1,996 |
$167K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,960 |
4,765 |
$117K |
| D1120 |
Prophylaxis - child |
3,201 |
3,200 |
$101K |
| 87428 |
|
2,911 |
2,841 |
$99K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
891 |
869 |
$90K |
| D0330 |
Panoramic radiographic image |
1,628 |
1,625 |
$78K |
| 92552 |
|
6,407 |
6,292 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
899 |
890 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,712 |
5,168 |
$71K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,153 |
953 |
$67K |
| D0120 |
Periodic oral evaluation - established patient |
4,174 |
4,169 |
$66K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
824 |
787 |
$57K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,656 |
1,538 |
$43K |
| 59430 |
|
1,005 |
950 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,008 |
1,919 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,270 |
7,042 |
$37K |
| 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 |
3,023 |
2,285 |
$36K |
| D0274 |
Bitewings - four radiographic images |
2,081 |
2,079 |
$30K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,664 |
1,661 |
$29K |
| D1110 |
Prophylaxis - adult |
915 |
915 |
$27K |
| D0140 |
Limited oral evaluation - problem focused |
2,274 |
2,255 |
$24K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
606 |
512 |
$24K |
| 90671 |
|
410 |
405 |
$21K |
| D1206 |
Topical application of fluoride varnish |
5,680 |
5,670 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,426 |
4,245 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,030 |
2,955 |
$12K |
| D1351 |
Sealant - per tooth |
1,160 |
352 |
$11K |
| D1330 |
|
4,851 |
4,841 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,330 |
2,256 |
$11K |
| D7140 |
Extraction, erupted tooth or exposed root |
337 |
205 |
$11K |
| D0191 |
|
665 |
662 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
137 |
134 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
163 |
$9K |
| D0601 |
|
763 |
763 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
189 |
179 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
316 |
260 |
$8K |
| 90461 |
|
3,226 |
2,741 |
$8K |
| D1310 |
|
2,853 |
2,845 |
$8K |
| 99381 |
|
82 |
78 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
196 |
179 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
673 |
631 |
$6K |
| 81025 |
|
4,063 |
3,801 |
$6K |
| D0272 |
Bitewings - two radiographic images |
2,513 |
2,512 |
$6K |
| D0603 |
|
351 |
351 |
$6K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
241 |
186 |
$3K |
| D0602 |
|
239 |
239 |
$3K |
| 90670 |
|
1,593 |
1,555 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
51 |
51 |
$3K |
| 87807 |
|
597 |
583 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
38 |
$2K |
| 85018 |
|
3,409 |
3,291 |
$2K |
| 99383 |
|
26 |
26 |
$2K |
| 76801 |
|
42 |
36 |
$2K |
| 93000 |
|
241 |
239 |
$2K |
| D9999 |
Unspecified adjunctive procedure, by report |
59 |
59 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 90715 |
|
195 |
190 |
$961.59 |
| 99406 |
|
305 |
209 |
$850.88 |
| 99385 |
|
12 |
12 |
$806.69 |
| 36415 |
Collection of venous blood by venipuncture |
4,128 |
3,688 |
$568.24 |
| 59025 |
Fetal non-stress test |
68 |
43 |
$520.65 |
| D0220 |
Intraoral - periapical first radiographic image |
1,163 |
1,142 |
$458.06 |
| 0012A |
|
57 |
57 |
$444.04 |
| 90686 |
|
996 |
971 |
$431.39 |
| 0011A |
|
68 |
68 |
$409.09 |
| 99177 |
|
9,464 |
8,581 |
$384.16 |
| 87081 |
|
299 |
285 |
$378.31 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
14 |
13 |
$373.00 |
| 58300 |
|
13 |
12 |
$303.94 |
| 94760 |
|
2,625 |
2,377 |
$242.44 |
| 81002 |
|
361 |
341 |
$218.91 |
| D3120 |
|
135 |
125 |
$208.42 |
| D1320 |
|
1,050 |
1,031 |
$179.10 |
| 90651 |
|
108 |
107 |
$132.51 |
| 92551 |
|
275 |
267 |
$126.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
51 |
$113.96 |
| 90633 |
|
417 |
413 |
$106.76 |
| 90723 |
|
1,221 |
1,202 |
$95.47 |
| D0270 |
|
248 |
245 |
$88.97 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$68.81 |
| 90648 |
|
1,160 |
1,138 |
$54.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
223 |
200 |
$27.50 |
| 0503F |
|
448 |
403 |
$0.00 |
| 90647 |
|
356 |
351 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 90656 |
|
66 |
66 |
$0.00 |
| 3074F |
|
177 |
168 |
$0.00 |
| 3079F |
|
30 |
29 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 91301 |
|
62 |
62 |
$0.00 |
| 3044F |
|
16 |
16 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |
| D9910 |
|
259 |
210 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 3725F |
|
503 |
440 |
$0.00 |
| 90681 |
|
249 |
244 |
$0.00 |
| 80061 |
Lipid panel |
13 |
13 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 3078F |
|
139 |
131 |
$0.00 |
| 90734 |
|
85 |
85 |
$0.00 |