| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,189 |
16,178 |
$976K |
| T1015 |
Clinic visit/encounter, all-inclusive |
29,663 |
22,944 |
$562K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,679 |
2,768 |
$214K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,726 |
4,746 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,991 |
1,763 |
$136K |
| D9999 |
Unspecified adjunctive procedure, by report |
5,134 |
3,569 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,432 |
1,358 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,078 |
1,037 |
$84K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,182 |
5,603 |
$72K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,268 |
2,983 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
791 |
718 |
$63K |
| 90837 |
Psychotherapy, 53 minutes with patient |
561 |
363 |
$47K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
674 |
380 |
$47K |
| D1110 |
Prophylaxis - adult |
985 |
810 |
$43K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
878 |
421 |
$43K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,380 |
1,138 |
$42K |
| D0330 |
Panoramic radiographic image |
1,120 |
886 |
$39K |
| 90791 |
Psychiatric diagnostic evaluation |
405 |
365 |
$35K |
| D0210 |
Intraoral - complete series of radiographic images |
990 |
765 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,307 |
1,106 |
$27K |
| 87428 |
|
859 |
739 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
282 |
275 |
$22K |
| D1206 |
Topical application of fluoride varnish |
1,108 |
958 |
$20K |
| D7140 |
Extraction, erupted tooth or exposed root |
254 |
126 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
934 |
778 |
$19K |
| D1120 |
Prophylaxis - child |
672 |
590 |
$18K |
| D0140 |
Limited oral evaluation - problem focused |
458 |
388 |
$17K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
432 |
223 |
$13K |
| D0274 |
Bitewings - four radiographic images |
446 |
370 |
$12K |
| 59425 |
|
247 |
175 |
$11K |
| 96156 |
|
223 |
179 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
779 |
703 |
$8K |
| 99383 |
|
84 |
84 |
$7K |
| 96150 |
|
772 |
639 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
520 |
452 |
$6K |
| 99221 |
|
101 |
87 |
$5K |
| 69210 |
|
152 |
135 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
157 |
$5K |
| 80305 |
|
397 |
350 |
$4K |
| D4341 |
|
43 |
13 |
$3K |
| 99384 |
|
62 |
58 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
37 |
$3K |
| 87430 |
|
231 |
226 |
$3K |
| 98940 |
|
179 |
44 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
37 |
$3K |
| 90670 |
|
725 |
655 |
$3K |
| 99382 |
|
22 |
12 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
278 |
143 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
85 |
71 |
$2K |
| 99173 |
|
1,921 |
1,833 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
34 |
$1K |
| 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 |
45 |
44 |
$1K |
| D0272 |
Bitewings - two radiographic images |
46 |
44 |
$1K |
| 99385 |
|
13 |
12 |
$1K |
| D1351 |
Sealant - per tooth |
36 |
12 |
$990.23 |
| D4910 |
|
42 |
25 |
$918.00 |
| 92551 |
|
164 |
156 |
$791.54 |
| 0071A |
|
35 |
13 |
$706.99 |
| 99201 |
|
31 |
31 |
$579.64 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
55 |
45 |
$402.58 |
| D1208 |
Topical application of fluoride, excluding varnish |
18 |
14 |
$373.94 |
| 99000 |
|
159 |
154 |
$366.68 |
| 90474 |
|
15 |
14 |
$210.00 |
| 81002 |
|
179 |
133 |
$203.39 |
| 90688 |
|
329 |
296 |
$203.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$196.48 |
| 81003 |
|
108 |
75 |
$182.37 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$165.45 |
| 69209 |
|
14 |
13 |
$114.92 |
| 87210 |
|
26 |
24 |
$104.74 |
| 87807 |
|
12 |
12 |
$102.19 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
89 |
54 |
$17.44 |
| 90681 |
|
13 |
12 |
$0.00 |
| 90734 |
|
86 |
82 |
$0.00 |
| 90710 |
|
60 |
48 |
$0.00 |
| D0190 |
|
101 |
84 |
$0.00 |
| 90671 |
|
222 |
202 |
$0.00 |
| 90633 |
|
374 |
352 |
$0.00 |
| 80306 |
|
15 |
14 |
$0.00 |
| D0603 |
|
1,009 |
870 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
58 |
56 |
$0.00 |
| 90651 |
|
140 |
132 |
$0.00 |
| 90697 |
|
45 |
36 |
$0.00 |
| 90647 |
|
125 |
116 |
$0.00 |
| 90723 |
|
42 |
40 |
$0.00 |
| 90698 |
|
48 |
41 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 90686 |
|
13 |
12 |
$0.00 |
| 90680 |
|
16 |
12 |
$0.00 |
| D0602 |
|
13 |
13 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90744 |
|
28 |
26 |
$0.00 |