| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134,536 |
79,604 |
$9.33M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30,090 |
19,815 |
$2.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,789 |
13,224 |
$1.55M |
| D1110 |
Prophylaxis - adult |
8,845 |
6,255 |
$545K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,734 |
5,156 |
$529K |
| D0120 |
Periodic oral evaluation - established patient |
25,204 |
7,248 |
$498K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,541 |
4,296 |
$473K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,491 |
3,634 |
$392K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,890 |
3,589 |
$378K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,813 |
3,507 |
$369K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,937 |
2,339 |
$366K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16,453 |
4,344 |
$310K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,724 |
1,726 |
$200K |
| 99442 |
|
3,638 |
2,205 |
$196K |
| D0330 |
Panoramic radiographic image |
8,000 |
2,175 |
$189K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,837 |
1,657 |
$175K |
| D0140 |
Limited oral evaluation - problem focused |
4,916 |
1,969 |
$171K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,009 |
1,478 |
$169K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,615 |
1,057 |
$159K |
| D0220 |
Intraoral - periapical first radiographic image |
10,652 |
9,259 |
$139K |
| D0274 |
Bitewings - four radiographic images |
7,139 |
5,357 |
$128K |
| 99443 |
|
1,442 |
948 |
$121K |
| 99493 |
|
1,081 |
1,065 |
$116K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,771 |
1,194 |
$111K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,358 |
10,256 |
$100K |
| 92551 |
|
21,235 |
21,198 |
$98K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,344 |
926 |
$94K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,868 |
981 |
$94K |
| 99441 |
|
1,565 |
1,093 |
$91K |
| 97803 |
|
1,276 |
825 |
$84K |
| 11765 |
|
1,006 |
599 |
$76K |
| 92015 |
Determination of refractive state |
2,427 |
1,682 |
$75K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,012 |
865 |
$75K |
| 97802 |
|
1,626 |
1,485 |
$72K |
| 99497 |
|
2,083 |
2,077 |
$67K |
| 99490 |
Ccm add 20min |
580 |
567 |
$62K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
608 |
446 |
$51K |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,091 |
6,274 |
$48K |
| 36415 |
Collection of venous blood by venipuncture |
40,080 |
39,228 |
$44K |
| 90791 |
Psychiatric diagnostic evaluation |
533 |
408 |
$42K |
| 99385 |
|
469 |
341 |
$37K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,798 |
4,259 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,840 |
3,762 |
$35K |
| 90682 |
|
662 |
658 |
$32K |
| T2022 |
Case management, per month |
465 |
459 |
$30K |
| D1120 |
Prophylaxis - child |
710 |
544 |
$28K |
| 11721 |
|
1,531 |
1,521 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
349 |
236 |
$25K |
| 99173 |
|
17,917 |
17,890 |
$25K |
| D0210 |
Intraoral - complete series of radiographic images |
2,441 |
2,436 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
209 |
128 |
$20K |
| 82948 |
|
10,217 |
9,412 |
$20K |
| 86780 |
|
1,775 |
1,765 |
$18K |
| 90461 |
|
2,526 |
2,305 |
$17K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
216 |
144 |
$16K |
| D2140 |
|
230 |
124 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
195 |
178 |
$11K |
| 90686 |
|
3,494 |
3,451 |
$11K |
| 83718 |
|
3,018 |
3,010 |
$11K |
| 99215 |
Prolong outpt/office vis |
115 |
55 |
$10K |
| D9110 |
|
523 |
480 |
$10K |
| H0049 |
Alcohol and/or drug screening |
11,331 |
11,302 |
$9K |
| D0180 |
|
267 |
93 |
$8K |
| 0001F |
|
74,042 |
67,143 |
$8K |
| D4355 |
|
316 |
275 |
$8K |
| 0011A |
|
382 |
377 |
$8K |
| 81025 |
|
1,544 |
1,516 |
$8K |
| 99492 |
|
66 |
65 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
891 |
891 |
$7K |
| 99000 |
|
14,103 |
13,761 |
$6K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
87 |
55 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
762 |
753 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
273 |
269 |
$5K |
| 90656 |
|
667 |
666 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
270 |
266 |
$5K |
| 86769 |
|
143 |
143 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
251 |
250 |
$4K |
| 11056 |
|
298 |
289 |
$4K |
| D0190 |
|
114 |
67 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
332 |
301 |
$4K |
| 94150 |
|
1,549 |
1,439 |
$4K |
| 99408 |
|
1,098 |
1,097 |
$4K |
| 99401 |
|
94 |
42 |
$4K |
| 87481 |
|
299 |
297 |
$4K |
| D4341 |
|
56 |
27 |
$3K |
| 92134 |
|
119 |
82 |
$3K |
| 81513 |
|
342 |
338 |
$3K |
| S9449 |
Weight management classes, non-physician provider, per session |
22,161 |
21,565 |
$3K |
| A4614 |
Peak expiratory flow rate meter, hand held |
213 |
197 |
$3K |
| 99386 |
|
37 |
24 |
$3K |
| 90651 |
|
534 |
532 |
$3K |
| 0012A |
|
117 |
115 |
$3K |
| 90736 |
|
25 |
25 |
$2K |
| 92250 |
|
98 |
95 |
$2K |
| 99381 |
|
24 |
15 |
$2K |
| 99384 |
|
37 |
12 |
$2K |
| 90863 |
|
201 |
188 |
$2K |
| 99406 |
|
240 |
230 |
$2K |
| 93000 |
|
275 |
274 |
$2K |
| 2022F |
|
724 |
699 |
$2K |
| 3008F |
|
83,379 |
75,353 |
$2K |
| 90802 |
|
22 |
17 |
$1K |
| 86580 |
|
218 |
218 |
$1K |
| 99201 |
|
19 |
13 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
37 |
$1K |
| 91322 |
|
17 |
17 |
$1K |
| D7140 |
Extraction, erupted tooth or exposed root |
27 |
12 |
$984.58 |
| S9451 |
Exercise classes, non-physician provider, per session |
20,193 |
19,701 |
$950.23 |
| 1125F |
|
7,505 |
6,983 |
$839.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
94 |
93 |
$592.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
90 |
85 |
$550.46 |
| 90670 |
|
293 |
291 |
$522.37 |
| D0270 |
|
70 |
70 |
$513.50 |
| S8110 |
Peak expiratory flow rate (physician services) |
500 |
478 |
$469.51 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$452.95 |
| 90480 |
|
14 |
14 |
$307.03 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
17 |
$300.65 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
14 |
$256.73 |
| 81002 |
|
106 |
106 |
$250.94 |
| 99407 |
|
13 |
13 |
$250.27 |
| 90474 |
|
62 |
62 |
$240.18 |
| 90710 |
|
122 |
117 |
$225.11 |
| 3074F |
|
255 |
248 |
$225.00 |
| 3078F |
|
209 |
204 |
$222.50 |
| 91301 |
|
402 |
397 |
$217.49 |
| 90715 |
|
39 |
39 |
$216.87 |
| 1126F |
|
7,323 |
6,882 |
$210.75 |
| 88150 |
|
25 |
25 |
$192.73 |
| 90734 |
|
281 |
280 |
$123.45 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$109.12 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
8,508 |
8,484 |
$99.74 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
198 |
192 |
$84.61 |
| 1159F |
|
9,728 |
9,648 |
$62.00 |
| 96161 |
|
159 |
155 |
$61.94 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
9,407 |
9,373 |
$53.68 |
| 92227 |
|
12 |
12 |
$27.32 |
| 3079F |
|
31 |
31 |
$20.00 |
| 90633 |
|
128 |
128 |
$15.11 |
| H0009 |
Alcohol and/or drug services; acute detoxification (hospital inpatient) |
18 |
18 |
$14.80 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
2,052 |
2,044 |
$11.65 |
| 99496 |
|
12 |
12 |
$10.00 |
| 86703 |
|
1,995 |
1,986 |
$8.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,171 |
5,629 |
$3.96 |
| 1111F |
|
1,418 |
1,278 |
$1.72 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13,206 |
12,736 |
$1.26 |
| 83655 |
|
150 |
149 |
$1.06 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
218 |
218 |
$0.23 |
| 86706 |
|
56 |
56 |
$0.22 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,322 |
6,239 |
$0.20 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
53 |
53 |
$0.16 |
| 87110 |
|
15 |
15 |
$0.11 |
| 87536 |
|
27 |
26 |
$0.09 |
| 86803 |
|
12 |
12 |
$0.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$0.07 |
| 90648 |
|
123 |
123 |
$0.06 |
| 90657 |
|
13 |
13 |
$0.03 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
931 |
861 |
$0.02 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,875 |
4,521 |
$0.02 |
| S9453 |
Smoking cessation classes, non-physician provider, per session |
59 |
55 |
$0.01 |
| 4015F |
|
293 |
292 |
$0.00 |
| 1036F |
|
2,476 |
2,323 |
$0.00 |
| 1034F |
|
26 |
24 |
$0.00 |
| 1220F |
|
362 |
361 |
$0.00 |
| 1030F |
|
73 |
72 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
15 |
15 |
$0.00 |
| 90732 |
|
121 |
121 |
$0.00 |
| 1038F |
|
303 |
302 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
951 |
918 |
$0.00 |
| 1170F |
|
51 |
51 |
$0.00 |
| 1000F |
|
831 |
813 |
$0.00 |
| 1005F |
|
347 |
340 |
$0.00 |
| 90680 |
|
76 |
76 |
$0.00 |
| 90696 |
|
51 |
51 |
$0.00 |
| 99495 |
|
12 |
12 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
16 |
12 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
13 |
12 |
$0.00 |
| D0601 |
|
13 |
13 |
$0.00 |
| 1035F |
|
13 |
12 |
$0.00 |
| 1123F |
|
13 |
13 |
$0.00 |
| 4037F |
|
60 |
59 |
$0.00 |
| 4000F |
|
13 |
12 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| A9152 |
Single vitamin/mineral/trace element, oral, per dose, not otherwise specified |
15 |
14 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
17 |
15 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
139 |
132 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
669 |
651 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,132 |
2,014 |
$0.00 |
| 3725F |
|
1,137 |
1,128 |
$0.00 |
| 4551F |
|
50 |
50 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
469 |
444 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
29 |
28 |
$0.00 |
| 1160F |
|
111 |
111 |
$0.00 |
| 1039F |
|
293 |
292 |
$0.00 |
| 1158F |
|
424 |
421 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
98 |
89 |
$0.00 |
| 4001F |
|
13 |
12 |
$0.00 |