| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
99,974 |
55,340 |
$6.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76,081 |
39,305 |
$4.67M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,003 |
5,163 |
$618K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,131 |
4,513 |
$537K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,828 |
3,981 |
$493K |
| 59425 |
|
5,893 |
2,392 |
$391K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,746 |
3,801 |
$389K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,093 |
2,798 |
$320K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,367 |
1,691 |
$232K |
| 59426 |
|
1,522 |
392 |
$99K |
| D1110 |
Prophylaxis - adult |
1,310 |
1,190 |
$73K |
| D0120 |
Periodic oral evaluation - established patient |
3,108 |
1,446 |
$72K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,968 |
11,834 |
$63K |
| 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 |
4,419 |
1,808 |
$60K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,304 |
2,063 |
$44K |
| D0140 |
Limited oral evaluation - problem focused |
1,740 |
1,093 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,162 |
403 |
$38K |
| D1120 |
Prophylaxis - child |
1,095 |
914 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
819 |
522 |
$36K |
| 90834 |
Psychotherapy, 45 minutes with patient |
555 |
358 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,944 |
3,925 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,805 |
1,756 |
$28K |
| 90686 |
|
3,965 |
3,941 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
9,210 |
7,679 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,637 |
375 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
389 |
199 |
$17K |
| 99215 |
Prolong outpt/office vis |
270 |
112 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
524 |
251 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
750 |
697 |
$11K |
| D0274 |
Bitewings - four radiographic images |
387 |
365 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
686 |
669 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
367 |
62 |
$7K |
| 99493 |
|
68 |
64 |
$7K |
| 90658 |
|
293 |
269 |
$7K |
| D1206 |
Topical application of fluoride varnish |
239 |
239 |
$7K |
| 81002 |
|
5,526 |
4,077 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
62 |
41 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
154 |
64 |
$5K |
| 0012A |
|
108 |
108 |
$4K |
| 92551 |
|
349 |
282 |
$4K |
| 99492 |
|
38 |
29 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
43 |
27 |
$3K |
| 96127 |
|
4,361 |
4,133 |
$3K |
| 0011A |
|
103 |
103 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
37 |
24 |
$3K |
| 0064A |
|
42 |
42 |
$2K |
| 99442 |
|
58 |
53 |
$2K |
| 0071A |
|
31 |
31 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
30 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
24 |
12 |
$2K |
| 59430 |
|
12 |
12 |
$2K |
| 0072A |
|
31 |
31 |
$2K |
| 99383 |
|
38 |
13 |
$1K |
| 0031A |
|
31 |
31 |
$1K |
| 90656 |
|
195 |
194 |
$1K |
| 0001A |
|
14 |
14 |
$660.40 |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
13 |
$566.05 |
| D0272 |
Bitewings - two radiographic images |
28 |
27 |
$562.94 |
| 90715 |
|
44 |
43 |
$541.94 |
| 0111A |
|
12 |
12 |
$480.00 |
| 99000 |
|
125 |
108 |
$447.58 |
| 99177 |
|
3,641 |
3,599 |
$377.29 |
| 81025 |
|
146 |
139 |
$288.53 |
| 87430 |
|
262 |
249 |
$282.23 |
| 99188 |
|
120 |
120 |
$222.66 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
27 |
$189.00 |
| 83655 |
|
274 |
273 |
$152.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
445 |
445 |
$146.62 |
| 90473 |
|
53 |
53 |
$35.00 |
| 85018 |
|
304 |
303 |
$30.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$13.75 |
| 88150 |
|
54 |
54 |
$12.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$1.51 |
| 90670 |
|
956 |
950 |
$0.16 |
| 90647 |
|
523 |
520 |
$0.13 |
| 90700 |
|
427 |
424 |
$0.13 |
| 90633 |
|
175 |
175 |
$0.03 |
| 90685 |
|
27 |
27 |
$0.01 |
| 99173 |
|
405 |
405 |
$0.01 |
| 90697 |
|
271 |
271 |
$0.00 |
| 90651 |
|
95 |
93 |
$0.00 |
| 90677 |
|
277 |
277 |
$0.00 |
| 90723 |
|
68 |
67 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90710 |
|
44 |
44 |
$0.00 |
| 90461 |
|
580 |
580 |
$0.00 |
| 90734 |
|
179 |
179 |
$0.00 |
| 90681 |
|
120 |
120 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
29 |
$0.00 |