| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,549 |
55,770 |
$3.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,838 |
61,615 |
$2.34M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,199 |
14,220 |
$422K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27,531 |
26,103 |
$400K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,895 |
5,642 |
$391K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,768 |
9,874 |
$299K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,261 |
2,221 |
$295K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,464 |
4,340 |
$292K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,879 |
4,548 |
$291K |
| 87428 |
|
6,140 |
5,884 |
$277K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,271 |
5,972 |
$240K |
| D1110 |
Prophylaxis - adult |
4,464 |
4,107 |
$210K |
| 99173 |
|
3,627 |
3,537 |
$184K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,460 |
2,375 |
$181K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,921 |
1,755 |
$176K |
| 90461 |
|
5,555 |
5,024 |
$159K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,213 |
4,787 |
$155K |
| D0330 |
Panoramic radiographic image |
3,309 |
3,047 |
$140K |
| D0140 |
Limited oral evaluation - problem focused |
3,787 |
3,468 |
$135K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,329 |
1,676 |
$131K |
| 99490 |
Ccm add 20min |
2,483 |
2,410 |
$122K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,480 |
1,546 |
$121K |
| D1120 |
Prophylaxis - child |
2,367 |
2,186 |
$120K |
| D0274 |
Bitewings - four radiographic images |
4,545 |
4,172 |
$117K |
| 99408 |
|
3,100 |
3,001 |
$113K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,448 |
3,154 |
$106K |
| D0120 |
Periodic oral evaluation - established patient |
4,058 |
3,728 |
$103K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,856 |
2,501 |
$59K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,172 |
908 |
$54K |
| D1206 |
Topical application of fluoride varnish |
3,634 |
3,368 |
$54K |
| 94760 |
|
38,934 |
36,099 |
$46K |
| D0220 |
Intraoral - periapical first radiographic image |
5,260 |
4,773 |
$45K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,041 |
680 |
$40K |
| 81003 |
|
23,688 |
22,381 |
$40K |
| 92552 |
|
3,915 |
3,749 |
$40K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
982 |
867 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,238 |
2,200 |
$37K |
| 90633 |
|
2,581 |
2,534 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,173 |
1,077 |
$30K |
| 96127 |
|
8,639 |
7,667 |
$27K |
| D4341 |
|
326 |
209 |
$25K |
| 90686 |
|
4,618 |
4,463 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
219 |
202 |
$18K |
| 99177 |
|
6,135 |
5,825 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,892 |
2,216 |
$17K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
247 |
194 |
$16K |
| 99484 |
|
448 |
414 |
$15K |
| 87807 |
|
1,330 |
1,257 |
$15K |
| 96160 |
|
4,805 |
4,575 |
$13K |
| 36416 |
|
11,440 |
10,736 |
$13K |
| 90670 |
|
1,408 |
1,325 |
$11K |
| D7140 |
Extraction, erupted tooth or exposed root |
269 |
105 |
$10K |
| 90698 |
|
1,783 |
1,704 |
$10K |
| 96161 |
|
2,452 |
2,277 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,007 |
889 |
$7K |
| D0272 |
Bitewings - two radiographic images |
353 |
317 |
$6K |
| 85018 |
|
2,738 |
2,613 |
$6K |
| D2335 |
|
82 |
55 |
$6K |
| 99439 |
|
259 |
252 |
$6K |
| 92551 |
|
568 |
556 |
$6K |
| 0001A |
|
173 |
139 |
$5K |
| D2331 |
|
104 |
56 |
$5K |
| 90671 |
|
297 |
291 |
$4K |
| 90473 |
|
281 |
266 |
$4K |
| 99051 |
|
9,959 |
9,292 |
$4K |
| 0002A |
|
99 |
98 |
$4K |
| 90677 |
|
26 |
25 |
$3K |
| 95117 |
|
241 |
187 |
$3K |
| 90887 |
|
72 |
56 |
$3K |
| 80305 |
|
267 |
232 |
$3K |
| 90680 |
|
493 |
465 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
53 |
50 |
$3K |
| 0071A |
|
96 |
66 |
$2K |
| D2332 |
|
31 |
26 |
$2K |
| 99487 |
Ccm add 20min |
25 |
25 |
$2K |
| 90734 |
|
183 |
171 |
$2K |
| 86308 |
|
378 |
360 |
$2K |
| 0072A |
|
46 |
43 |
$2K |
| 90651 |
|
109 |
107 |
$2K |
| 80061 |
Lipid panel |
99 |
95 |
$1K |
| 83655 |
|
84 |
83 |
$1K |
| 90744 |
|
149 |
141 |
$1K |
| D2330 |
|
21 |
14 |
$963.60 |
| H2015 |
Comprehensive community support services, per 15 minutes |
29 |
13 |
$895.78 |
| 81025 |
|
103 |
97 |
$815.80 |
| 91300 |
|
403 |
363 |
$742.51 |
| 71046 |
Radiologic examination, chest; 2 views |
55 |
52 |
$702.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
63 |
$660.21 |
| 99460 |
|
14 |
14 |
$643.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
24 |
$518.82 |
| 90710 |
|
58 |
57 |
$515.20 |
| 99188 |
|
40 |
37 |
$480.00 |
| 90672 |
|
388 |
362 |
$475.35 |
| 90785 |
|
56 |
36 |
$419.68 |
| 99441 |
|
22 |
22 |
$380.12 |
| 69210 |
|
16 |
15 |
$368.25 |
| 82947 |
|
98 |
94 |
$343.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
24 |
$340.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$254.70 |
| 90656 |
|
233 |
233 |
$247.10 |
| D0270 |
|
17 |
17 |
$168.93 |
| 2014F |
|
6,948 |
6,721 |
$109.53 |
| 82962 |
|
24 |
24 |
$69.41 |
| 90688 |
|
224 |
221 |
$68.76 |
| 3008F |
|
20,420 |
19,605 |
$62.36 |
| 99000 |
|
164 |
160 |
$20.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
49 |
49 |
$3.14 |
| 91307 |
|
235 |
193 |
$0.02 |
| D9986 |
|
3,751 |
3,381 |
$0.00 |
| 888888 |
|
560 |
550 |
$0.00 |
| 99072 |
|
722 |
687 |
$0.00 |
| 90660 |
|
36 |
36 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |