| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,756 |
43,301 |
$1.46M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,312 |
21,598 |
$546K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,259 |
3,732 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,960 |
3,500 |
$175K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,699 |
6,169 |
$96K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,245 |
1,152 |
$92K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,117 |
1,899 |
$49K |
| D0330 |
Panoramic radiographic image |
817 |
793 |
$46K |
| 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 |
8,277 |
2,991 |
$44K |
| 99349 |
|
892 |
662 |
$38K |
| D1110 |
Prophylaxis - adult |
658 |
637 |
$36K |
| D7140 |
Extraction, erupted tooth or exposed root |
413 |
148 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,396 |
1,142 |
$29K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
730 |
708 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
530 |
507 |
$21K |
| D0140 |
Limited oral evaluation - problem focused |
480 |
468 |
$21K |
| D0274 |
Bitewings - four radiographic images |
468 |
452 |
$14K |
| 99334 |
|
1,501 |
820 |
$13K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
519 |
441 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
809 |
703 |
$9K |
| 80305 |
|
1,121 |
968 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
130 |
114 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
652 |
619 |
$6K |
| 99348 |
|
162 |
127 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
38 |
24 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
605 |
531 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
113 |
$2K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
893 |
720 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
24 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
25 |
14 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
281 |
148 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$966.47 |
| D0120 |
Periodic oral evaluation - established patient |
30 |
30 |
$806.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
166 |
149 |
$697.64 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
97 |
44 |
$657.63 |
| 90662 |
|
54 |
46 |
$629.46 |
| D0210 |
Intraoral - complete series of radiographic images |
45 |
26 |
$593.10 |
| 99341 |
|
32 |
23 |
$592.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
967 |
838 |
$549.28 |
| 90674 |
|
20 |
19 |
$478.39 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
26 |
$450.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
97 |
59 |
$437.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
270 |
233 |
$433.97 |
| 90756 |
|
22 |
20 |
$423.58 |
| 99324 |
|
64 |
43 |
$413.88 |
| 97802 |
|
197 |
155 |
$397.63 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
342 |
289 |
$300.85 |
| 90658 |
|
13 |
13 |
$200.92 |
| 99406 |
|
34 |
27 |
$147.42 |
| 81002 |
|
287 |
224 |
$130.14 |
| 96127 |
|
44 |
38 |
$77.86 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
16 |
15 |
$59.28 |
| 86580 |
|
31 |
27 |
$59.06 |
| 81003 |
|
174 |
143 |
$53.37 |
| 90785 |
|
23 |
21 |
$49.81 |
| 3078F |
|
3,535 |
3,141 |
$8.23 |
| 3074F |
|
3,302 |
2,947 |
$7.92 |
| 3079F |
|
1,485 |
1,323 |
$4.22 |
| 3077F |
|
719 |
658 |
$2.09 |
| 3075F |
|
513 |
468 |
$1.33 |
| 3008F |
|
23 |
15 |
$0.00 |
| 81000 |
|
36 |
29 |
$0.00 |