| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
543,246 |
458,249 |
$59.43M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109,760 |
91,061 |
$11.98M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47,709 |
46,066 |
$5.25M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96,977 |
91,677 |
$2.47M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,751 |
14,549 |
$1.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,684 |
20,296 |
$1.84M |
| 99051 |
|
116,544 |
108,150 |
$1.70M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,518 |
10,978 |
$1.48M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,132 |
8,996 |
$1.15M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,359 |
34,260 |
$868K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,228 |
5,162 |
$658K |
| D0999 |
Unspecified diagnostic procedure, by report |
6,324 |
4,721 |
$463K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
5,819 |
5,703 |
$405K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,032 |
2,900 |
$330K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,141 |
2,066 |
$242K |
| 90791 |
Psychiatric diagnostic evaluation |
2,395 |
2,268 |
$240K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,546 |
4,444 |
$234K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,952 |
1,782 |
$207K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,457 |
1,816 |
$204K |
| 99234 |
|
1,625 |
1,226 |
$184K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,385 |
1,033 |
$151K |
| 99401 |
|
70,829 |
64,452 |
$150K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31,840 |
24,011 |
$125K |
| D0140 |
Limited oral evaluation - problem focused |
1,994 |
1,855 |
$123K |
| D0220 |
Intraoral - periapical first radiographic image |
1,883 |
1,800 |
$112K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,780 |
9,583 |
$109K |
| 96127 |
|
60,135 |
51,357 |
$108K |
| D0120 |
Periodic oral evaluation - established patient |
3,090 |
3,008 |
$107K |
| 87428 |
|
3,307 |
3,196 |
$89K |
| 99173 |
|
22,037 |
21,629 |
$89K |
| 92551 |
|
16,279 |
15,992 |
$64K |
| 90461 |
|
11,054 |
10,760 |
$54K |
| 99381 |
|
502 |
450 |
$53K |
| D1120 |
Prophylaxis - child |
3,139 |
3,034 |
$49K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,879 |
1,784 |
$46K |
| 99221 |
|
401 |
390 |
$44K |
| D1110 |
Prophylaxis - adult |
1,323 |
1,264 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
344 |
335 |
$37K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
55 |
49 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
304 |
302 |
$33K |
| D0330 |
Panoramic radiographic image |
1,014 |
981 |
$33K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
472 |
421 |
$33K |
| D0274 |
Bitewings - four radiographic images |
1,154 |
1,119 |
$29K |
| D7140 |
Extraction, erupted tooth or exposed root |
285 |
250 |
$24K |
| 81025 |
|
23,007 |
21,513 |
$22K |
| 59025 |
Fetal non-stress test |
899 |
512 |
$21K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
26 |
24 |
$20K |
| 99429 |
|
3,053 |
2,110 |
$19K |
| 90836 |
|
497 |
426 |
$17K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,744 |
1,384 |
$16K |
| 59514 |
|
12 |
12 |
$13K |
| 99406 |
|
10,500 |
9,323 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
498 |
468 |
$11K |
| 99383 |
|
95 |
94 |
$11K |
| 90838 |
|
336 |
278 |
$11K |
| 99384 |
|
69 |
68 |
$8K |
| 99382 |
|
59 |
56 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
24,736 |
22,931 |
$6K |
| 99462 |
|
50 |
41 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
190,156 |
176,315 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,519 |
1,439 |
$5K |
| D0272 |
Bitewings - two radiographic images |
423 |
418 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
155,551 |
139,253 |
$4K |
| 90686 |
|
6,501 |
6,329 |
$4K |
| 94664 |
|
1,385 |
1,364 |
$4K |
| 81003 |
|
48,619 |
38,129 |
$4K |
| 99235 |
|
31 |
28 |
$4K |
| 90674 |
|
262 |
240 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
58 |
55 |
$3K |
| 54150 |
|
12 |
12 |
$2K |
| 96161 |
|
563 |
541 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
84 |
83 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
98 |
98 |
$2K |
| 85018 |
|
17,179 |
16,681 |
$2K |
| 80305 |
|
980 |
900 |
$2K |
| 90785 |
|
920 |
743 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,136 |
3,176 |
$1K |
| 96160 |
|
3,656 |
3,331 |
$1K |
| 92567 |
|
195 |
177 |
$905.03 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,271 |
1,264 |
$899.76 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
12 |
$898.82 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$822.34 |
| D0210 |
Intraoral - complete series of radiographic images |
46 |
41 |
$813.58 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
19 |
$728.32 |
| 90715 |
|
659 |
644 |
$601.12 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,047 |
1,044 |
$584.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,042 |
1,884 |
$546.63 |
| 3008F |
|
506,983 |
421,557 |
$499.88 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,553 |
1,532 |
$427.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,351 |
2,242 |
$411.37 |
| 99050 |
|
17 |
17 |
$380.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
117 |
$351.21 |
| 69210 |
|
45 |
44 |
$338.48 |
| 90688 |
|
217 |
217 |
$285.44 |
| 90677 |
|
840 |
834 |
$275.00 |
| 90734 |
|
1,792 |
1,709 |
$250.56 |
| 80061 |
Lipid panel |
13 |
13 |
$239.74 |
| 92283 |
|
12 |
12 |
$231.90 |
| 36416 |
|
3,856 |
3,796 |
$222.17 |
| 93000 |
|
39 |
38 |
$200.72 |
| 99408 |
|
14 |
13 |
$197.97 |
| 90651 |
|
1,997 |
1,939 |
$195.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
251 |
240 |
$186.86 |
| 90620 |
|
514 |
463 |
$170.75 |
| 1160F |
|
356,778 |
293,021 |
$158.56 |
| 1159F |
|
356,776 |
293,014 |
$120.68 |
| 76830 |
Ultrasound, transvaginal |
215 |
215 |
$83.09 |
| 87807 |
|
27,831 |
25,706 |
$63.73 |
| 86580 |
|
17 |
14 |
$56.91 |
| 93040 |
|
29 |
29 |
$53.08 |
| H0049 |
Alcohol and/or drug screening |
28,866 |
25,162 |
$33.43 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
50 |
45 |
$32.18 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
92 |
79 |
$31.82 |
| 92081 |
|
84 |
84 |
$22.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
20 |
20 |
$21.49 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
34 |
34 |
$3.30 |
| 99000 |
|
14,475 |
13,273 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,478 |
3,421 |
$0.00 |
| 90647 |
|
345 |
343 |
$0.00 |
| 90723 |
|
4,133 |
4,043 |
$0.00 |
| 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 |
13,183 |
11,487 |
$0.00 |
| 90698 |
|
725 |
705 |
$0.00 |
| 82951 |
|
973 |
964 |
$0.00 |
| 90716 |
|
303 |
301 |
$0.00 |
| 90744 |
|
246 |
245 |
$0.00 |
| 90680 |
|
1,244 |
1,215 |
$0.00 |
| S8110 |
Peak expiratory flow rate (physician services) |
203 |
188 |
$0.00 |
| 90696 |
|
942 |
928 |
$0.00 |
| 82962 |
|
4,067 |
4,026 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
369 |
347 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
522 |
498 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
68 |
59 |
$0.00 |
| 82044 |
|
28 |
28 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
13 |
12 |
$0.00 |
| 94010 |
|
12 |
12 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90700 |
|
938 |
926 |
$0.00 |
| 90648 |
|
5,751 |
5,638 |
$0.00 |
| 90670 |
|
7,541 |
7,357 |
$0.00 |
| 90633 |
|
4,179 |
4,095 |
$0.00 |
| 90710 |
|
2,132 |
2,103 |
$0.00 |
| 90681 |
|
2,029 |
1,994 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
463 |
409 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
42 |
42 |
$0.00 |
| 90707 |
|
352 |
350 |
$0.00 |
| 69209 |
|
12 |
12 |
$0.00 |
| 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 |
24 |
24 |
$0.00 |
| 90687 |
|
59 |
59 |
$0.00 |
| 90671 |
|
23 |
18 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 87210 |
|
19 |
19 |
$0.00 |
| 90685 |
|
16 |
15 |
$0.00 |
| 82570 |
|
28 |
28 |
$0.00 |