| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219,338 |
187,210 |
$8.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,025 |
13,499 |
$740K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,282 |
22,750 |
$715K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
8,688 |
8,351 |
$621K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
5,404 |
5,170 |
$391K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,043 |
4,865 |
$337K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
9,470 |
9,152 |
$278K |
| 80305 |
|
29,460 |
24,574 |
$275K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,424 |
4,157 |
$265K |
| D1110 |
Prophylaxis - adult |
5,065 |
4,895 |
$260K |
| D0140 |
Limited oral evaluation - problem focused |
6,778 |
6,514 |
$257K |
| 76818 |
|
4,389 |
2,959 |
$257K |
| D0210 |
Intraoral - complete series of radiographic images |
4,459 |
4,222 |
$244K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,871 |
4,506 |
$233K |
| D0330 |
Panoramic radiographic image |
4,344 |
4,220 |
$233K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,274 |
3,891 |
$212K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
6,801 |
6,007 |
$209K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,113 |
7,214 |
$198K |
| 76830 |
Ultrasound, transvaginal |
2,884 |
2,698 |
$167K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,215 |
2,045 |
$138K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,836 |
1,555 |
$137K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,097 |
1,696 |
$120K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,881 |
2,466 |
$118K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,335 |
1,274 |
$114K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,218 |
7,739 |
$106K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,750 |
7,146 |
$94K |
| 82075 |
|
4,051 |
3,652 |
$91K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,720 |
1,032 |
$89K |
| D0274 |
Bitewings - four radiographic images |
2,825 |
2,755 |
$89K |
| 59410 |
|
105 |
94 |
$80K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,327 |
1,205 |
$73K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,530 |
1,195 |
$71K |
| D0220 |
Intraoral - periapical first radiographic image |
6,105 |
5,816 |
$65K |
| 81025 |
|
9,971 |
9,332 |
$63K |
| 92551 |
|
6,275 |
5,765 |
$58K |
| D1120 |
Prophylaxis - child |
795 |
779 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,391 |
1,352 |
$40K |
| 59025 |
Fetal non-stress test |
1,199 |
958 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
581 |
533 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
525 |
512 |
$32K |
| 99173 |
|
816 |
722 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,602 |
1,563 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
884 |
857 |
$24K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
315 |
272 |
$20K |
| 87807 |
|
1,742 |
1,631 |
$20K |
| 99381 |
|
272 |
258 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
382 |
363 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
248 |
227 |
$16K |
| D2331 |
|
255 |
175 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
166 |
163 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
171 |
165 |
$13K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
866 |
725 |
$13K |
| 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 |
761 |
733 |
$9K |
| D2332 |
|
134 |
102 |
$9K |
| 77080 |
|
247 |
182 |
$8K |
| 58300 |
|
153 |
131 |
$7K |
| D2335 |
|
92 |
68 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,035 |
686 |
$7K |
| 81002 |
|
6,754 |
5,549 |
$6K |
| D2330 |
|
124 |
87 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
41 |
$5K |
| 90670 |
|
2,469 |
2,336 |
$3K |
| D4342 |
|
55 |
34 |
$2K |
| 85018 |
|
841 |
778 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30 |
28 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
55 |
50 |
$1K |
| 90671 |
|
843 |
819 |
$1K |
| 3074F |
|
137,549 |
120,708 |
$1K |
| 51729 |
|
15 |
13 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 54150 |
|
12 |
12 |
$915.24 |
| 90723 |
|
1,209 |
1,162 |
$834.00 |
| 90680 |
|
1,642 |
1,545 |
$811.70 |
| 90633 |
|
1,487 |
1,421 |
$770.75 |
| 90698 |
|
1,292 |
1,207 |
$743.98 |
| 90836 |
|
14 |
13 |
$626.34 |
| 92567 |
|
46 |
44 |
$594.80 |
| 96127 |
|
173 |
169 |
$516.97 |
| 93000 |
|
48 |
40 |
$510.22 |
| 94760 |
|
179 |
136 |
$439.30 |
| 51797 |
|
15 |
13 |
$375.65 |
| D0272 |
Bitewings - two radiographic images |
17 |
14 |
$267.75 |
| 90647 |
|
1,171 |
1,133 |
$266.82 |
| 90744 |
|
506 |
466 |
$230.68 |
| 90686 |
|
1,121 |
1,075 |
$226.92 |
| 51784 |
|
15 |
13 |
$226.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$207.58 |
| D0270 |
|
13 |
13 |
$95.48 |
| 99406 |
|
12 |
12 |
$80.30 |
| 90685 |
|
263 |
252 |
$73.60 |
| 51798 |
|
15 |
13 |
$71.73 |
| 51741 |
|
15 |
13 |
$70.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
26 |
$56.83 |
| 90710 |
|
41 |
38 |
$5.00 |
| 3077F |
|
11,179 |
9,982 |
$0.00 |
| 3078F |
|
115,006 |
101,711 |
$0.00 |
| 3015F |
|
1,255 |
1,137 |
$0.00 |
| 90707 |
|
29 |
28 |
$0.00 |
| 90734 |
|
63 |
54 |
$0.00 |
| 90380 |
|
13 |
12 |
$0.00 |
| 3080F |
|
6,853 |
6,131 |
$0.00 |
| 3075F |
|
20,340 |
18,674 |
$0.00 |
| 3079F |
|
50,394 |
45,643 |
$0.00 |
| 90688 |
|
21 |
19 |
$0.00 |
| 90716 |
|
40 |
39 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |