| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
504,325 |
276,738 |
$35.51M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
2,738 |
2,737 |
$8.87M |
| 81002 |
|
106,034 |
63,777 |
$5.42M |
| D0120 |
Periodic oral evaluation - established patient |
79,219 |
58,102 |
$4.54M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42,098 |
26,308 |
$4.52M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
40,707 |
9,937 |
$3.08M |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
29,425 |
16,787 |
$3.01M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
38,352 |
8,325 |
$2.85M |
| 90834 |
Psychotherapy, 45 minutes with patient |
28,419 |
9,838 |
$2.81M |
| D1110 |
Prophylaxis - adult |
39,319 |
33,317 |
$2.66M |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23,461 |
13,960 |
$2.38M |
| D8670 |
Periodic orthodontic treatment visit |
9,552 |
9,339 |
$2.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,361 |
11,855 |
$1.75M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16,263 |
14,611 |
$1.74M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22,685 |
13,186 |
$1.61M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19,264 |
13,219 |
$1.56M |
| D1120 |
Prophylaxis - child |
28,438 |
24,295 |
$1.55M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25,478 |
15,003 |
$1.54M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,292 |
11,461 |
$1.31M |
| D0220 |
Intraoral - periapical first radiographic image |
59,217 |
55,147 |
$1.31M |
| D0274 |
Bitewings - four radiographic images |
37,848 |
36,035 |
$1.24M |
| 99051 |
|
50,227 |
48,320 |
$1.16M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,314 |
9,502 |
$1.11M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18,041 |
10,750 |
$1.10M |
| D0230 |
Intraoral - periapical each additional radiographic image |
48,321 |
45,225 |
$999K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
11,349 |
6,566 |
$917K |
| D0140 |
Limited oral evaluation - problem focused |
15,210 |
10,338 |
$867K |
| 36415 |
Collection of venous blood by venipuncture |
71,191 |
59,424 |
$860K |
| 76801 |
|
5,426 |
5,412 |
$755K |
| D2140 |
|
8,799 |
5,275 |
$721K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,088 |
3,088 |
$716K |
| W0003 |
|
6,354 |
6,137 |
$695K |
| D0210 |
Intraoral - complete series of radiographic images |
31,619 |
30,747 |
$635K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
7,600 |
4,998 |
$609K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
5,734 |
4,828 |
$580K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,806 |
3,803 |
$572K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,037 |
4,794 |
$551K |
| 76818 |
|
4,246 |
3,199 |
$511K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,864 |
2,931 |
$496K |
| 17110 |
|
4,072 |
3,476 |
$431K |
| 11056 |
|
8,360 |
6,120 |
$418K |
| D1208 |
Topical application of fluoride, excluding varnish |
21,904 |
21,073 |
$410K |
| 76830 |
Ultrasound, transvaginal |
4,633 |
4,056 |
$390K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,865 |
3,015 |
$358K |
| D2160 |
|
3,418 |
2,216 |
$358K |
| 11721 |
|
9,013 |
7,201 |
$344K |
| D0270 |
|
12,124 |
10,764 |
$341K |
| D9110 |
|
5,415 |
3,877 |
$320K |
| 99381 |
|
3,325 |
2,073 |
$316K |
| 87428 |
|
9,475 |
9,365 |
$312K |
| 99460 |
|
3,229 |
1,884 |
$306K |
| 11730 |
|
2,821 |
2,766 |
$299K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,053 |
3,717 |
$284K |
| D1206 |
Topical application of fluoride varnish |
8,075 |
7,727 |
$279K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
2,711 |
1,295 |
$276K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,886 |
1,676 |
$273K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,219 |
1,895 |
$269K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29,129 |
28,926 |
$266K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,579 |
2,073 |
$264K |
| 92522 |
|
2,871 |
1,820 |
$255K |
| 92065 |
|
4,024 |
713 |
$252K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,298 |
2,124 |
$252K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,479 |
1,957 |
$250K |
| 90791 |
Psychiatric diagnostic evaluation |
1,710 |
1,367 |
$247K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15,163 |
14,479 |
$226K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,939 |
1,245 |
$214K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120,433 |
114,996 |
$194K |
| D1351 |
Sealant - per tooth |
2,604 |
1,557 |
$193K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
201 |
201 |
$192K |
| 76820 |
|
4,821 |
3,295 |
$186K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,338 |
884 |
$183K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,235 |
844 |
$156K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,343 |
2,047 |
$150K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
1,438 |
1,001 |
$148K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,113 |
2,835 |
$130K |
| 92523 |
|
951 |
653 |
$125K |
| 11720 |
|
3,811 |
3,269 |
$121K |
| 99442 |
|
1,726 |
911 |
$115K |
| 90837 |
Psychotherapy, 53 minutes with patient |
876 |
416 |
$115K |
| D2331 |
|
1,135 |
687 |
$113K |
| D0340 |
|
2,346 |
2,343 |
$113K |
| 59025 |
Fetal non-stress test |
2,075 |
1,670 |
$112K |
| D0330 |
Panoramic radiographic image |
3,388 |
3,329 |
$110K |
| D2740 |
Crown - porcelain/ceramic |
495 |
287 |
$107K |
| D1999 |
|
2,182 |
1,932 |
$104K |
| 99215 |
Prolong outpt/office vis |
637 |
508 |
$99K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
975 |
946 |
$93K |
| D9995 |
|
1,486 |
953 |
$83K |
| 69210 |
|
1,250 |
1,239 |
$77K |
| 97161 |
|
1,027 |
595 |
$74K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
217 |
217 |
$71K |
| D8660 |
|
2,508 |
2,502 |
$70K |
| 92524 |
|
750 |
452 |
$70K |
| 87430 |
|
20,797 |
20,010 |
$62K |
| 11055 |
|
1,536 |
941 |
$58K |
| 92551 |
|
17,591 |
17,563 |
$56K |
| 99441 |
|
837 |
456 |
$52K |
| D0350 |
|
4,444 |
4,411 |
$51K |
| D2332 |
|
411 |
240 |
$45K |
| 90686 |
|
6,956 |
6,945 |
$45K |
| 99349 |
|
547 |
396 |
$45K |
| 81025 |
|
8,222 |
7,832 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,631 |
7,463 |
$40K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
171 |
125 |
$40K |
| D9310 |
|
516 |
514 |
$39K |
| D8680 |
|
304 |
296 |
$38K |
| 0502F |
|
330 |
322 |
$34K |
| 11057 |
|
401 |
400 |
$32K |
| 11102 |
|
312 |
303 |
$29K |
| 92250 |
|
394 |
277 |
$26K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
233 |
123 |
$26K |
| 76998 |
|
252 |
251 |
$25K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
3,342 |
3,194 |
$25K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
28 |
26 |
$21K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,117 |
1,079 |
$21K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
152 |
152 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,898 |
2,888 |
$15K |
| 99385 |
|
174 |
105 |
$15K |
| 97165 |
|
174 |
102 |
$14K |
| 59426 |
|
13 |
13 |
$14K |
| 99050 |
|
543 |
537 |
$13K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
110 |
109 |
$13K |
| 92015 |
Determination of refractive state |
19,084 |
18,953 |
$12K |
| 36416 |
|
15,756 |
14,884 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
965 |
965 |
$10K |
| 31579 |
|
62 |
62 |
$10K |
| 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 |
202 |
93 |
$10K |
| 92521 |
|
91 |
50 |
$9K |
| D4341 |
|
78 |
38 |
$9K |
| 76813 |
|
59 |
59 |
$8K |
| 87807 |
|
1,091 |
1,079 |
$7K |
| D0272 |
Bitewings - two radiographic images |
263 |
242 |
$7K |
| 85018 |
|
8,931 |
8,914 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
723 |
695 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
46 |
36 |
$7K |
| 90715 |
|
715 |
715 |
$6K |
| 97116 |
|
91 |
24 |
$6K |
| 99443 |
|
67 |
43 |
$5K |
| 92002 |
|
62 |
51 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
180 |
177 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
107 |
26 |
$5K |
| 99459 |
|
264 |
264 |
$5K |
| 12011 |
|
37 |
37 |
$4K |
| 0012A |
|
126 |
124 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,662 |
3,390 |
$4K |
| 0031A |
|
84 |
84 |
$3K |
| 0011A |
|
116 |
115 |
$3K |
| 58300 |
|
29 |
29 |
$3K |
| 93000 |
|
164 |
163 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
47 |
25 |
$2K |
| 11100 |
|
29 |
28 |
$2K |
| 58301 |
|
26 |
26 |
$2K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
20 |
13 |
$2K |
| 90697 |
|
2,590 |
2,577 |
$2K |
| 86756 |
|
549 |
540 |
$2K |
| 90461 |
|
15,583 |
15,520 |
$1K |
| 73630 |
|
46 |
45 |
$1K |
| 0503F |
|
14 |
14 |
$1K |
| 97535 |
Self-care/home management training, each 15 minutes |
34 |
26 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 90281 |
|
13 |
13 |
$1K |
| 90836 |
|
12 |
12 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$920.05 |
| 90656 |
|
199 |
198 |
$887.53 |
| 90677 |
|
1,963 |
1,960 |
$758.71 |
| 73610 |
|
12 |
12 |
$402.96 |
| 87088 |
|
167 |
163 |
$346.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
28 |
$304.21 |
| 85048 |
|
595 |
535 |
$264.57 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
19 |
13 |
$212.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
59 |
$211.13 |
| 90716 |
|
1,016 |
1,015 |
$131.00 |
| 90707 |
|
2,024 |
2,023 |
$129.60 |
| 90723 |
|
4,225 |
4,218 |
$100.00 |
| 82271 |
|
327 |
327 |
$78.66 |
| 86580 |
|
28 |
25 |
$75.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$60.00 |
| 94760 |
|
346 |
337 |
$43.17 |
| 90647 |
|
2,341 |
2,336 |
$25.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
544 |
528 |
$19.31 |
| 83986 |
|
314 |
308 |
$9.83 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
12 |
12 |
$4.34 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
15 |
13 |
$0.78 |
| 91301 |
|
277 |
270 |
$0.01 |
| 90670 |
|
5,079 |
5,073 |
$0.00 |
| 90734 |
|
933 |
933 |
$0.00 |
| 90710 |
|
1,461 |
1,461 |
$0.00 |
| 90700 |
|
1,274 |
1,274 |
$0.00 |
| 97803 |
|
1,358 |
892 |
$0.00 |
| 90380 |
|
73 |
73 |
$0.00 |
| 90655 |
|
17 |
17 |
$0.00 |
| 90685 |
|
38 |
38 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90744 |
|
123 |
123 |
$0.00 |
| 97802 |
|
156 |
156 |
$0.00 |
| 90696 |
|
1,071 |
1,071 |
$0.00 |
| D8999 |
|
460 |
459 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
14 |
13 |
$0.00 |
| 99000 |
|
26 |
26 |
$0.00 |
| 91303 |
|
42 |
42 |
$0.00 |