| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,733 |
3,867 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,752 |
4,459 |
$193K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
920 |
788 |
$57K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,128 |
555 |
$44K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,097 |
721 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
699 |
562 |
$39K |
| 76830 |
Ultrasound, transvaginal |
454 |
395 |
$24K |
| D1110 |
Prophylaxis - adult |
993 |
600 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
207 |
193 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
502 |
338 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
360 |
230 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
101 |
90 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
186 |
140 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
135 |
95 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
174 |
114 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
131 |
120 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
200 |
152 |
$5K |
| 59025 |
Fetal non-stress test |
347 |
197 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
25 |
22 |
$2K |
| 80305 |
|
439 |
285 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
36 |
$2K |
| 0012A |
|
76 |
75 |
$2K |
| 99218 |
|
50 |
45 |
$2K |
| 0011A |
|
88 |
80 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
34 |
$1K |
| 81025 |
|
278 |
235 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
201 |
142 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
927 |
789 |
$1K |
| D0274 |
Bitewings - four radiographic images |
103 |
67 |
$915.70 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
73 |
43 |
$872.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
35 |
$635.52 |
| D0120 |
Periodic oral evaluation - established patient |
126 |
85 |
$564.66 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
64 |
22 |
$543.91 |
| 91301 |
|
119 |
104 |
$519.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
62 |
$367.50 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
18 |
12 |
$351.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
71 |
$283.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
42 |
$264.60 |
| 81003 |
|
191 |
172 |
$261.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$143.38 |
| 0002A |
|
25 |
25 |
$133.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
27 |
$105.78 |
| D0272 |
Bitewings - two radiographic images |
190 |
77 |
$85.40 |
| 0001A |
|
18 |
18 |
$47.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$27.00 |
| 1125F |
|
49 |
44 |
$0.00 |
| 99024 |
|
76 |
40 |
$0.00 |
| 3074F |
|
37 |
34 |
$0.00 |
| 3008F |
|
68 |
61 |
$0.00 |
| 1000F |
|
16 |
16 |
$0.00 |
| 3353F |
|
12 |
12 |
$0.00 |
| 1159F |
|
69 |
63 |
$0.00 |
| 1160F |
|
69 |
63 |
$0.00 |
| 3078F |
|
31 |
31 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
31 |
17 |
$0.00 |