| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,547 |
29,370 |
$1.79M |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,804 |
837 |
$348K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,099 |
4,606 |
$326K |
| 90834 |
Psychotherapy, 45 minutes with patient |
744 |
402 |
$107K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,387 |
4,154 |
$69K |
| D1206 |
Topical application of fluoride varnish |
3,945 |
3,920 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,106 |
1,041 |
$53K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,322 |
1,314 |
$51K |
| D0140 |
Limited oral evaluation - problem focused |
559 |
512 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
603 |
579 |
$46K |
| D1110 |
Prophylaxis - adult |
996 |
984 |
$43K |
| D7140 |
Extraction, erupted tooth or exposed root |
361 |
150 |
$29K |
| 97803 |
|
427 |
410 |
$24K |
| D0210 |
Intraoral - complete series of radiographic images |
555 |
554 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
525 |
390 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,105 |
2,014 |
$18K |
| D0191 |
|
1,429 |
1,429 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
1,489 |
1,438 |
$16K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
238 |
190 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
8,096 |
7,640 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
212 |
204 |
$14K |
| 99442 |
|
480 |
370 |
$11K |
| D0603 |
|
2,699 |
2,692 |
$10K |
| 97802 |
|
85 |
84 |
$10K |
| D4342 |
|
123 |
81 |
$8K |
| 0012A |
|
177 |
170 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,445 |
411 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
187 |
182 |
$7K |
| 98968 |
|
194 |
118 |
$7K |
| 90686 |
|
359 |
354 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
243 |
226 |
$7K |
| D0274 |
Bitewings - four radiographic images |
242 |
228 |
$6K |
| 0011A |
|
141 |
141 |
$6K |
| D4341 |
|
64 |
27 |
$5K |
| 90688 |
|
261 |
258 |
$4K |
| 0064A |
|
128 |
126 |
$4K |
| 99409 |
|
100 |
99 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
38 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
14 |
$3K |
| 90732 |
|
37 |
26 |
$3K |
| 90715 |
|
111 |
106 |
$3K |
| D1351 |
Sealant - per tooth |
145 |
53 |
$3K |
| 0031A |
|
49 |
48 |
$3K |
| 99385 |
|
27 |
25 |
$3K |
| 99443 |
|
57 |
41 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
45 |
28 |
$2K |
| D4910 |
|
40 |
38 |
$2K |
| 99401 |
|
56 |
56 |
$2K |
| 99402 |
|
40 |
26 |
$2K |
| 99422 |
|
51 |
47 |
$2K |
| 96158 |
|
39 |
29 |
$2K |
| 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 |
1,134 |
806 |
$2K |
| 90836 |
|
14 |
13 |
$2K |
| 99408 |
|
48 |
48 |
$2K |
| 0134A |
|
41 |
41 |
$1K |
| 98967 |
|
43 |
40 |
$1K |
| 99441 |
|
79 |
60 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
54 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
190 |
179 |
$870.96 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
500 |
266 |
$855.53 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
244 |
241 |
$684.98 |
| D4346 |
|
15 |
15 |
$628.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$520.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
96 |
79 |
$504.11 |
| 90651 |
|
12 |
12 |
$482.35 |
| 94010 |
|
14 |
14 |
$476.48 |
| 90661 |
|
17 |
17 |
$390.36 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$360.72 |
| 99384 |
|
17 |
16 |
$250.58 |
| 81003 |
|
151 |
149 |
$247.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
12 |
$225.66 |
| 96160 |
|
1,430 |
1,381 |
$170.18 |
| D0270 |
|
12 |
12 |
$108.00 |
| 81002 |
|
26 |
24 |
$53.68 |
| 36416 |
|
72 |
64 |
$49.77 |
| D0602 |
|
15 |
15 |
$15.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |