| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,474 |
9,311 |
$563K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,932 |
2,644 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,274 |
1,247 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,396 |
1,295 |
$97K |
| 92552 |
|
1,592 |
1,554 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
511 |
471 |
$39K |
| 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 |
1,731 |
1,394 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
382 |
373 |
$29K |
| D1120 |
Prophylaxis - child |
861 |
861 |
$29K |
| 90686 |
|
1,847 |
1,787 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
672 |
576 |
$17K |
| 90670 |
|
946 |
924 |
$14K |
| 99000 |
|
8,086 |
7,213 |
$13K |
| D1206 |
Topical application of fluoride varnish |
562 |
562 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
139 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
184 |
141 |
$10K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
417 |
332 |
$9K |
| 94760 |
|
15,063 |
13,421 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,311 |
3,962 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
346 |
345 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
317 |
317 |
$7K |
| D1110 |
Prophylaxis - adult |
133 |
132 |
$6K |
| 90633 |
|
480 |
469 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
548 |
338 |
$5K |
| 90698 |
|
303 |
301 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$5K |
| D0274 |
Bitewings - four radiographic images |
171 |
170 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,708 |
2,560 |
$4K |
| 99173 |
|
1,702 |
1,660 |
$4K |
| 90681 |
|
288 |
283 |
$4K |
| 90648 |
|
345 |
334 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
358 |
333 |
$4K |
| 90723 |
|
230 |
221 |
$3K |
| 90651 |
|
100 |
99 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
380 |
292 |
$3K |
| D0272 |
Bitewings - two radiographic images |
102 |
102 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
42 |
38 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,742 |
1,711 |
$2K |
| 90656 |
|
91 |
91 |
$2K |
| 90461 |
|
1,227 |
1,178 |
$2K |
| 97802 |
|
29 |
28 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
108 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
99 |
$1K |
| 3008F |
|
1,583 |
1,425 |
$1K |
| 99381 |
|
15 |
15 |
$1K |
| 90677 |
|
25 |
25 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 0002A |
|
26 |
26 |
$1K |
| 90744 |
|
86 |
84 |
$996.68 |
| 90734 |
|
37 |
36 |
$984.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
695 |
661 |
$935.32 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$857.69 |
| 99188 |
|
42 |
39 |
$814.98 |
| 82947 |
|
198 |
181 |
$524.83 |
| 0001A |
|
12 |
12 |
$440.00 |
| 90685 |
|
40 |
36 |
$377.02 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$373.08 |
| 90707 |
|
25 |
25 |
$333.39 |
| 90700 |
|
25 |
25 |
$329.06 |
| 90716 |
|
12 |
12 |
$137.50 |
| 85018 |
|
69 |
65 |
$123.61 |
| 36416 |
|
276 |
224 |
$21.07 |