| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,808 |
41,502 |
$1.91M |
| H1000 |
Prenatal care, at-risk assessment |
19,430 |
16,438 |
$1.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,388 |
22,000 |
$1.16M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,507 |
12,369 |
$1.10M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,233 |
9,029 |
$749K |
| D1120 |
Prophylaxis - child |
13,250 |
12,880 |
$383K |
| D0330 |
Panoramic radiographic image |
5,096 |
4,983 |
$347K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
7,666 |
7,437 |
$318K |
| D1110 |
Prophylaxis - adult |
8,213 |
7,969 |
$310K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,587 |
3,536 |
$289K |
| 59410 |
|
228 |
215 |
$222K |
| D1351 |
Sealant - per tooth |
16,904 |
4,326 |
$191K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,664 |
4,193 |
$169K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,281 |
1,771 |
$137K |
| D0120 |
Periodic oral evaluation - established patient |
14,374 |
13,927 |
$131K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,345 |
1,334 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,161 |
1,135 |
$83K |
| D1206 |
Topical application of fluoride varnish |
21,713 |
21,085 |
$69K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,349 |
1,125 |
$60K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,585 |
3,523 |
$51K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,388 |
559 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
650 |
613 |
$50K |
| 90837 |
Psychotherapy, 53 minutes with patient |
605 |
299 |
$42K |
| D0210 |
Intraoral - complete series of radiographic images |
361 |
361 |
$40K |
| 59430 |
|
710 |
648 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,455 |
2,339 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,455 |
5,371 |
$37K |
| 99381 |
|
451 |
391 |
$36K |
| 99188 |
|
2,140 |
2,110 |
$26K |
| D0140 |
Limited oral evaluation - problem focused |
1,684 |
1,603 |
$19K |
| D1330 |
|
22,401 |
21,751 |
$19K |
| 92588 |
|
7,545 |
7,443 |
$19K |
| D0272 |
Bitewings - two radiographic images |
8,795 |
8,551 |
$18K |
| D0274 |
Bitewings - four radiographic images |
5,866 |
5,676 |
$16K |
| 99383 |
|
131 |
128 |
$11K |
| D1999 |
|
166 |
166 |
$10K |
| 99215 |
Prolong outpt/office vis |
230 |
224 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
191 |
190 |
$9K |
| D9999 |
Unspecified adjunctive procedure, by report |
564 |
564 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
6,467 |
6,246 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,269 |
1,246 |
$8K |
| 85018 |
|
7,545 |
7,363 |
$8K |
| 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 |
5,533 |
3,907 |
$7K |
| 98940 |
|
439 |
202 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,074 |
2,439 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
66 |
64 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
828 |
813 |
$5K |
| 83655 |
|
892 |
874 |
$5K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
135 |
60 |
$4K |
| D1354 |
|
762 |
275 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,794 |
1,611 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,869 |
1,709 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
50 |
41 |
$4K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 81002 |
|
3,527 |
3,155 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
38 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
601 |
563 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
39 |
25 |
$3K |
| 90474 |
|
453 |
442 |
$2K |
| D0603 |
|
6,298 |
6,097 |
$2K |
| 99384 |
|
21 |
16 |
$2K |
| 81025 |
|
508 |
488 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
23 |
17 |
$2K |
| 99221 |
|
26 |
24 |
$1K |
| 91301 |
|
102 |
101 |
$1K |
| 99386 |
|
12 |
12 |
$1K |
| 99442 |
|
83 |
72 |
$1K |
| D2140 |
|
16 |
13 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| D7140 |
Extraction, erupted tooth or exposed root |
26 |
15 |
$1K |
| 3074F |
|
34,189 |
31,327 |
$865.99 |
| D0601 |
|
7,153 |
6,898 |
$856.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$844.87 |
| 90670 |
|
718 |
715 |
$825.45 |
| D0999 |
Unspecified diagnostic procedure, by report |
34 |
34 |
$680.00 |
| 81003 |
|
575 |
527 |
$638.95 |
| D0602 |
|
4,575 |
4,453 |
$586.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
59 |
40 |
$495.44 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
13 |
$485.37 |
| 90710 |
|
254 |
251 |
$435.52 |
| 0012A |
|
48 |
45 |
$372.68 |
| 0011A |
|
62 |
50 |
$318.10 |
| 90651 |
|
242 |
237 |
$314.53 |
| 90681 |
|
718 |
685 |
$250.00 |
| D3120 |
|
61 |
53 |
$191.02 |
| 90723 |
|
1,706 |
1,660 |
$173.53 |
| 3078F |
|
34,580 |
27,312 |
$131.03 |
| 82946 |
|
13 |
12 |
$118.72 |
| 82947 |
|
63 |
58 |
$111.72 |
| 36416 |
|
2,546 |
2,218 |
$70.11 |
| 3008F |
|
47,603 |
37,055 |
$63.58 |
| 1159F |
|
13,150 |
11,915 |
$51.19 |
| 1160F |
|
14,398 |
13,122 |
$49.28 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18 |
16 |
$39.32 |
| 90633 |
|
677 |
670 |
$25.05 |
| 90656 |
|
170 |
169 |
$25.03 |
| 90686 |
|
906 |
896 |
$22.83 |
| 3075F |
|
610 |
587 |
$16.66 |
| 3079F |
|
4,893 |
3,870 |
$16.66 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,565 |
4,947 |
$15.68 |
| 3077F |
|
703 |
534 |
$11.48 |
| 1036F |
|
35,769 |
27,599 |
$1.73 |
| 90715 |
|
14 |
14 |
$0.12 |
| 99173 |
|
7,551 |
6,623 |
$0.05 |
| 90647 |
|
1,650 |
1,614 |
$0.02 |
| 1126F |
|
5,793 |
5,174 |
$0.02 |
| 0502F |
|
4,610 |
3,563 |
$0.00 |
| 90734 |
|
72 |
72 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
216 |
209 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| D0270 |
|
12 |
12 |
$0.00 |
| 99072 |
|
20 |
20 |
$0.00 |
| 1034F |
|
2,318 |
1,700 |
$0.00 |
| 96127 |
|
1,297 |
1,066 |
$0.00 |
| 1125F |
|
831 |
744 |
$0.00 |
| 90677 |
|
1,050 |
1,001 |
$0.00 |
| 99000 |
|
581 |
514 |
$0.00 |
| 1035F |
|
1,512 |
1,193 |
$0.00 |
| 0503F |
|
129 |
115 |
$0.00 |
| 3049F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
619 |
567 |
$0.00 |
| 3080F |
|
132 |
93 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 3048F |
|
14 |
14 |
$0.00 |