| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,506 |
15,064 |
$283K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,900 |
16,877 |
$114K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
7,297 |
6,900 |
$88K |
| 99050 |
|
2,859 |
2,533 |
$87K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,291 |
3,899 |
$70K |
| 84443 |
Thyroid stimulating hormone (TSH) |
9,208 |
8,643 |
$63K |
| 80061 |
Lipid panel |
9,136 |
8,624 |
$49K |
| D1110 |
Prophylaxis - adult |
1,462 |
1,194 |
$45K |
| D1999 |
|
2,842 |
2,246 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,516 |
11,531 |
$40K |
| 80053 |
Comprehensive metabolic panel |
8,948 |
8,387 |
$38K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,092 |
6,692 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
785 |
768 |
$21K |
| 82274 |
|
2,450 |
2,331 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
18,355 |
16,202 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
1,017 |
759 |
$16K |
| 82043 |
|
6,132 |
5,771 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
643 |
606 |
$14K |
| 84479 |
|
6,069 |
5,690 |
$14K |
| 84436 |
|
6,057 |
5,774 |
$13K |
| 97803 |
|
735 |
682 |
$13K |
| 80074 |
|
464 |
419 |
$12K |
| 81000 |
|
9,433 |
8,771 |
$12K |
| 86710 |
|
780 |
737 |
$11K |
| 86689 |
|
810 |
756 |
$10K |
| D0272 |
Bitewings - two radiographic images |
589 |
478 |
$9K |
| 84439 |
|
1,665 |
1,582 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
408 |
335 |
$6K |
| 87254 |
|
159 |
152 |
$5K |
| 86580 |
|
1,166 |
1,071 |
$5K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
109 |
54 |
$5K |
| 86738 |
|
876 |
835 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
416 |
378 |
$5K |
| 82570 |
|
1,622 |
1,540 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
124 |
98 |
$4K |
| 84153 |
|
538 |
514 |
$4K |
| 87490 |
|
539 |
496 |
$4K |
| 86592 |
|
1,859 |
1,719 |
$4K |
| 99348 |
|
142 |
121 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,270 |
1,183 |
$3K |
| 93000 |
|
293 |
277 |
$3K |
| 86701 |
|
1,651 |
1,575 |
$3K |
| D1120 |
Prophylaxis - child |
140 |
118 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
342 |
100 |
$2K |
| 84152 |
|
225 |
217 |
$2K |
| 84154 |
|
445 |
427 |
$2K |
| 99349 |
|
28 |
25 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
39 |
28 |
$2K |
| D1351 |
Sealant - per tooth |
100 |
17 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,930 |
1,676 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
527 |
520 |
$1K |
| D2140 |
|
30 |
20 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
68 |
63 |
$1K |
| 87177 |
|
565 |
560 |
$1K |
| S9083 |
Global fee urgent care centers |
15 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
160 |
$947.10 |
| 84480 |
|
78 |
78 |
$931.06 |
| 85651 |
|
587 |
557 |
$924.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
54 |
43 |
$919.36 |
| 94644 |
|
53 |
50 |
$910.00 |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$704.50 |
| 99441 |
|
2,961 |
2,524 |
$686.16 |
| 86140 |
|
399 |
367 |
$666.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
27 |
$664.00 |
| 87276 |
|
133 |
131 |
$612.95 |
| 87275 |
|
133 |
131 |
$596.45 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,520 |
2,044 |
$576.30 |
| 71111 |
|
59 |
56 |
$540.54 |
| 80076 |
|
266 |
246 |
$527.01 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
67 |
63 |
$463.00 |
| 76830 |
Ultrasound, transvaginal |
56 |
54 |
$437.82 |
| 85730 |
|
149 |
118 |
$436.94 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
21 |
$430.08 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
109 |
105 |
$425.29 |
| 71046 |
Radiologic examination, chest; 2 views |
153 |
151 |
$351.06 |
| 76536 |
|
78 |
70 |
$326.89 |
| D0220 |
Intraoral - periapical first radiographic image |
76 |
72 |
$284.51 |
| 85610 |
|
148 |
117 |
$281.25 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$277.83 |
| 96160 |
|
17 |
17 |
$270.00 |
| 87088 |
|
29 |
28 |
$213.66 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
37 |
29 |
$200.37 |
| 90688 |
|
49 |
37 |
$184.00 |
| 99442 |
|
1,013 |
823 |
$180.48 |
| 97802 |
|
15 |
12 |
$146.30 |
| 83655 |
|
13 |
13 |
$145.09 |
| 80184 |
|
41 |
27 |
$102.20 |
| 84550 |
|
64 |
52 |
$99.13 |
| 90713 |
|
24 |
12 |
$92.00 |
| 90700 |
|
24 |
12 |
$92.00 |
| 84156 |
|
27 |
26 |
$69.00 |
| 76775 |
|
21 |
20 |
$65.72 |
| 82607 |
|
62 |
49 |
$46.52 |
| 72100 |
|
12 |
12 |
$18.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
240 |
226 |
$0.00 |
| 76776 |
|
18 |
17 |
$0.00 |
| 80345 |
|
60 |
40 |
$0.00 |
| 80320 |
|
105 |
78 |
$0.00 |
| 3074F |
|
560 |
457 |
$0.00 |
| 3008F |
|
334 |
273 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
115 |
109 |
$0.00 |
| 3048F |
|
33 |
23 |
$0.00 |
| 82044 |
|
12 |
12 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$0.00 |
| 99443 |
|
13 |
13 |
$0.00 |
| 80329 |
|
18 |
13 |
$0.00 |
| 82270 |
|
17 |
17 |
$0.00 |
| 76641 |
|
20 |
13 |
$0.00 |
| 3078F |
|
566 |
465 |
$0.00 |
| 80369 |
|
18 |
13 |
$0.00 |
| 80346 |
|
41 |
27 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
90 |
90 |
$0.00 |
| 80179 |
|
40 |
27 |
$0.00 |
| 86677 |
|
13 |
13 |
$0.00 |
| 80375 |
|
18 |
13 |
$0.00 |