| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,122 |
43,841 |
$12.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,599 |
39,663 |
$10.30M |
| T1017 |
Targeted case management, each 15 minutes |
71,580 |
31,331 |
$7.76M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
18,977 |
4,685 |
$4.66M |
| D0120 |
Periodic oral evaluation - established patient |
15,433 |
15,219 |
$4.52M |
| X5622 |
|
11,501 |
10,154 |
$2.72M |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,344 |
6,128 |
$2.57M |
| D0140 |
Limited oral evaluation - problem focused |
6,442 |
6,133 |
$1.47M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,334 |
4,244 |
$1.13M |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,849 |
2,448 |
$1.12M |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,538 |
2,080 |
$1.03M |
| 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 |
7,712 |
6,495 |
$541K |
| H0031 |
Mental health assessment, by non-physician |
1,455 |
882 |
$434K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,868 |
1,926 |
$372K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,981 |
1,811 |
$366K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,082 |
1,628 |
$362K |
| H0032 |
Mental health service plan development by non-physician |
1,134 |
766 |
$338K |
| 99215 |
Prolong outpt/office vis |
1,266 |
1,160 |
$331K |
| T2023 |
Targeted case management; per month |
3,033 |
2,619 |
$288K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
905 |
851 |
$245K |
| D5899 |
|
1,103 |
710 |
$197K |
| D1354 |
|
3,172 |
695 |
$193K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
11,092 |
8,658 |
$184K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
834 |
748 |
$167K |
| 90791 |
Psychiatric diagnostic evaluation |
595 |
575 |
$155K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
1,108 |
855 |
$132K |
| D1351 |
Sealant - per tooth |
11,274 |
3,128 |
$93K |
| D2140 |
|
838 |
558 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
370 |
348 |
$72K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
271 |
265 |
$55K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
173 |
167 |
$44K |
| D2331 |
|
434 |
284 |
$40K |
| D1352 |
|
468 |
292 |
$34K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
194 |
118 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,240 |
2,014 |
$32K |
| D2330 |
|
479 |
308 |
$31K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,074 |
695 |
$26K |
| D2940 |
|
159 |
89 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
77 |
74 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12,922 |
12,514 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,558 |
1,368 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,025 |
926 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,863 |
1,714 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$14K |
| 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 |
145 |
72 |
$14K |
| D1206 |
Topical application of fluoride varnish |
17,141 |
16,917 |
$9K |
| 99401 |
|
52 |
52 |
$7K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
121 |
65 |
$6K |
| 80047 |
|
2,440 |
2,276 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
32,392 |
29,538 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$4K |
| 90686 |
|
7,293 |
6,843 |
$4K |
| 85027 |
|
6,524 |
6,256 |
$3K |
| D1110 |
Prophylaxis - adult |
8,026 |
7,859 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,000 |
13,754 |
$3K |
| 99201 |
|
37 |
24 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,879 |
4,308 |
$3K |
| D2335 |
|
14 |
12 |
$3K |
| D2332 |
|
16 |
12 |
$3K |
| D0330 |
Panoramic radiographic image |
4,072 |
3,994 |
$2K |
| D1120 |
Prophylaxis - child |
10,991 |
10,877 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
10,489 |
10,126 |
$1K |
| 80306 |
|
5,930 |
4,230 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,478 |
1,406 |
$966.57 |
| 81001 |
|
2,166 |
2,071 |
$735.30 |
| G0008 |
Administration of influenza virus vaccine |
59 |
58 |
$615.20 |
| D0274 |
Bitewings - four radiographic images |
7,245 |
7,098 |
$495.36 |
| 90480 |
|
246 |
234 |
$486.67 |
| D0240 |
|
1,887 |
1,046 |
$381.26 |
| 99188 |
|
3,190 |
2,925 |
$376.58 |
| 90715 |
|
1,064 |
993 |
$367.84 |
| 90656 |
|
340 |
326 |
$340.28 |
| D0270 |
|
1,447 |
1,417 |
$331.80 |
| 93000 |
|
32 |
31 |
$293.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
687 |
672 |
$226.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,553 |
5,832 |
$179.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
162 |
$152.99 |
| 90734 |
|
364 |
349 |
$140.93 |
| 81003 |
|
685 |
647 |
$140.00 |
| 90691 |
|
206 |
200 |
$91.56 |
| 90785 |
|
600 |
344 |
$85.50 |
| 87210 |
|
774 |
734 |
$50.42 |
| 86703 |
|
240 |
229 |
$41.24 |
| 84703 |
|
1,288 |
1,222 |
$38.40 |
| 90670 |
|
1,428 |
1,307 |
$21.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,365 |
1,113 |
$11.89 |
| 92551 |
|
5,415 |
4,936 |
$8.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,236 |
9,883 |
$7.94 |
| 36416 |
|
1,392 |
1,271 |
$4.59 |
| 85018 |
|
422 |
393 |
$2.63 |
| 99173 |
|
11,461 |
10,195 |
$2.05 |
| 90746 |
|
74 |
73 |
$0.00 |
| 90707 |
|
82 |
76 |
$0.00 |
| 90633 |
|
480 |
448 |
$0.00 |
| 90681 |
|
224 |
215 |
$0.00 |
| 90473 |
|
239 |
229 |
$0.00 |
| 80305 |
|
442 |
276 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
257 |
241 |
$0.00 |
| D4910 |
|
168 |
165 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
65 |
64 |
$0.00 |
| 82947 |
|
51 |
46 |
$0.00 |
| 90710 |
|
23 |
19 |
$0.00 |
| 91321 |
|
15 |
15 |
$0.00 |
| D4341 |
|
128 |
61 |
$0.00 |
| D0350 |
|
60 |
60 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 90713 |
|
24 |
24 |
$0.00 |
| D0277 |
|
12 |
12 |
$0.00 |
| 87400 |
|
22 |
22 |
$0.00 |
| 96161 |
|
176 |
154 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
3,618 |
3,577 |
$0.00 |
| V5008 |
Hearing screening |
4,279 |
3,704 |
$0.00 |
| 90716 |
|
220 |
192 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
155 |
143 |
$0.00 |
| 96127 |
|
1,488 |
1,413 |
$0.00 |
| 90647 |
|
349 |
308 |
$0.00 |
| 90651 |
|
782 |
721 |
$0.00 |
| 90723 |
|
537 |
494 |
$0.00 |
| 90698 |
|
42 |
42 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
138 |
138 |
$0.00 |
| 90697 |
|
49 |
30 |
$0.00 |
| 90696 |
|
49 |
44 |
$0.00 |
| 82950 |
|
37 |
37 |
$0.00 |
| 90619 |
|
60 |
56 |
$0.00 |
| 90677 |
|
63 |
38 |
$0.00 |
| 90744 |
|
18 |
12 |
$0.00 |