| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150,460 |
129,306 |
$6.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,934 |
27,044 |
$1.55M |
| 90832 |
Psychotherapy, 30 minutes with patient |
36,001 |
20,580 |
$1.48M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,189 |
11,751 |
$859K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,855 |
12,235 |
$791K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,465 |
25,336 |
$673K |
| 99173 |
|
12,032 |
11,506 |
$589K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20,977 |
19,798 |
$570K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,232 |
5,101 |
$374K |
| D0330 |
Panoramic radiographic image |
8,672 |
7,958 |
$364K |
| 90461 |
|
15,808 |
15,144 |
$359K |
| 99215 |
Prolong outpt/office vis |
4,029 |
3,782 |
$339K |
| 87428 |
|
4,887 |
4,406 |
$211K |
| D1110 |
Prophylaxis - adult |
3,625 |
3,377 |
$185K |
| D1120 |
Prophylaxis - child |
4,329 |
4,125 |
$184K |
| D0140 |
Limited oral evaluation - problem focused |
5,277 |
4,545 |
$178K |
| D0274 |
Bitewings - four radiographic images |
7,728 |
7,072 |
$177K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,255 |
2,579 |
$172K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,270 |
4,761 |
$164K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,555 |
1,047 |
$162K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,567 |
1,992 |
$159K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,187 |
11,483 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,655 |
1,591 |
$132K |
| 92551 |
|
11,835 |
11,335 |
$121K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,458 |
1,126 |
$119K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,483 |
1,753 |
$119K |
| D0220 |
Intraoral - periapical first radiographic image |
13,142 |
11,954 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,022 |
1,770 |
$106K |
| 90791 |
Psychiatric diagnostic evaluation |
1,278 |
1,197 |
$106K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,709 |
7,705 |
$106K |
| D0272 |
Bitewings - two radiographic images |
5,479 |
5,367 |
$97K |
| D0230 |
Intraoral - periapical each additional radiographic image |
14,921 |
9,332 |
$96K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,179 |
823 |
$88K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13,134 |
11,987 |
$82K |
| D1351 |
Sealant - per tooth |
3,207 |
1,053 |
$57K |
| 90632 |
|
1,261 |
1,162 |
$52K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,289 |
2,159 |
$49K |
| 90686 |
|
10,053 |
9,588 |
$46K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,462 |
3,182 |
$44K |
| D1206 |
Topical application of fluoride varnish |
2,885 |
2,825 |
$42K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
419 |
403 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,054 |
2,862 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
296 |
254 |
$28K |
| 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 |
2,824 |
1,415 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
763 |
740 |
$22K |
| 90670 |
|
8,619 |
8,211 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,643 |
1,580 |
$21K |
| 99188 |
|
1,196 |
1,116 |
$16K |
| 99385 |
|
233 |
206 |
$15K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
222 |
204 |
$13K |
| 99381 |
|
184 |
170 |
$12K |
| 36416 |
|
16,407 |
14,961 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
196 |
184 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
416 |
416 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
118 |
110 |
$9K |
| 81025 |
|
1,870 |
1,690 |
$9K |
| 90723 |
|
6,513 |
6,213 |
$8K |
| 0072A |
|
209 |
201 |
$8K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
120 |
92 |
$8K |
| 85018 |
|
3,517 |
3,376 |
$8K |
| 0071A |
|
208 |
190 |
$7K |
| 90688 |
|
2,034 |
1,944 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
665 |
564 |
$7K |
| D0180 |
|
182 |
177 |
$6K |
| 90680 |
|
5,485 |
5,250 |
$6K |
| 90746 |
|
123 |
112 |
$6K |
| 87807 |
|
576 |
550 |
$6K |
| 0011A |
|
160 |
150 |
$5K |
| 81003 |
|
9,469 |
6,565 |
$5K |
| 90677 |
|
1,271 |
1,251 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
353 |
297 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
152 |
141 |
$4K |
| 90715 |
|
285 |
274 |
$4K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
49 |
29 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
49 |
$4K |
| 90647 |
|
5,987 |
5,721 |
$4K |
| 0012A |
|
106 |
98 |
$4K |
| 0031A |
|
100 |
92 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,972 |
1,794 |
$3K |
| 0064A |
|
115 |
99 |
$3K |
| 90474 |
|
399 |
389 |
$3K |
| 90651 |
|
754 |
718 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
50 |
44 |
$3K |
| 0134A |
|
135 |
111 |
$2K |
| 90685 |
|
548 |
530 |
$2K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
45 |
27 |
$2K |
| 99386 |
|
28 |
26 |
$2K |
| 90633 |
|
2,922 |
2,815 |
$2K |
| 90682 |
|
127 |
116 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
32 |
$2K |
| 90732 |
|
31 |
28 |
$1K |
| 0001A |
|
47 |
47 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
43 |
29 |
$1K |
| 99417 |
Prolong home eval add 15m |
36 |
34 |
$1K |
| D0190 |
|
154 |
144 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$1K |
| 0002A |
|
27 |
27 |
$1K |
| 99383 |
|
13 |
13 |
$899.06 |
| 82962 |
|
407 |
347 |
$786.39 |
| 90656 |
|
815 |
803 |
$776.26 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
14 |
12 |
$743.43 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
69 |
52 |
$726.61 |
| 90785 |
|
100 |
84 |
$673.61 |
| 90710 |
|
157 |
147 |
$667.36 |
| D0270 |
|
71 |
52 |
$662.63 |
| 90648 |
|
248 |
238 |
$649.91 |
| 82044 |
|
151 |
146 |
$625.64 |
| 90480 |
|
28 |
26 |
$624.85 |
| D0210 |
Intraoral - complete series of radiographic images |
23 |
12 |
$517.63 |
| 90734 |
|
299 |
281 |
$436.58 |
| 0094A |
|
16 |
13 |
$321.71 |
| 90696 |
|
144 |
133 |
$228.80 |
| 96152 |
|
26 |
25 |
$182.40 |
| 90707 |
|
142 |
142 |
$179.31 |
| 87210 |
|
38 |
38 |
$169.99 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
15 |
$167.85 |
| 94760 |
|
152 |
128 |
$158.20 |
| 90716 |
|
65 |
63 |
$146.45 |
| 90619 |
|
64 |
63 |
$135.00 |
| 90662 |
|
72 |
64 |
$66.00 |
| 90687 |
|
73 |
73 |
$60.98 |
| G0008 |
Administration of influenza virus vaccine |
157 |
141 |
$31.32 |
| 90700 |
|
107 |
105 |
$27.00 |
| 1126F |
|
17,409 |
15,512 |
$19.35 |
| 99000 |
|
532 |
460 |
$14.70 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
14 |
$13.70 |
| 1160F |
|
55,678 |
48,567 |
$7.68 |
| 1159F |
|
47,433 |
41,201 |
$7.31 |
| 3044F |
|
6,557 |
5,566 |
$6.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$5.66 |
| 4010F |
|
5,860 |
5,188 |
$4.12 |
| 1125F |
|
2,776 |
2,425 |
$3.08 |
| 92583 |
|
72 |
71 |
$0.01 |
| 3079F |
|
6,792 |
6,100 |
$0.00 |
| 3074F |
|
17,534 |
15,788 |
$0.00 |
| D1330 |
|
4,354 |
4,186 |
$0.00 |
| 3075F |
|
1,446 |
1,277 |
$0.00 |
| 3008F |
|
527 |
430 |
$0.00 |
| 3080F |
|
703 |
614 |
$0.00 |
| 91307 |
|
318 |
306 |
$0.00 |
| 91306 |
|
41 |
38 |
$0.00 |
| 3060F |
|
41 |
40 |
$0.00 |
| D0602 |
|
64 |
63 |
$0.00 |
| D0603 |
|
15 |
15 |
$0.00 |
| D0601 |
|
59 |
54 |
$0.00 |
| 91309 |
|
16 |
13 |
$0.00 |
| 3048F |
|
27 |
27 |
$0.00 |
| 0503F |
|
33 |
32 |
$0.00 |
| 3078F |
|
14,115 |
12,776 |
$0.00 |
| 3077F |
|
2,133 |
1,899 |
$0.00 |
| 91322 |
|
28 |
26 |
$0.00 |
| 3046F |
|
32 |
25 |
$0.00 |
| 80306 |
|
226 |
202 |
$0.00 |
| 90649 |
|
66 |
56 |
$0.00 |
| 91308 |
|
28 |
27 |
$0.00 |
| 91313 |
|
117 |
96 |
$0.00 |
| 3051F |
|
27 |
24 |
$0.00 |