| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,728 |
42,254 |
$2.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,278 |
20,926 |
$1.61M |
| D7140 |
Extraction, erupted tooth or exposed root |
12,476 |
5,092 |
$531K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,109 |
6,676 |
$252K |
| D0330 |
Panoramic radiographic image |
4,135 |
3,245 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,920 |
1,839 |
$141K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,815 |
4,895 |
$132K |
| D0230 |
Intraoral - periapical each additional radiographic image |
15,830 |
2,262 |
$95K |
| D0140 |
Limited oral evaluation - problem focused |
6,057 |
4,598 |
$95K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
882 |
848 |
$94K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14,725 |
13,986 |
$87K |
| 90837 |
Psychotherapy, 53 minutes with patient |
748 |
461 |
$79K |
| 96127 |
|
17,881 |
16,257 |
$76K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,301 |
1,091 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
934 |
901 |
$70K |
| 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 |
7,470 |
6,243 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
898 |
868 |
$70K |
| D0220 |
Intraoral - periapical first radiographic image |
9,517 |
7,093 |
$66K |
| D1120 |
Prophylaxis - child |
1,937 |
1,936 |
$56K |
| D1110 |
Prophylaxis - adult |
1,351 |
1,326 |
$51K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
583 |
566 |
$49K |
| 99386 |
|
448 |
432 |
$46K |
| 99385 |
|
464 |
456 |
$42K |
| 36415 |
Collection of venous blood by venipuncture |
20,324 |
18,960 |
$42K |
| 90863 |
|
1,073 |
941 |
$41K |
| 90834 |
Psychotherapy, 45 minutes with patient |
597 |
469 |
$39K |
| D1206 |
Topical application of fluoride varnish |
2,085 |
2,083 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
724 |
688 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
380 |
372 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
246 |
226 |
$23K |
| 99383 |
|
251 |
248 |
$22K |
| 92551 |
|
2,123 |
2,064 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,622 |
3,469 |
$21K |
| D0210 |
Intraoral - complete series of radiographic images |
6,124 |
1,850 |
$20K |
| 82962 |
|
8,255 |
7,766 |
$18K |
| 99384 |
|
178 |
169 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
168 |
$13K |
| 80061 |
Lipid panel |
1,690 |
1,598 |
$11K |
| 83655 |
|
933 |
890 |
$10K |
| D0272 |
Bitewings - two radiographic images |
533 |
532 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
553 |
551 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
923 |
832 |
$9K |
| D0274 |
Bitewings - four radiographic images |
564 |
562 |
$9K |
| D4346 |
|
151 |
151 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
117 |
100 |
$8K |
| D1351 |
Sealant - per tooth |
242 |
78 |
$8K |
| 3044F |
|
2,401 |
2,269 |
$8K |
| 81003 |
|
3,762 |
3,566 |
$7K |
| D4341 |
|
291 |
207 |
$7K |
| 99490 |
Ccm add 20min |
257 |
234 |
$7K |
| 81025 |
|
1,028 |
941 |
$7K |
| 99173 |
|
2,544 |
2,460 |
$6K |
| 85018 |
|
2,621 |
2,533 |
$6K |
| D4342 |
|
184 |
111 |
$6K |
| 90461 |
|
1,757 |
1,688 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,438 |
1,269 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
911 |
839 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
468 |
454 |
$5K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
281 |
270 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
41 |
30 |
$3K |
| 0012A |
|
114 |
113 |
$3K |
| 3079F |
|
792 |
767 |
$3K |
| 3077F |
|
842 |
808 |
$3K |
| 97802 |
|
135 |
123 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
19 |
15 |
$2K |
| 3074F |
|
742 |
722 |
$2K |
| 3046F |
|
538 |
513 |
$2K |
| 3078F |
|
718 |
697 |
$2K |
| 90651 |
|
336 |
333 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
199 |
174 |
$2K |
| 0011A |
|
114 |
114 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 3075F |
|
462 |
443 |
$2K |
| 82270 |
|
816 |
778 |
$2K |
| 3080F |
|
522 |
499 |
$2K |
| 3051F |
|
467 |
445 |
$2K |
| 99382 |
|
18 |
18 |
$1K |
| 91320 |
|
18 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
183 |
178 |
$1K |
| 90619 |
|
279 |
275 |
$1K |
| 3052F |
|
285 |
265 |
$1K |
| D0270 |
|
108 |
107 |
$999.34 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
232 |
208 |
$937.21 |
| 92250 |
|
27 |
27 |
$743.23 |
| 90620 |
|
67 |
67 |
$491.13 |
| 0002A |
|
14 |
14 |
$420.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
198 |
189 |
$347.62 |
| 90677 |
|
25 |
25 |
$313.16 |
| 0001A |
|
15 |
15 |
$300.22 |
| 0072A |
|
14 |
12 |
$295.51 |
| 36416 |
|
1,929 |
1,862 |
$246.05 |
| 90633 |
|
116 |
114 |
$243.29 |
| 90480 |
|
19 |
17 |
$229.02 |
| 90686 |
|
1,073 |
1,002 |
$212.11 |
| 87430 |
|
26 |
25 |
$200.25 |
| 87400 |
|
42 |
28 |
$155.96 |
| 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 |
15 |
12 |
$136.15 |
| 99406 |
|
12 |
12 |
$115.61 |
| 86580 |
|
15 |
15 |
$86.10 |
| 90710 |
|
98 |
94 |
$66.77 |
| 90715 |
|
70 |
68 |
$66.60 |
| 90658 |
|
145 |
141 |
$64.04 |
| 80053 |
Comprehensive metabolic panel |
15 |
13 |
$42.24 |
| 90696 |
|
56 |
56 |
$22.53 |
| 90670 |
|
13 |
12 |
$11.12 |
| 90700 |
|
12 |
12 |
$11.11 |
| 91301 |
|
263 |
259 |
$2.29 |
| 91300 |
|
63 |
61 |
$0.50 |
| 91307 |
|
53 |
45 |
$0.36 |
| D4910 |
|
14 |
14 |
$0.00 |
| 3008F |
|
186 |
179 |
$0.00 |
| D4355 |
|
12 |
12 |
$0.00 |