| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
483,157 |
302,344 |
$25.22M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217,721 |
134,351 |
$13.80M |
| 90834 |
Psychotherapy, 45 minutes with patient |
48,051 |
21,188 |
$4.65M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
62,776 |
27,627 |
$3.61M |
| 94760 |
|
78,282 |
26,013 |
$3.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106,346 |
22,624 |
$2.65M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99,485 |
29,265 |
$2.55M |
| D0120 |
Periodic oral evaluation - established patient |
76,958 |
19,804 |
$1.89M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58,013 |
20,504 |
$1.72M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55,778 |
11,747 |
$1.68M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34,837 |
13,557 |
$1.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,779 |
17,139 |
$1.29M |
| D1110 |
Prophylaxis - adult |
22,873 |
14,077 |
$1.20M |
| 81002 |
|
43,985 |
19,414 |
$1.14M |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,179 |
6,937 |
$937K |
| 99441 |
|
14,389 |
9,312 |
$930K |
| 90686 |
|
75,774 |
65,210 |
$887K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141,196 |
134,281 |
$869K |
| 99000 |
|
138,975 |
119,647 |
$818K |
| 99442 |
|
7,079 |
4,116 |
$546K |
| 87428 |
|
11,931 |
11,767 |
$445K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
10,967 |
3,305 |
$305K |
| D0220 |
Intraoral - periapical first radiographic image |
17,884 |
13,837 |
$297K |
| 81025 |
|
12,573 |
7,896 |
$279K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
3,561 |
1,694 |
$227K |
| 92551 |
|
37,924 |
35,331 |
$215K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,305 |
1,230 |
$182K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31,417 |
31,080 |
$176K |
| D1330 |
|
16,159 |
13,063 |
$170K |
| 99173 |
|
32,667 |
29,134 |
$167K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,054 |
1,591 |
$164K |
| D0210 |
Intraoral - complete series of radiographic images |
5,397 |
5,105 |
$157K |
| 36415 |
Collection of venous blood by venipuncture |
50,690 |
46,853 |
$152K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,881 |
6,583 |
$148K |
| D1120 |
Prophylaxis - child |
4,481 |
4,193 |
$145K |
| 85018 |
|
38,766 |
36,701 |
$129K |
| 90750 |
|
905 |
752 |
$118K |
| 0012A |
|
3,478 |
3,476 |
$118K |
| D1208 |
Topical application of fluoride, excluding varnish |
9,172 |
8,925 |
$112K |
| D0230 |
Intraoral - periapical each additional radiographic image |
10,027 |
10,009 |
$105K |
| 0002A |
|
2,687 |
2,682 |
$100K |
| 98968 |
|
1,172 |
499 |
$99K |
| 0001A |
|
2,752 |
2,743 |
$99K |
| 99215 |
Prolong outpt/office vis |
893 |
783 |
$98K |
| 0011A |
|
3,487 |
3,474 |
$98K |
| 36416 |
|
45,258 |
42,613 |
$95K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,824 |
1,104 |
$81K |
| D0140 |
Limited oral evaluation - problem focused |
1,506 |
641 |
$69K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,799 |
1,609 |
$69K |
| 91322 |
|
650 |
649 |
$67K |
| 0064A |
|
1,723 |
1,723 |
$67K |
| D1351 |
Sealant - per tooth |
1,234 |
353 |
$65K |
| 90688 |
|
2,871 |
2,124 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
714 |
569 |
$63K |
| 97802 |
|
2,220 |
2,212 |
$62K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22,370 |
22,209 |
$62K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
502 |
369 |
$60K |
| 99401 |
|
4,219 |
3,382 |
$57K |
| 90791 |
Psychiatric diagnostic evaluation |
454 |
379 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,139 |
2,110 |
$54K |
| 99460 |
|
617 |
596 |
$51K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
533 |
518 |
$41K |
| D0602 |
|
6,118 |
4,581 |
$40K |
| 90674 |
|
1,479 |
1,138 |
$35K |
| D0274 |
Bitewings - four radiographic images |
1,498 |
1,474 |
$33K |
| 97803 |
|
1,451 |
1,416 |
$32K |
| 0072A |
|
805 |
805 |
$31K |
| 90620 |
|
2,482 |
2,339 |
$29K |
| 90837 |
Psychotherapy, 53 minutes with patient |
280 |
184 |
$29K |
| 0071A |
|
658 |
658 |
$25K |
| 99443 |
|
288 |
147 |
$25K |
| 90651 |
|
3,254 |
3,017 |
$25K |
| 99205 |
Prolong outpt/office vis |
144 |
104 |
$24K |
| D0272 |
Bitewings - two radiographic images |
1,671 |
1,583 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
736 |
703 |
$23K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
731 |
543 |
$23K |
| D0601 |
|
3,143 |
2,301 |
$21K |
| D9995 |
|
422 |
220 |
$21K |
| 90656 |
|
6,957 |
6,951 |
$21K |
| 90480 |
|
906 |
905 |
$21K |
| 59430 |
|
140 |
131 |
$20K |
| 90715 |
|
1,229 |
1,185 |
$19K |
| D0603 |
|
3,646 |
2,913 |
$18K |
| 0004A |
|
463 |
463 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,462 |
2,462 |
$17K |
| 99177 |
|
3,991 |
3,584 |
$17K |
| 86703 |
|
2,000 |
1,965 |
$17K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
183 |
91 |
$16K |
| 0124A |
|
432 |
393 |
$15K |
| 0134A |
|
405 |
405 |
$15K |
| 93000 |
|
431 |
199 |
$14K |
| 99422 |
|
189 |
108 |
$13K |
| 99421 |
|
177 |
109 |
$11K |
| 91301 |
|
7,412 |
7,017 |
$11K |
| 90744 |
|
2,490 |
2,274 |
$10K |
| 99381 |
|
163 |
68 |
$10K |
| 98967 |
|
117 |
69 |
$9K |
| 90677 |
|
238 |
238 |
$7K |
| D2330 |
|
105 |
44 |
$7K |
| 0031A |
|
224 |
207 |
$6K |
| D1206 |
Topical application of fluoride varnish |
235 |
209 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
341 |
314 |
$5K |
| D4341 |
|
88 |
28 |
$5K |
| 90670 |
|
4,379 |
4,252 |
$5K |
| 99070 |
|
218 |
120 |
$4K |
| 99397 |
|
100 |
43 |
$4K |
| 99385 |
|
87 |
25 |
$4K |
| 90734 |
|
2,298 |
2,194 |
$4K |
| D4910 |
|
86 |
78 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
160 |
69 |
$3K |
| 0074A |
|
88 |
88 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
26 |
$3K |
| 90685 |
|
1,213 |
1,159 |
$3K |
| 0154A |
|
66 |
66 |
$3K |
| D4999 |
|
259 |
221 |
$2K |
| 90633 |
|
980 |
922 |
$2K |
| D0170 |
|
43 |
15 |
$2K |
| 91313 |
|
375 |
319 |
$2K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
22 |
14 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
132 |
122 |
$2K |
| 99384 |
|
96 |
12 |
$2K |
| 91300 |
|
4,480 |
4,004 |
$2K |
| 69210 |
|
72 |
67 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
29 |
14 |
$2K |
| 86580 |
|
204 |
195 |
$2K |
| 91307 |
|
1,748 |
1,631 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
26 |
26 |
$1K |
| 91303 |
|
174 |
143 |
$1K |
| 91312 |
|
363 |
325 |
$1K |
| 90698 |
|
1,917 |
1,890 |
$1K |
| D0350 |
|
109 |
108 |
$974.56 |
| 90710 |
|
309 |
290 |
$687.12 |
| 96127 |
|
1,575 |
1,575 |
$613.74 |
| 0111A |
|
13 |
13 |
$520.00 |
| 90474 |
|
131 |
131 |
$483.95 |
| 90473 |
|
48 |
48 |
$482.50 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
12 |
$450.00 |
| 87807 |
|
388 |
381 |
$418.60 |
| 87210 |
|
24 |
24 |
$105.07 |
| 90681 |
|
435 |
435 |
$45.00 |
| 90648 |
|
63 |
63 |
$25.00 |
| 87220 |
|
12 |
12 |
$24.95 |
| 96161 |
|
216 |
215 |
$23.90 |
| 82962 |
|
16 |
16 |
$2.42 |
| 91311 |
|
55 |
55 |
$0.34 |
| 91315 |
|
25 |
25 |
$0.10 |
| 90672 |
|
15 |
15 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 91321 |
|
14 |
14 |
$0.00 |
| 99499 |
|
16 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90696 |
|
70 |
70 |
$0.00 |
| 3044F |
|
86 |
86 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |