| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,773 |
56,584 |
$2.15M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,734 |
8,523 |
$649K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,574 |
13,126 |
$564K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,211 |
12,921 |
$548K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,910 |
6,574 |
$541K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,118 |
7,224 |
$474K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,516 |
14,767 |
$364K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,772 |
3,823 |
$351K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,627 |
2,729 |
$211K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,722 |
2,352 |
$187K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,340 |
12,898 |
$157K |
| 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 |
13,716 |
8,988 |
$107K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,750 |
9,317 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,756 |
5,265 |
$84K |
| 99177 |
|
15,001 |
12,333 |
$80K |
| D1120 |
Prophylaxis - child |
2,473 |
2,244 |
$70K |
| D0330 |
Panoramic radiographic image |
2,436 |
2,155 |
$68K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,465 |
3,332 |
$67K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,397 |
2,368 |
$60K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,675 |
1,161 |
$60K |
| 96127 |
|
20,289 |
16,140 |
$55K |
| 3078F |
|
95,079 |
57,126 |
$53K |
| D1206 |
Topical application of fluoride varnish |
3,091 |
2,787 |
$53K |
| 81002 |
|
33,488 |
26,121 |
$52K |
| 99381 |
|
722 |
659 |
$51K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,577 |
2,302 |
$51K |
| 92558 |
|
13,969 |
11,993 |
$48K |
| 3008F |
|
122,013 |
95,625 |
$43K |
| 99441 |
|
3,856 |
2,757 |
$38K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
3,205 |
2,735 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
546 |
449 |
$34K |
| 1126F |
|
37,468 |
31,803 |
$30K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
746 |
457 |
$28K |
| 81025 |
|
7,251 |
6,059 |
$28K |
| 1159F |
|
31,243 |
26,308 |
$27K |
| H0049 |
Alcohol and/or drug screening |
24,758 |
19,107 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
575 |
482 |
$26K |
| 99383 |
|
345 |
276 |
$25K |
| 81003 |
|
18,203 |
14,630 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
1,004 |
954 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,467 |
3,442 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,022 |
7,070 |
$22K |
| 82962 |
|
17,873 |
12,625 |
$21K |
| 3079F |
|
36,213 |
28,733 |
$21K |
| S9470 |
Nutritional counseling, dietitian visit |
41,349 |
32,109 |
$20K |
| 99406 |
|
4,091 |
2,807 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,857 |
1,301 |
$18K |
| 3077F |
|
26,355 |
20,131 |
$17K |
| 96160 |
|
7,599 |
6,082 |
$16K |
| D7140 |
Extraction, erupted tooth or exposed root |
241 |
127 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,775 |
1,354 |
$16K |
| 90461 |
|
10,893 |
8,627 |
$15K |
| 99173 |
|
5,779 |
4,875 |
$14K |
| 0011A |
|
681 |
433 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
271 |
238 |
$12K |
| 99384 |
|
167 |
132 |
$12K |
| 3080F |
|
16,417 |
13,039 |
$11K |
| 36416 |
|
20,085 |
13,540 |
$11K |
| 11721 |
|
1,525 |
1,095 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
495 |
299 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
306 |
270 |
$10K |
| 3075F |
|
20,573 |
16,426 |
$10K |
| 3074F |
|
45,409 |
35,084 |
$9K |
| 0012A |
|
404 |
249 |
$8K |
| 99382 |
|
108 |
96 |
$7K |
| D1110 |
Prophylaxis - adult |
199 |
177 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
80 |
$7K |
| 99385 |
|
85 |
72 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
151 |
136 |
$6K |
| 99215 |
Prolong outpt/office vis |
159 |
112 |
$5K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,465 |
925 |
$5K |
| 90686 |
|
1,510 |
1,196 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
98 |
70 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
153 |
143 |
$3K |
| 1125F |
|
3,340 |
2,871 |
$3K |
| 99201 |
|
156 |
139 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
51 |
32 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
127 |
96 |
$2K |
| 92587 |
|
637 |
457 |
$2K |
| 1111F |
|
4,153 |
3,227 |
$2K |
| 11056 |
|
152 |
109 |
$2K |
| 85018 |
|
867 |
745 |
$2K |
| 87430 |
|
204 |
187 |
$2K |
| 3044F |
|
4,603 |
3,567 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,384 |
1,147 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
16 |
$2K |
| 87210 |
|
657 |
500 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,200 |
3,569 |
$1K |
| 96161 |
|
644 |
518 |
$1K |
| 0500F |
|
485 |
451 |
$1K |
| 99442 |
|
77 |
57 |
$962.48 |
| D0274 |
Bitewings - four radiographic images |
42 |
42 |
$941.56 |
| 71046 |
Radiologic examination, chest; 2 views |
253 |
129 |
$872.38 |
| 99490 |
Ccm add 20min |
341 |
198 |
$806.28 |
| 90473 |
|
266 |
230 |
$615.31 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
100 |
59 |
$595.32 |
| 90474 |
|
92 |
84 |
$502.49 |
| 97750 |
|
109 |
86 |
$476.96 |
| G0008 |
Administration of influenza virus vaccine |
142 |
93 |
$454.02 |
| 90785 |
|
173 |
102 |
$376.23 |
| 90694 |
|
25 |
12 |
$362.79 |
| 92228 |
|
18 |
12 |
$330.49 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
160 |
96 |
$320.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
515 |
483 |
$305.30 |
| 71045 |
Radiologic examination, chest; single view |
62 |
52 |
$253.17 |
| 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 |
35 |
26 |
$247.13 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$241.22 |
| 90653 |
|
805 |
602 |
$210.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
36 |
12 |
$137.70 |
| 88142 |
|
107 |
85 |
$132.31 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
33 |
24 |
$109.11 |
| 90677 |
|
907 |
785 |
$105.00 |
| 82948 |
|
111 |
86 |
$94.32 |
| 92551 |
|
7,199 |
6,165 |
$71.02 |
| 0502F |
|
10,799 |
7,906 |
$65.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
13 |
$65.00 |
| 86703 |
|
241 |
205 |
$41.86 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,902 |
1,744 |
$32.29 |
| 99000 |
|
5,227 |
3,920 |
$13.27 |
| 1170F |
|
122 |
88 |
$10.00 |
| 90656 |
|
1,904 |
1,787 |
$6.47 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,990 |
3,244 |
$5.66 |
| 91301 |
|
835 |
529 |
$1.19 |
| 83655 |
|
159 |
150 |
$0.73 |
| 90715 |
|
694 |
576 |
$0.61 |
| 86803 |
|
192 |
160 |
$0.44 |
| 90688 |
|
676 |
509 |
$0.44 |
| 0503F |
|
97 |
85 |
$0.33 |
| 90651 |
|
3,473 |
2,844 |
$0.31 |
| 90697 |
|
1,474 |
1,275 |
$0.29 |
| 90670 |
|
7,259 |
6,450 |
$0.24 |
| 99408 |
|
165 |
111 |
$0.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
19 |
$0.18 |
| 90632 |
|
2,046 |
1,742 |
$0.16 |
| 3725F |
|
101,559 |
78,380 |
$0.14 |
| 90648 |
|
1,484 |
1,398 |
$0.11 |
| 90734 |
|
1,650 |
1,330 |
$0.10 |
| 3288F |
|
27,998 |
20,547 |
$0.09 |
| 90723 |
|
2,383 |
2,087 |
$0.09 |
| 1101F |
|
31,176 |
22,975 |
$0.09 |
| 99401 |
|
142 |
85 |
$0.08 |
| 87340 |
|
180 |
148 |
$0.07 |
| 90681 |
|
1,333 |
1,216 |
$0.06 |
| 90647 |
|
1,059 |
826 |
$0.06 |
| 87420 |
|
17 |
15 |
$0.05 |
| 90710 |
|
2,624 |
2,061 |
$0.04 |
| 90633 |
|
1,911 |
1,781 |
$0.03 |
| 90698 |
|
2,194 |
1,980 |
$0.03 |
| 90680 |
|
805 |
690 |
$0.02 |
| 90696 |
|
904 |
672 |
$0.02 |
| 90707 |
|
1,003 |
935 |
$0.01 |
| 90700 |
|
24 |
24 |
$0.01 |
| 90716 |
|
976 |
906 |
$0.01 |
| H0033 |
Oral medication administration, direct observation |
35 |
30 |
$0.01 |
| 99072 |
|
4,645 |
3,495 |
$0.00 |
| D1999 |
|
72 |
68 |
$0.00 |
| 3050F |
|
457 |
363 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,099 |
940 |
$0.00 |
| 1100F |
|
524 |
314 |
$0.00 |
| 3045F |
|
56 |
41 |
$0.00 |
| 3046F |
|
64 |
51 |
$0.00 |
| 90863 |
|
22 |
17 |
$0.00 |
| 90672 |
|
50 |
44 |
$0.00 |
| 1034F |
|
1,772 |
1,444 |
$0.00 |
| D1310 |
|
2,433 |
2,243 |
$0.00 |
| 3048F |
|
3,375 |
2,825 |
$0.00 |
| 0501F |
|
166 |
157 |
$0.00 |
| D1330 |
|
3,347 |
3,040 |
$0.00 |
| 1036F |
|
8,138 |
6,707 |
$0.00 |
| 3049F |
|
963 |
809 |
$0.00 |
| 90657 |
|
49 |
48 |
$0.00 |
| 3014F |
|
13 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
56 |
48 |
$0.00 |
| 90674 |
|
85 |
82 |
$0.00 |
| 90620 |
|
35 |
30 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90660 |
|
14 |
14 |
$0.00 |