| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113,424 |
96,744 |
$5.19M |
| H1000 |
Prenatal care, at-risk assessment |
21,429 |
18,384 |
$1.37M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,318 |
14,569 |
$1.17M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,480 |
13,490 |
$1.11M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,700 |
8,233 |
$577K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,003 |
7,263 |
$452K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,015 |
4,701 |
$328K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,562 |
6,056 |
$280K |
| 59430 |
|
1,686 |
1,597 |
$104K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,096 |
1,003 |
$71K |
| 99385 |
|
841 |
794 |
$59K |
| 99188 |
|
5,954 |
5,614 |
$46K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,324 |
5,741 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
493 |
476 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
615 |
582 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
955 |
950 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
378 |
366 |
$25K |
| 0002A |
|
828 |
674 |
$22K |
| 0001A |
|
841 |
691 |
$20K |
| 99386 |
|
242 |
226 |
$20K |
| D1330 |
|
1,193 |
1,179 |
$19K |
| 99201 |
|
387 |
365 |
$16K |
| 59515 |
|
14 |
14 |
$13K |
| 81025 |
|
5,714 |
5,450 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
170 |
167 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
378 |
358 |
$9K |
| 85018 |
|
15,546 |
14,684 |
$9K |
| 99477 |
|
38 |
37 |
$9K |
| D0272 |
Bitewings - two radiographic images |
349 |
347 |
$9K |
| 90686 |
|
9,984 |
9,638 |
$8K |
| 99381 |
|
111 |
107 |
$8K |
| 0071A |
|
356 |
294 |
$8K |
| 0072A |
|
331 |
272 |
$7K |
| 91300 |
|
1,565 |
1,150 |
$7K |
| D1206 |
Topical application of fluoride varnish |
1,109 |
1,105 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,730 |
21,171 |
$6K |
| 99235 |
|
57 |
49 |
$6K |
| 81002 |
|
20,226 |
17,578 |
$5K |
| D1351 |
Sealant - per tooth |
371 |
90 |
$4K |
| 82962 |
|
5,112 |
4,493 |
$4K |
| 99215 |
Prolong outpt/office vis |
57 |
53 |
$4K |
| 90474 |
|
1,661 |
1,615 |
$4K |
| D1110 |
Prophylaxis - adult |
287 |
286 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,866 |
10,592 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
41 |
$3K |
| 99460 |
|
69 |
68 |
$3K |
| 0012A |
|
67 |
67 |
$3K |
| 90688 |
|
805 |
786 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
45 |
41 |
$2K |
| 0011A |
|
75 |
75 |
$2K |
| 0031A |
|
55 |
55 |
$2K |
| D0274 |
Bitewings - four radiographic images |
170 |
170 |
$2K |
| 91301 |
|
83 |
80 |
$2K |
| 99462 |
|
57 |
44 |
$2K |
| 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 |
1,557 |
1,499 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
18 |
$1K |
| 90670 |
|
9,348 |
8,931 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
30 |
30 |
$1K |
| 90633 |
|
2,522 |
2,409 |
$1K |
| D1120 |
Prophylaxis - child |
648 |
646 |
$1K |
| 0003A |
|
45 |
40 |
$1K |
| 93000 |
|
508 |
472 |
$984.80 |
| 90698 |
|
6,254 |
5,944 |
$964.08 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
31 |
26 |
$720.00 |
| 90651 |
|
1,249 |
1,188 |
$711.50 |
| 90744 |
|
2,318 |
2,238 |
$704.50 |
| D0220 |
Intraoral - periapical first radiographic image |
105 |
105 |
$620.46 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
143 |
133 |
$535.30 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$483.92 |
| 90685 |
|
319 |
307 |
$445.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
57 |
$327.69 |
| 90680 |
|
4,373 |
4,173 |
$282.78 |
| 90707 |
|
594 |
563 |
$190.00 |
| 97803 |
|
32,676 |
29,085 |
$170.94 |
| 3008F |
|
24,002 |
21,125 |
$135.63 |
| 90734 |
|
586 |
547 |
$135.00 |
| 90696 |
|
205 |
198 |
$125.00 |
| 36415 |
Collection of venous blood by venipuncture |
12,227 |
11,065 |
$108.41 |
| 1035F |
|
380 |
321 |
$96.26 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
33,956 |
29,978 |
$94.51 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$80.00 |
| 90715 |
|
136 |
132 |
$70.00 |
| 90620 |
|
301 |
299 |
$60.00 |
| 90716 |
|
592 |
562 |
$55.00 |
| 3074F |
|
32,931 |
28,406 |
$54.09 |
| 96127 |
|
411 |
302 |
$52.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$51.78 |
| 90648 |
|
173 |
170 |
$40.00 |
| 87070 |
|
12 |
12 |
$38.25 |
| 90710 |
|
200 |
195 |
$35.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$30.00 |
| 1126F |
|
12,858 |
11,639 |
$30.00 |
| 3078F |
|
29,829 |
25,811 |
$5.00 |
| 91307 |
|
559 |
419 |
$0.01 |
| 1036F |
|
17,196 |
14,945 |
$0.00 |
| 3049F |
|
1,060 |
903 |
$0.00 |
| 3048F |
|
2,317 |
1,979 |
$0.00 |
| 3079F |
|
8,777 |
7,597 |
$0.00 |
| 3075F |
|
4,029 |
3,513 |
$0.00 |
| 3044F |
|
3,347 |
2,867 |
$0.00 |
| 3080F |
|
1,400 |
1,163 |
$0.00 |
| 1170F |
|
1,877 |
1,703 |
$0.00 |
| 1125F |
|
1,112 |
1,016 |
$0.00 |
| 3017F |
|
350 |
336 |
$0.00 |
| 1034F |
|
511 |
446 |
$0.00 |
| 97802 |
|
600 |
593 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
210 |
200 |
$0.00 |
| 99406 |
|
60 |
56 |
$0.00 |
| 90656 |
|
22 |
22 |
$0.00 |
| 3052F |
|
14 |
13 |
$0.00 |
| 4010F |
|
17 |
13 |
$0.00 |
| 1160F |
|
19,657 |
17,353 |
$0.00 |
| 3725F |
|
15,494 |
13,588 |
$0.00 |
| 96160 |
|
615 |
562 |
$0.00 |
| 3077F |
|
3,037 |
2,544 |
$0.00 |
| 1159F |
|
13,957 |
12,295 |
$0.00 |
| 3288F |
|
7,508 |
6,586 |
$0.00 |
| 3050F |
|
804 |
655 |
$0.00 |
| 2028F |
|
707 |
639 |
$0.00 |
| 90700 |
|
425 |
418 |
$0.00 |
| 90649 |
|
26 |
25 |
$0.00 |
| 3046F |
|
133 |
107 |
$0.00 |
| 3045F |
|
20 |
13 |
$0.00 |