| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,638 |
18,010 |
$1.11M |
| T1015 |
Clinic visit/encounter, all-inclusive |
15,604 |
13,064 |
$293K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,826 |
1,493 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,752 |
1,405 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,343 |
1,237 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,090 |
1,783 |
$70K |
| D9999 |
Unspecified adjunctive procedure, by report |
1,671 |
1,346 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
490 |
448 |
$39K |
| 59425 |
|
610 |
419 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
277 |
243 |
$21K |
| 0012A |
|
639 |
478 |
$16K |
| 0011A |
|
638 |
480 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
385 |
348 |
$11K |
| 0002A |
|
344 |
322 |
$11K |
| 0001A |
|
317 |
297 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
127 |
115 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,508 |
1,278 |
$8K |
| 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 |
548 |
349 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
169 |
137 |
$7K |
| 0064A |
|
294 |
262 |
$7K |
| 90686 |
|
2,731 |
2,429 |
$5K |
| D1206 |
Topical application of fluoride varnish |
243 |
237 |
$4K |
| 96156 |
|
263 |
216 |
$4K |
| 81025 |
|
894 |
783 |
$4K |
| D1110 |
Prophylaxis - adult |
87 |
83 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
363 |
271 |
$4K |
| 0004A |
|
111 |
101 |
$3K |
| 0072A |
|
90 |
90 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
307 |
106 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
135 |
129 |
$3K |
| 0031A |
|
128 |
103 |
$3K |
| 99188 |
|
461 |
427 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
26 |
$3K |
| 59430 |
|
17 |
12 |
$3K |
| 81002 |
|
1,311 |
863 |
$2K |
| 99383 |
|
26 |
26 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
60 |
58 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
24 |
$2K |
| 99384 |
|
28 |
28 |
$2K |
| 0071A |
|
58 |
58 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
182 |
166 |
$2K |
| 99460 |
|
29 |
28 |
$2K |
| D0330 |
Panoramic radiographic image |
34 |
31 |
$2K |
| 90674 |
|
91 |
69 |
$2K |
| 99385 |
|
17 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
82 |
80 |
$1K |
| 96158 |
|
69 |
53 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
143 |
$1K |
| 90688 |
|
132 |
117 |
$1K |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$882.24 |
| 90656 |
|
274 |
265 |
$816.15 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$667.55 |
| D1120 |
Prophylaxis - child |
27 |
26 |
$621.00 |
| 0124A |
|
31 |
15 |
$442.80 |
| 0034A |
|
31 |
12 |
$372.10 |
| 90670 |
|
807 |
733 |
$350.27 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
224 |
174 |
$120.48 |
| 90474 |
|
14 |
13 |
$112.00 |
| 82962 |
|
53 |
46 |
$71.59 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
422 |
342 |
$51.32 |
| 90698 |
|
218 |
203 |
$16.15 |
| 90681 |
|
83 |
75 |
$0.04 |
| 90651 |
|
115 |
111 |
$0.03 |
| 90744 |
|
68 |
65 |
$0.03 |
| 90648 |
|
14 |
12 |
$0.02 |
| 90633 |
|
178 |
165 |
$0.00 |
| 90710 |
|
30 |
28 |
$0.00 |
| 83655 |
|
14 |
12 |
$0.00 |
| 90677 |
|
283 |
259 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
981 |
942 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90697 |
|
331 |
300 |
$0.00 |
| 85018 |
|
14 |
12 |
$0.00 |