| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243,306 |
163,386 |
$15.92M |
| 90832 |
Psychotherapy, 30 minutes with patient |
44,877 |
22,792 |
$3.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,879 |
28,822 |
$2.05M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25,688 |
18,211 |
$1.52M |
| 90834 |
Psychotherapy, 45 minutes with patient |
13,657 |
7,553 |
$1.31M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
23,850 |
16,576 |
$1.24M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20,538 |
14,807 |
$1.08M |
| D0120 |
Periodic oral evaluation - established patient |
45,807 |
13,693 |
$928K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,781 |
9,112 |
$791K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
10,105 |
7,748 |
$745K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13,783 |
9,927 |
$720K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61,062 |
43,275 |
$678K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
7,174 |
5,497 |
$578K |
| D0140 |
Limited oral evaluation - problem focused |
20,498 |
7,658 |
$522K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
12,478 |
5,895 |
$516K |
| 99441 |
|
12,597 |
9,904 |
$487K |
| D1110 |
Prophylaxis - adult |
15,042 |
12,473 |
$470K |
| D0230 |
Intraoral - periapical each additional radiographic image |
36,970 |
17,900 |
$445K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,409 |
4,318 |
$423K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
14,308 |
5,584 |
$398K |
| 99442 |
|
8,083 |
5,954 |
$370K |
| D0274 |
Bitewings - four radiographic images |
16,428 |
11,779 |
$320K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,515 |
3,135 |
$314K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
11,891 |
3,608 |
$279K |
| 99443 |
|
5,170 |
2,485 |
$237K |
| D1120 |
Prophylaxis - child |
7,304 |
4,046 |
$224K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,550 |
2,386 |
$219K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,238 |
16,042 |
$158K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,354 |
1,337 |
$151K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,399 |
1,077 |
$149K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,989 |
1,119 |
$147K |
| 90461 |
|
11,105 |
11,090 |
$135K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,308 |
1,777 |
$125K |
| 90686 |
|
29,089 |
29,036 |
$117K |
| 90791 |
Psychiatric diagnostic evaluation |
1,073 |
918 |
$116K |
| 97162 |
|
1,335 |
1,045 |
$112K |
| 76830 |
Ultrasound, transvaginal |
1,090 |
1,082 |
$89K |
| 81025 |
|
20,449 |
19,956 |
$87K |
| 97802 |
|
2,434 |
2,430 |
$80K |
| 90837 |
Psychotherapy, 53 minutes with patient |
768 |
430 |
$78K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,671 |
1,421 |
$78K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
618 |
358 |
$69K |
| D1206 |
Topical application of fluoride varnish |
2,629 |
2,623 |
$65K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,538 |
4,538 |
$61K |
| D0330 |
Panoramic radiographic image |
2,626 |
2,299 |
$58K |
| 97161 |
|
693 |
544 |
$56K |
| 92002 |
|
946 |
491 |
$55K |
| 86328 |
|
1,932 |
1,911 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,972 |
5,930 |
$54K |
| 81002 |
|
28,777 |
24,236 |
$52K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,156 |
706 |
$47K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,491 |
585 |
$39K |
| D9996 |
|
1,112 |
581 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,847 |
5,812 |
$36K |
| D0210 |
Intraoral - complete series of radiographic images |
2,151 |
2,037 |
$35K |
| 90746 |
|
644 |
639 |
$32K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,092 |
611 |
$31K |
| D1330 |
|
12,679 |
11,754 |
$27K |
| D0270 |
|
3,120 |
3,086 |
$26K |
| 90715 |
|
1,000 |
995 |
$22K |
| 59430 |
|
169 |
121 |
$22K |
| D0220 |
Intraoral - periapical first radiographic image |
2,285 |
2,210 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
237 |
236 |
$21K |
| 99215 |
Prolong outpt/office vis |
256 |
231 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,636 |
1,588 |
$20K |
| D0190 |
|
4,859 |
4,682 |
$18K |
| 92015 |
Determination of refractive state |
3,542 |
3,402 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
432 |
424 |
$16K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
221 |
152 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
203 |
200 |
$11K |
| 97803 |
|
492 |
488 |
$11K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
259 |
130 |
$11K |
| 82962 |
|
9,565 |
9,194 |
$11K |
| 99201 |
|
142 |
80 |
$11K |
| 0012A |
|
452 |
452 |
$10K |
| 90670 |
|
4,813 |
4,804 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,373 |
1,368 |
$10K |
| D0603 |
|
2,357 |
2,331 |
$9K |
| 0011A |
|
541 |
540 |
$9K |
| D1351 |
Sealant - per tooth |
171 |
76 |
$9K |
| 93000 |
|
566 |
565 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
98 |
98 |
$8K |
| D0272 |
Bitewings - two radiographic images |
586 |
540 |
$8K |
| 76642 |
|
114 |
112 |
$7K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
7,407 |
7,129 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
354 |
354 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,214 |
1,200 |
$7K |
| S9083 |
Global fee urgent care centers |
282 |
278 |
$7K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
1,114 |
1,107 |
$6K |
| 90656 |
|
1,281 |
1,279 |
$6K |
| D0602 |
|
3,641 |
3,641 |
$6K |
| 90651 |
|
1,728 |
1,720 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
435 |
435 |
$5K |
| 36416 |
|
12,538 |
12,161 |
$5K |
| 99385 |
|
48 |
41 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
501 |
501 |
$4K |
| 85018 |
|
2,377 |
2,370 |
$4K |
| 3074F |
|
8,000 |
7,750 |
$4K |
| 3078F |
|
7,443 |
7,225 |
$4K |
| 0501F |
|
17,450 |
12,976 |
$4K |
| D0170 |
|
201 |
123 |
$4K |
| 99429 |
|
447 |
381 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
41 |
41 |
$3K |
| 90674 |
|
162 |
162 |
$3K |
| 92551 |
|
850 |
850 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,826 |
2,788 |
$3K |
| 86703 |
|
265 |
264 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
44 |
24 |
$3K |
| 92250 |
|
86 |
80 |
$2K |
| 0002A |
|
228 |
228 |
$2K |
| 86481 |
|
51 |
51 |
$2K |
| 99381 |
|
22 |
13 |
$2K |
| 0001A |
|
277 |
277 |
$2K |
| 77065 |
Tomosynthesis, mammo |
14 |
14 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
191 |
133 |
$1K |
| 90677 |
|
210 |
209 |
$1K |
| 99188 |
|
183 |
183 |
$1K |
| 96156 |
|
127 |
127 |
$1K |
| 92082 |
|
29 |
29 |
$1K |
| 3079F |
|
2,805 |
2,753 |
$1K |
| 90620 |
|
456 |
453 |
$1K |
| 90688 |
|
44 |
44 |
$767.16 |
| 99173 |
|
468 |
468 |
$745.84 |
| 99401 |
|
29 |
29 |
$725.00 |
| 90697 |
|
68 |
68 |
$723.10 |
| 0031A |
|
24 |
24 |
$610.00 |
| 87807 |
|
147 |
147 |
$603.53 |
| 87210 |
|
157 |
156 |
$573.13 |
| 20551 |
|
18 |
15 |
$572.10 |
| 3075F |
|
1,166 |
1,144 |
$540.00 |
| 90633 |
|
2,113 |
2,111 |
$537.96 |
| 0013A |
|
14 |
14 |
$485.84 |
| D7140 |
Extraction, erupted tooth or exposed root |
14 |
13 |
$475.84 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
64 |
64 |
$475.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
86 |
$460.24 |
| 1159F |
|
78,426 |
74,325 |
$457.28 |
| 73562 |
|
12 |
12 |
$433.78 |
| 0004A |
|
15 |
15 |
$414.38 |
| 90734 |
|
722 |
720 |
$408.81 |
| 1160F |
|
77,705 |
73,637 |
$357.13 |
| 73630 |
|
13 |
12 |
$341.66 |
| 90662 |
|
37 |
37 |
$305.54 |
| 3077F |
|
1,092 |
1,045 |
$291.50 |
| 90716 |
|
63 |
63 |
$285.00 |
| 88142 |
|
14 |
14 |
$205.09 |
| 96161 |
|
892 |
861 |
$174.09 |
| 94760 |
|
350 |
348 |
$117.99 |
| 96127 |
|
52 |
52 |
$113.09 |
| 90681 |
|
384 |
384 |
$107.10 |
| 0500F |
|
124 |
124 |
$100.00 |
| 1126F |
|
15,207 |
14,450 |
$62.76 |
| 90707 |
|
62 |
62 |
$56.00 |
| 4004F |
|
2,359 |
2,235 |
$53.62 |
| 3008F |
|
117,384 |
110,353 |
$30.06 |
| 1036F |
|
67,455 |
61,654 |
$20.04 |
| 3044F |
|
43 |
43 |
$20.00 |
| 90474 |
|
12 |
12 |
$12.35 |
| 1125F |
|
1,124 |
1,096 |
$10.00 |
| 91300 |
|
407 |
370 |
$0.19 |
| 3725F |
|
83,771 |
76,885 |
$0.05 |
| 91301 |
|
847 |
837 |
$0.03 |
| 3512F |
|
1,110 |
1,104 |
$0.00 |
| 90723 |
|
1,640 |
1,640 |
$0.00 |
| 3072F |
|
37 |
37 |
$0.00 |
| 3514F |
|
996 |
989 |
$0.00 |
| 90647 |
|
1,643 |
1,642 |
$0.00 |
| D0601 |
|
184 |
184 |
$0.00 |
| 90619 |
|
145 |
144 |
$0.00 |
| 3496F |
|
69 |
66 |
$0.00 |
| 3080F |
|
200 |
190 |
$0.00 |
| 99000 |
|
260 |
258 |
$0.00 |
| 90696 |
|
49 |
49 |
$0.00 |
| 91303 |
|
19 |
19 |
$0.00 |
| 1220F |
|
75 |
74 |
$0.00 |
| 0503F |
|
15 |
14 |
$0.00 |
| 3511F |
|
4,381 |
4,352 |
$0.00 |
| 0502F |
|
15,460 |
11,152 |
$0.00 |
| 3513F |
|
1,004 |
997 |
$0.00 |
| 99001 |
|
583 |
574 |
$0.00 |
| 99080 |
|
1,042 |
184 |
$0.00 |
| 90685 |
|
174 |
173 |
$0.00 |
| D1999 |
|
728 |
643 |
$0.00 |
| 3502F |
|
55 |
53 |
$0.00 |
| 90710 |
|
88 |
88 |
$0.00 |
| 2022F |
|
82 |
81 |
$0.00 |
| 99499 |
|
247 |
185 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 90672 |
|
44 |
44 |
$0.00 |
| 1039F |
|
38 |
38 |
$0.00 |
| 96160 |
|
59 |
59 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$0.00 |
| 91321 |
|
18 |
18 |
$0.00 |