| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,741 |
35,817 |
$2.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,133 |
10,555 |
$1.25M |
| 92551 |
|
17,424 |
15,989 |
$708K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,319 |
7,956 |
$596K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,629 |
7,350 |
$538K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,425 |
8,701 |
$431K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,933 |
5,418 |
$426K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,011 |
5,602 |
$400K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,665 |
5,047 |
$144K |
| D7140 |
Extraction, erupted tooth or exposed root |
905 |
450 |
$103K |
| 81025 |
|
13,812 |
11,922 |
$95K |
| 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 |
3,327 |
3,093 |
$78K |
| 99173 |
|
2,498 |
2,418 |
$75K |
| D0330 |
Panoramic radiographic image |
888 |
754 |
$75K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,419 |
1,287 |
$62K |
| 81002 |
|
13,803 |
10,902 |
$58K |
| 82962 |
|
7,968 |
5,938 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
481 |
433 |
$44K |
| D0274 |
Bitewings - four radiographic images |
770 |
695 |
$39K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
192 |
187 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
174 |
152 |
$25K |
| D1110 |
Prophylaxis - adult |
303 |
285 |
$22K |
| H1000 |
Prenatal care, at-risk assessment |
835 |
736 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
340 |
293 |
$20K |
| 99385 |
|
282 |
277 |
$20K |
| 99383 |
|
243 |
221 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
304 |
248 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
475 |
424 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
276 |
251 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
176 |
161 |
$11K |
| 99215 |
Prolong outpt/office vis |
50 |
47 |
$8K |
| 99384 |
|
106 |
89 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
52 |
50 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
46 |
$7K |
| 11721 |
|
2,694 |
1,971 |
$6K |
| 99381 |
|
82 |
79 |
$5K |
| 87210 |
|
644 |
602 |
$4K |
| 96373 |
|
249 |
233 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
119 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
48 |
46 |
$2K |
| 90619 |
|
60 |
33 |
$2K |
| D1120 |
Prophylaxis - child |
55 |
53 |
$993.60 |
| D0272 |
Bitewings - two radiographic images |
27 |
26 |
$940.04 |
| D1206 |
Topical application of fluoride varnish |
62 |
60 |
$919.08 |
| 90651 |
|
902 |
720 |
$898.25 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$880.10 |
| 90686 |
|
329 |
324 |
$842.91 |
| D9110 |
|
13 |
13 |
$838.20 |
| 85018 |
|
308 |
223 |
$610.35 |
| 90670 |
|
484 |
455 |
$492.39 |
| 83655 |
|
110 |
64 |
$426.88 |
| 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 |
62 |
43 |
$325.20 |
| 90715 |
|
118 |
70 |
$169.75 |
| 90633 |
|
198 |
148 |
$135.89 |
| 90710 |
|
79 |
45 |
$118.37 |
| 90734 |
|
189 |
116 |
$103.54 |
| 11720 |
|
47 |
25 |
$58.30 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
370 |
324 |
$40.57 |
| 90723 |
|
29 |
26 |
$26.96 |
| 90707 |
|
25 |
13 |
$24.24 |
| 90716 |
|
25 |
13 |
$8.11 |
| 90648 |
|
31 |
28 |
$5.58 |
| 90681 |
|
12 |
12 |
$5.45 |
| 90696 |
|
22 |
13 |
$0.07 |
| 90656 |
|
75 |
57 |
$0.00 |
| D0603 |
|
14 |
13 |
$0.00 |
| 90658 |
|
24 |
20 |
$0.00 |