| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,473 |
13,600 |
$501K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,891 |
3,757 |
$192K |
| 99442 |
|
3,625 |
3,418 |
$126K |
| 99441 |
|
3,062 |
2,896 |
$63K |
| 90832 |
Psychotherapy, 30 minutes with patient |
787 |
677 |
$36K |
| 98968 |
|
701 |
542 |
$28K |
| 90674 |
|
755 |
750 |
$22K |
| 90686 |
|
1,849 |
1,840 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,125 |
2,075 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,607 |
1,574 |
$16K |
| 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 |
598 |
511 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,541 |
3,412 |
$8K |
| 0012A |
|
173 |
173 |
$7K |
| 98967 |
|
197 |
179 |
$6K |
| 0011A |
|
159 |
159 |
$6K |
| 82948 |
|
1,377 |
1,339 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
114 |
$5K |
| 80305 |
|
489 |
390 |
$5K |
| 36416 |
|
2,223 |
2,163 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
204 |
204 |
$3K |
| 97802 |
|
87 |
87 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 90688 |
|
195 |
193 |
$1K |
| 82274 |
|
96 |
96 |
$1K |
| 85018 |
|
912 |
898 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
108 |
89 |
$1K |
| 99188 |
|
140 |
138 |
$1K |
| 99173 |
|
684 |
677 |
$1K |
| 90633 |
|
121 |
119 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
14 |
$669.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
50 |
$600.43 |
| 0064A |
|
14 |
14 |
$560.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$552.10 |
| 90670 |
|
12 |
12 |
$530.22 |
| 92551 |
|
101 |
100 |
$400.02 |
| 90661 |
|
12 |
12 |
$385.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
93 |
93 |
$379.22 |
| 97803 |
|
13 |
12 |
$316.46 |
| 81025 |
|
54 |
51 |
$299.92 |
| 90651 |
|
39 |
39 |
$291.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$279.16 |
| 90713 |
|
16 |
16 |
$215.31 |
| 90734 |
|
13 |
13 |
$197.53 |
| 80061 |
Lipid panel |
12 |
12 |
$143.88 |
| 90715 |
|
12 |
12 |
$128.80 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$122.98 |
| 90744 |
|
12 |
12 |
$118.14 |
| 90656 |
|
27 |
27 |
$63.60 |
| 90672 |
|
14 |
14 |
$61.86 |
| 91301 |
|
340 |
331 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
17 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
58 |
27 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
38 |
38 |
$0.00 |
| 3074F |
|
17 |
17 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
139 |
134 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
32 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
17 |
16 |
$0.00 |
| 3078F |
|
19 |
16 |
$0.00 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$0.00 |
| D0330 |
Panoramic radiographic image |
15 |
14 |
$0.00 |