| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,493 |
11,471 |
$1.80M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
7,213 |
1,851 |
$1.37M |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,015 |
2,446 |
$1.11M |
| D0140 |
Limited oral evaluation - problem focused |
4,000 |
3,702 |
$559K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,518 |
2,225 |
$434K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,472 |
1,111 |
$398K |
| D0120 |
Periodic oral evaluation - established patient |
1,243 |
1,197 |
$157K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
918 |
856 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,162 |
991 |
$142K |
| 90834 |
Psychotherapy, 45 minutes with patient |
972 |
565 |
$121K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
525 |
484 |
$98K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
609 |
548 |
$90K |
| 99201 |
|
490 |
436 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
370 |
340 |
$78K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
429 |
403 |
$59K |
| 98940 |
|
339 |
130 |
$47K |
| 90832 |
Psychotherapy, 30 minutes with patient |
272 |
182 |
$41K |
| 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 |
742 |
583 |
$37K |
| H0031 |
Mental health assessment, by non-physician |
155 |
89 |
$34K |
| D7140 |
Extraction, erupted tooth or exposed root |
413 |
257 |
$31K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
171 |
169 |
$30K |
| D1110 |
Prophylaxis - adult |
1,068 |
1,013 |
$25K |
| D5899 |
|
91 |
63 |
$17K |
| D0330 |
Panoramic radiographic image |
701 |
650 |
$16K |
| X5622 |
|
371 |
183 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
91 |
68 |
$13K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
34 |
26 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
26 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
49 |
$5K |
| H0046 |
Mental health services, not otherwise specified |
4,079 |
1,291 |
$5K |
| 92015 |
Determination of refractive state |
1,517 |
1,382 |
$5K |
| 3725F |
|
136 |
79 |
$3K |
| D0274 |
Bitewings - four radiographic images |
1,852 |
1,761 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,860 |
2,622 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
4,751 |
4,271 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
12 |
$722.46 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,860 |
1,716 |
$669.81 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
16 |
$427.88 |
| 36415 |
Collection of venous blood by venipuncture |
2,908 |
2,534 |
$414.54 |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,124 |
2,424 |
$331.02 |
| 99406 |
|
228 |
204 |
$209.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
782 |
641 |
$181.30 |
| 99072 |
|
1,081 |
944 |
$126.39 |
| 90686 |
|
110 |
79 |
$67.90 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
42 |
38 |
$44.62 |
| 90656 |
|
38 |
34 |
$40.11 |
| 80061 |
Lipid panel |
788 |
738 |
$29.28 |
| D1208 |
Topical application of fluoride, excluding varnish |
411 |
385 |
$29.08 |
| 90756 |
|
309 |
267 |
$22.44 |
| 80053 |
Comprehensive metabolic panel |
721 |
674 |
$21.90 |
| D1120 |
Prophylaxis - child |
293 |
293 |
$19.64 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
699 |
293 |
$12.08 |
| 85018 |
|
65 |
44 |
$6.52 |
| 36416 |
|
132 |
103 |
$5.30 |
| 81001 |
|
390 |
339 |
$3.46 |
| 82465 |
|
41 |
34 |
$0.03 |
| 83718 |
|
40 |
34 |
$0.02 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
211 |
199 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
126 |
115 |
$0.00 |
| D1330 |
|
136 |
115 |
$0.00 |
| 81000 |
|
39 |
38 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
110 |
102 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
152 |
139 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
59 |
57 |
$0.00 |
| 92551 |
|
470 |
391 |
$0.00 |
| D0603 |
|
21 |
21 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
126 |
91 |
$0.00 |
| 97014 |
|
53 |
27 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
172 |
132 |
$0.00 |
| V5008 |
Hearing screening |
150 |
96 |
$0.00 |
| 86592 |
|
58 |
54 |
$0.00 |
| D1310 |
|
78 |
65 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
64 |
61 |
$0.00 |
| D0601 |
|
66 |
65 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
83 |
47 |
$0.00 |
| 90674 |
|
21 |
21 |
$0.00 |
| 0001A |
|
48 |
45 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
89 |
85 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16 |
15 |
$0.00 |
| 96127 |
|
15 |
13 |
$0.00 |
| 82270 |
|
14 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
305 |
271 |
$0.00 |
| 87210 |
|
45 |
39 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
109 |
101 |
$0.00 |
| 99173 |
|
499 |
373 |
$0.00 |
| 86703 |
|
196 |
168 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
106 |
88 |
$0.00 |
| 83721 |
|
40 |
34 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
83 |
57 |
$0.00 |
| 0002A |
|
30 |
30 |
$0.00 |
| 97813 |
|
55 |
12 |
$0.00 |
| 99188 |
|
36 |
18 |
$0.00 |
| 90461 |
|
60 |
38 |
$0.00 |
| 91300 |
|
89 |
79 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |