| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,632 |
39,510 |
$2.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,600 |
26,024 |
$2.78M |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,519 |
8,870 |
$1.18M |
| D7140 |
Extraction, erupted tooth or exposed root |
1,315 |
415 |
$219K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,940 |
1,928 |
$169K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,523 |
1,521 |
$131K |
| 90791 |
Psychiatric diagnostic evaluation |
842 |
831 |
$122K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
853 |
836 |
$96K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,662 |
1,623 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
880 |
878 |
$78K |
| 92551 |
|
1,458 |
1,445 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
532 |
491 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,281 |
1,240 |
$48K |
| D0330 |
Panoramic radiographic image |
394 |
349 |
$42K |
| 90832 |
Psychotherapy, 30 minutes with patient |
588 |
467 |
$39K |
| D0220 |
Intraoral - periapical first radiographic image |
1,385 |
1,164 |
$37K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,519 |
444 |
$37K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
423 |
405 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
879 |
826 |
$29K |
| D1110 |
Prophylaxis - adult |
336 |
308 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
194 |
$27K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
312 |
275 |
$24K |
| D0274 |
Bitewings - four radiographic images |
408 |
377 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
261 |
256 |
$24K |
| 90837 |
Psychotherapy, 53 minutes with patient |
184 |
133 |
$22K |
| D0140 |
Limited oral evaluation - problem focused |
182 |
162 |
$14K |
| 92650 |
|
421 |
421 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
911 |
878 |
$12K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
398 |
168 |
$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 |
237 |
230 |
$7K |
| 99385 |
|
50 |
45 |
$7K |
| 99386 |
|
27 |
24 |
$6K |
| 99383 |
|
53 |
52 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
24 |
24 |
$4K |
| 99384 |
|
46 |
45 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
81 |
81 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
130 |
118 |
$3K |
| 96130 |
|
20 |
13 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
97 |
97 |
$3K |
| 99382 |
|
24 |
24 |
$2K |
| 96136 |
|
27 |
17 |
$1K |
| 96137 |
|
14 |
14 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$684.48 |
| 81025 |
|
97 |
94 |
$643.58 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$580.64 |
| 86803 |
|
41 |
41 |
$512.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
37 |
$489.88 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$338.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$201.76 |
| 80305 |
|
20 |
12 |
$201.60 |
| 87807 |
|
15 |
13 |
$157.20 |
| 83655 |
|
15 |
15 |
$145.20 |
| 90651 |
|
25 |
25 |
$133.75 |
| V2020 |
Frames, purchases |
26 |
26 |
$120.00 |
| 85018 |
|
41 |
41 |
$77.49 |
| 92015 |
Determination of refractive state |
71 |
71 |
$72.24 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$57.00 |
| 81003 |
|
28 |
27 |
$50.40 |