| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,814 |
23,955 |
$2.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,077 |
11,987 |
$850K |
| D0999 |
Unspecified diagnostic procedure, by report |
3,491 |
3,100 |
$364K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,054 |
6,408 |
$183K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,265 |
1,147 |
$119K |
| D0140 |
Limited oral evaluation - problem focused |
644 |
625 |
$39K |
| 99307 |
|
1,828 |
1,486 |
$37K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,164 |
1,049 |
$36K |
| D1110 |
Prophylaxis - adult |
826 |
792 |
$27K |
| D1120 |
Prophylaxis - child |
1,137 |
1,129 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
1,660 |
1,614 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
167 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
180 |
143 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
221 |
150 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
972 |
855 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
136 |
131 |
$13K |
| D0330 |
Panoramic radiographic image |
530 |
443 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
772 |
673 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
81 |
$9K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
216 |
181 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
52 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
64 |
59 |
$6K |
| D0274 |
Bitewings - four radiographic images |
673 |
610 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
41 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
26 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
64 |
56 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
99 |
87 |
$2K |
| 99173 |
|
462 |
416 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
58 |
55 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
492 |
326 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
577 |
560 |
$999.18 |
| 36415 |
Collection of venous blood by venipuncture |
6,191 |
5,324 |
$971.34 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
12 |
$768.58 |
| D1206 |
Topical application of fluoride varnish |
1,793 |
1,733 |
$749.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
257 |
195 |
$637.75 |
| 92551 |
|
197 |
182 |
$582.03 |
| 96127 |
|
451 |
365 |
$504.02 |
| 90686 |
|
237 |
153 |
$417.99 |
| 90674 |
|
312 |
200 |
$261.96 |
| 90688 |
|
67 |
60 |
$260.94 |
| D0272 |
Bitewings - two radiographic images |
148 |
147 |
$200.00 |
| 3008F |
|
6,316 |
5,105 |
$115.82 |
| 1036F |
|
2,379 |
1,829 |
$113.93 |
| 36416 |
|
191 |
147 |
$28.00 |
| 81025 |
|
53 |
48 |
$23.88 |
| 92552 |
|
14 |
13 |
$22.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
673 |
577 |
$15.08 |
| 81002 |
|
901 |
775 |
$3.66 |
| 99001 |
|
1,124 |
900 |
$0.00 |
| 1159F |
|
6,373 |
5,059 |
$0.00 |
| 4013F |
|
944 |
757 |
$0.00 |
| 1160F |
|
6,373 |
5,059 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
194 |
$0.00 |
| 3725F |
|
8,596 |
6,951 |
$0.00 |
| 4004F |
|
430 |
360 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
34 |
24 |
$0.00 |
| 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 |
12,447 |
11,502 |
$0.00 |
| 1220F |
|
10,158 |
8,254 |
$0.00 |
| 99000 |
|
282 |
237 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
86 |
70 |
$0.00 |
| 1101F |
|
291 |
218 |
$0.00 |
| 1126F |
|
112 |
90 |
$0.00 |
| 1125F |
|
81 |
63 |
$0.00 |
| 1034F |
|
331 |
237 |
$0.00 |
| 36410 |
|
28 |
25 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
16 |
12 |
$0.00 |