| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
155,884 |
140,935 |
$907K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64,197 |
60,193 |
$186K |
| 96160 |
|
8,520 |
7,974 |
$154K |
| S9083 |
Global fee urgent care centers |
2,300 |
2,223 |
$111K |
| D1110 |
Prophylaxis - adult |
4,080 |
3,820 |
$103K |
| D0272 |
Bitewings - two radiographic images |
4,235 |
3,936 |
$59K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,993 |
2,799 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,932 |
9,153 |
$52K |
| 99441 |
|
14,706 |
13,840 |
$50K |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,717 |
17,018 |
$38K |
| D0330 |
Panoramic radiographic image |
1,375 |
1,330 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,985 |
6,753 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
2,893 |
2,686 |
$34K |
| 90461 |
|
2,535 |
703 |
$33K |
| 93000 |
|
5,444 |
5,114 |
$28K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,868 |
1,676 |
$26K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
865 |
595 |
$25K |
| 99442 |
|
8,771 |
8,040 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,954 |
468 |
$22K |
| D7140 |
Extraction, erupted tooth or exposed root |
831 |
585 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,867 |
1,093 |
$19K |
| D1999 |
|
1,314 |
1,190 |
$18K |
| 76641 |
|
691 |
664 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
3,979 |
3,938 |
$17K |
| D1120 |
Prophylaxis - child |
833 |
763 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
678 |
156 |
$13K |
| D0140 |
Limited oral evaluation - problem focused |
809 |
785 |
$13K |
| D2140 |
|
467 |
345 |
$10K |
| 0072A |
|
231 |
231 |
$9K |
| D2160 |
|
257 |
218 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
328 |
314 |
$9K |
| 92002 |
|
626 |
620 |
$8K |
| 0071A |
|
194 |
194 |
$8K |
| 92015 |
Determination of refractive state |
654 |
646 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
1,114 |
1,076 |
$7K |
| 76830 |
Ultrasound, transvaginal |
113 |
101 |
$7K |
| 99050 |
|
6,496 |
6,235 |
$6K |
| D2330 |
|
199 |
130 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
264 |
245 |
$4K |
| 97802 |
|
523 |
460 |
$4K |
| 92100 |
|
657 |
648 |
$4K |
| 0004A |
|
102 |
102 |
$4K |
| 76536 |
|
72 |
67 |
$4K |
| 90700 |
|
1,016 |
375 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
75 |
71 |
$3K |
| 72100 |
|
106 |
97 |
$3K |
| 0002A |
|
65 |
46 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
884 |
856 |
$3K |
| 90658 |
|
1,324 |
534 |
$3K |
| 90713 |
|
595 |
224 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,196 |
1,118 |
$2K |
| 97803 |
|
334 |
288 |
$2K |
| 90648 |
|
576 |
190 |
$2K |
| 99215 |
Prolong outpt/office vis |
728 |
704 |
$2K |
| 90670 |
|
451 |
178 |
$2K |
| 90633 |
|
452 |
167 |
$2K |
| 90649 |
|
578 |
204 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
448 |
435 |
$2K |
| D7250 |
|
28 |
12 |
$2K |
| D1351 |
Sealant - per tooth |
85 |
21 |
$1K |
| 90716 |
|
319 |
115 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
70 |
70 |
$1K |
| 90715 |
|
378 |
121 |
$1K |
| 72040 |
|
33 |
26 |
$983.75 |
| 76770 |
|
12 |
12 |
$980.34 |
| 90707 |
|
250 |
89 |
$880.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
12 |
$835.08 |
| 96127 |
|
6,974 |
6,792 |
$720.72 |
| 92250 |
|
127 |
125 |
$687.80 |
| D2940 |
|
36 |
31 |
$662.38 |
| D0230 |
Intraoral - periapical each additional radiographic image |
142 |
142 |
$637.50 |
| 90734 |
|
155 |
73 |
$620.00 |
| D2331 |
|
17 |
13 |
$540.64 |
| 73562 |
|
19 |
13 |
$525.24 |
| 0001A |
|
13 |
13 |
$520.00 |
| 90863 |
|
169 |
113 |
$467.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,382 |
1,273 |
$457.12 |
| 90655 |
|
140 |
54 |
$448.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,003 |
925 |
$407.56 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16 |
13 |
$401.64 |
| 99422 |
|
1,153 |
1,082 |
$317.65 |
| 90744 |
|
79 |
27 |
$316.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,139 |
1,040 |
$313.60 |
| 73620 |
|
16 |
13 |
$309.12 |
| 80061 |
Lipid panel |
1,083 |
999 |
$266.95 |
| 94200 |
|
13 |
13 |
$246.00 |
| 80053 |
Comprehensive metabolic panel |
785 |
720 |
$199.44 |
| 90680 |
|
36 |
12 |
$144.00 |
| 81000 |
|
986 |
899 |
$132.47 |
| 90732 |
|
12 |
12 |
$95.39 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
19 |
$48.45 |
| 99368 |
|
1,515 |
1,406 |
$40.00 |
| 99421 |
|
605 |
575 |
$35.87 |
| 3077F |
|
12,055 |
11,320 |
$3.92 |
| 3078F |
|
116,552 |
106,845 |
$2.96 |
| 3079F |
|
27,547 |
25,815 |
$2.94 |
| 3074F |
|
119,887 |
109,438 |
$1.98 |
| 99173 |
|
11,058 |
9,981 |
$1.00 |
| 99411 |
|
1,925 |
1,808 |
$1.00 |
| 99406 |
|
504 |
488 |
$1.00 |
| 3048F |
|
8,043 |
7,724 |
$0.98 |
| 1159F |
|
135,262 |
122,800 |
$0.00 |
| 0521F |
|
13,907 |
13,056 |
$0.00 |
| 1160F |
|
109,423 |
100,067 |
$0.00 |
| 1033F |
|
27,601 |
25,335 |
$0.00 |
| 4013F |
|
16,017 |
15,236 |
$0.00 |
| 3725F |
|
8,398 |
7,902 |
$0.00 |
| 2028F |
|
2,200 |
2,078 |
$0.00 |
| 4040F |
|
13,612 |
12,589 |
$0.00 |
| 3050F |
|
933 |
889 |
$0.00 |
| 99401 |
|
1,414 |
1,236 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,736 |
1,622 |
$0.00 |
| 3045F |
|
606 |
581 |
$0.00 |
| 3342F |
|
314 |
299 |
$0.00 |
| 3015F |
|
3,139 |
3,018 |
$0.00 |
| 2014F |
|
289 |
177 |
$0.00 |
| 1039F |
|
353 |
320 |
$0.00 |
| 99408 |
|
450 |
445 |
$0.00 |
| 1158F |
|
108 |
67 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
983 |
923 |
$0.00 |
| 3051F |
|
674 |
651 |
$0.00 |
| 87275 |
|
75 |
63 |
$0.00 |
| 2022F |
|
128 |
128 |
$0.00 |
| 84439 |
|
145 |
132 |
$0.00 |
| 3046F |
|
72 |
71 |
$0.00 |
| 1003F |
|
339 |
297 |
$0.00 |
| 82947 |
|
238 |
205 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
138 |
125 |
$0.00 |
| 0502F |
|
190 |
138 |
$0.00 |
| 90623 |
|
23 |
12 |
$0.00 |
| 0517F |
|
28 |
28 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
131 |
112 |
$0.00 |
| 4004F |
|
107 |
107 |
$0.00 |
| 3062F |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
29 |
$0.00 |
| 85610 |
|
33 |
23 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 82274 |
|
22 |
19 |
$0.00 |
| 0518F |
|
13 |
12 |
$0.00 |
| 1126F |
|
71,470 |
66,342 |
$0.00 |
| 3008F |
|
143,534 |
131,025 |
$0.00 |
| 4037F |
|
36,634 |
34,283 |
$0.00 |
| 1125F |
|
18,617 |
17,475 |
$0.00 |
| 4010F |
|
16,510 |
15,691 |
$0.00 |
| 3017F |
|
3,243 |
3,147 |
$0.00 |
| 2000F |
|
8,389 |
6,448 |
$0.00 |
| 4480F |
|
1,666 |
1,568 |
$0.00 |
| 2010F |
|
6,737 |
6,239 |
$0.00 |
| 3044F |
|
2,861 |
2,785 |
$0.00 |
| 2001F |
|
8,352 |
6,429 |
$0.00 |
| 1000F |
|
10,245 |
8,791 |
$0.00 |
| 3049F |
|
2,232 |
2,150 |
$0.00 |
| 96150 |
|
2,621 |
2,564 |
$0.00 |
| 3014F |
|
2,463 |
2,336 |
$0.00 |
| 3354F |
|
13 |
12 |
$0.00 |
| 3075F |
|
12,286 |
11,736 |
$0.00 |
| 1036F |
|
5,753 |
5,181 |
$0.00 |
| 1034F |
|
1,437 |
1,371 |
$0.00 |
| 3080F |
|
1,071 |
1,015 |
$0.00 |
| 92558 |
|
3,054 |
3,007 |
$0.00 |
| 1030F |
|
1,689 |
1,544 |
$0.00 |
| 3351F |
|
8,497 |
7,973 |
$0.00 |
| 99443 |
|
555 |
482 |
$0.00 |
| 3061F |
|
749 |
726 |
$0.00 |
| 84436 |
|
12 |
12 |
$0.00 |
| 1157F |
|
105 |
105 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
322 |
288 |
$0.00 |
| 86592 |
|
233 |
210 |
$0.00 |
| 1111F |
|
5,894 |
5,394 |
$0.00 |
| 88142 |
|
14 |
14 |
$0.00 |
| 1220F |
|
363 |
64 |
$0.00 |
| 4008F |
|
458 |
426 |
$0.00 |
| 86701 |
|
296 |
264 |
$0.00 |
| 1038F |
|
108 |
108 |
$0.00 |
| 4000F |
|
110 |
97 |
$0.00 |
| 99402 |
|
179 |
146 |
$0.00 |
| 82270 |
|
132 |
123 |
$0.00 |
| 90677 |
|
97 |
13 |
$0.00 |
| 3060F |
|
177 |
170 |
$0.00 |
| 1110F |
|
199 |
185 |
$0.00 |
| 3066F |
|
28 |
28 |
$0.00 |
| D9310 |
|
30 |
30 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
45 |
42 |
$0.00 |
| 87276 |
|
72 |
61 |
$0.00 |
| 1170F |
|
337 |
258 |
$0.00 |
| 99381 |
|
47 |
46 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
318 |
288 |
$0.00 |
| 84153 |
|
44 |
37 |
$0.00 |
| 80050 |
General health panel |
16 |
14 |
$0.00 |
| 86593 |
|
52 |
47 |
$0.00 |
| 99383 |
|
25 |
25 |
$0.00 |
| 86803 |
|
14 |
12 |
$0.00 |
| 87340 |
|
16 |
13 |
$0.00 |
| 99407 |
|
120 |
107 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
51 |
43 |
$0.00 |
| 84703 |
|
21 |
16 |
$0.00 |
| 96161 |
|
18 |
18 |
$0.00 |
| 87088 |
|
61 |
52 |
$0.00 |
| 85730 |
|
32 |
22 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
95 |
54 |
$0.00 |
| 3072F |
|
13 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90619 |
|
96 |
12 |
$0.00 |
| 82043 |
|
28 |
23 |
$0.00 |
| 92551 |
|
17 |
16 |
$0.00 |