| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124,860 |
75,075 |
$12.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,873 |
34,778 |
$5.85M |
| 90832 |
Psychotherapy, 30 minutes with patient |
28,567 |
9,284 |
$4.16M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32,589 |
14,812 |
$2.20M |
| 90791 |
Psychiatric diagnostic evaluation |
2,043 |
1,412 |
$317K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15,123 |
11,610 |
$266K |
| J0741 |
Injection, cabotegravir and rilpivirine, 2mg/3mg |
55 |
55 |
$208K |
| D0274 |
Bitewings - four radiographic images |
5,044 |
1,803 |
$207K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,350 |
565 |
$185K |
| D0120 |
Periodic oral evaluation - established patient |
4,250 |
2,316 |
$182K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,234 |
1,202 |
$158K |
| D0210 |
Intraoral - complete series of radiographic images |
2,621 |
1,286 |
$143K |
| D1110 |
Prophylaxis - adult |
3,114 |
2,755 |
$140K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,844 |
7,704 |
$124K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,087 |
647 |
$122K |
| 99215 |
Prolong outpt/office vis |
1,218 |
776 |
$122K |
| D0140 |
Limited oral evaluation - problem focused |
1,016 |
664 |
$97K |
| J0739 |
Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) |
30 |
30 |
$88K |
| J1380 |
Injection, estradiol valerate, up to 10 mg |
4,823 |
3,241 |
$59K |
| 90686 |
|
3,312 |
3,302 |
$57K |
| 36415 |
Collection of venous blood by venipuncture |
8,477 |
8,072 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
304 |
265 |
$39K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
798 |
780 |
$32K |
| 46607 |
|
162 |
161 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
265 |
160 |
$22K |
| 90734 |
|
290 |
290 |
$21K |
| 90677 |
|
100 |
100 |
$18K |
| 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 |
375 |
146 |
$17K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
156 |
101 |
$15K |
| 90739 |
|
179 |
176 |
$13K |
| 0064A |
|
329 |
328 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
947 |
943 |
$12K |
| D0270 |
|
250 |
113 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
72 |
$11K |
| 0012A |
|
272 |
272 |
$11K |
| 98966 |
|
82 |
56 |
$10K |
| 0011A |
|
311 |
311 |
$10K |
| 99442 |
|
110 |
95 |
$10K |
| 90651 |
|
171 |
171 |
$9K |
| 98967 |
|
88 |
65 |
$9K |
| 90750 |
|
76 |
75 |
$7K |
| 90715 |
|
265 |
264 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
144 |
63 |
$7K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
425 |
399 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
147 |
126 |
$6K |
| 90732 |
|
53 |
53 |
$5K |
| 99441 |
|
69 |
62 |
$4K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
43 |
27 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
162 |
122 |
$4K |
| 11100 |
|
55 |
55 |
$4K |
| 90674 |
|
254 |
253 |
$3K |
| D9991 |
|
61 |
38 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
13 |
$3K |
| 0134A |
|
68 |
68 |
$3K |
| 90656 |
|
195 |
195 |
$2K |
| D0330 |
Panoramic radiographic image |
41 |
14 |
$2K |
| 90670 |
|
13 |
13 |
$2K |
| D9110 |
|
18 |
12 |
$2K |
| 99443 |
|
16 |
16 |
$2K |
| 0031A |
|
32 |
32 |
$1K |
| 90707 |
|
29 |
29 |
$957.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,591 |
1,575 |
$911.65 |
| 90733 |
|
12 |
12 |
$892.38 |
| 99051 |
|
56 |
55 |
$489.85 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
55 |
54 |
$366.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$182.66 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
1,279 |
791 |
$2.79 |
| 91313 |
|
30 |
30 |
$0.01 |
| 99429 |
|
15 |
15 |
$0.00 |
| 90611 |
|
121 |
120 |
$0.00 |
| 99499 |
|
30 |
25 |
$0.00 |