| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136,925 |
118,911 |
$292K |
| 96160 |
|
14,435 |
13,223 |
$202K |
| D1110 |
Prophylaxis - adult |
6,219 |
5,428 |
$179K |
| D1999 |
|
10,306 |
8,891 |
$154K |
| 99050 |
|
5,903 |
5,560 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24,976 |
22,019 |
$126K |
| D0120 |
Periodic oral evaluation - established patient |
6,414 |
5,601 |
$94K |
| D1120 |
Prophylaxis - child |
3,345 |
2,876 |
$64K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,492 |
3,839 |
$64K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,376 |
4,220 |
$64K |
| D0272 |
Bitewings - two radiographic images |
4,332 |
3,760 |
$63K |
| 97803 |
|
3,406 |
3,204 |
$56K |
| 92002 |
|
2,014 |
1,930 |
$54K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,689 |
2,280 |
$53K |
| D0330 |
Panoramic radiographic image |
1,622 |
1,471 |
$50K |
| 97802 |
|
2,478 |
2,337 |
$50K |
| 80061 |
Lipid panel |
3,988 |
3,847 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,513 |
4,028 |
$44K |
| 80053 |
Comprehensive metabolic panel |
4,646 |
4,453 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,255 |
5,817 |
$41K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,380 |
1,346 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,982 |
2,251 |
$36K |
| 92015 |
Determination of refractive state |
3,107 |
2,916 |
$35K |
| 99441 |
|
9,460 |
8,474 |
$35K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,383 |
1,353 |
$34K |
| 0002A |
|
1,454 |
1,169 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,974 |
10,430 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
604 |
523 |
$30K |
| 0001A |
|
1,502 |
1,203 |
$27K |
| 0012A |
|
832 |
739 |
$27K |
| 0011A |
|
911 |
794 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,141 |
3,029 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,829 |
2,713 |
$24K |
| 84439 |
|
2,654 |
2,561 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
884 |
835 |
$22K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
5,202 |
4,779 |
$20K |
| 82274 |
|
1,277 |
1,237 |
$18K |
| 0071A |
|
450 |
441 |
$17K |
| V2020 |
Frames, purchases |
568 |
516 |
$16K |
| 0072A |
|
383 |
379 |
$15K |
| 81000 |
|
5,280 |
5,040 |
$15K |
| 83987 |
|
854 |
839 |
$13K |
| 90656 |
|
4,765 |
4,509 |
$12K |
| 90670 |
|
2,999 |
2,896 |
$12K |
| 0013A |
|
282 |
278 |
$11K |
| 87275 |
|
957 |
878 |
$10K |
| 87276 |
|
956 |
878 |
$10K |
| 86701 |
|
1,154 |
1,142 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
366 |
345 |
$10K |
| 0004A |
|
232 |
231 |
$9K |
| 0064A |
|
226 |
226 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
201 |
134 |
$9K |
| 90649 |
|
2,545 |
2,456 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,471 |
5,544 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,235 |
1,935 |
$6K |
| 90633 |
|
3,146 |
2,981 |
$6K |
| 86592 |
|
1,616 |
1,573 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,259 |
1,197 |
$6K |
| 90677 |
|
676 |
571 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
335 |
325 |
$6K |
| 0003A |
|
145 |
143 |
$6K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
149 |
117 |
$5K |
| 99442 |
|
1,013 |
976 |
$5K |
| 80074 |
|
117 |
117 |
$5K |
| 87088 |
|
719 |
681 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
967 |
939 |
$5K |
| 91307 |
|
890 |
859 |
$5K |
| 90716 |
|
2,184 |
2,059 |
$4K |
| 90707 |
|
2,161 |
2,058 |
$4K |
| 92250 |
|
468 |
461 |
$4K |
| 90734 |
|
1,447 |
1,404 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
90 |
86 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
349 |
322 |
$4K |
| 86803 |
|
300 |
287 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
114 |
113 |
$4K |
| 86703 |
|
331 |
330 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,101 |
912 |
$4K |
| 84436 |
|
589 |
567 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
431 |
415 |
$3K |
| 83655 |
|
241 |
240 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,591 |
1,522 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,992 |
3,873 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
335 |
325 |
$3K |
| 84153 |
|
163 |
162 |
$3K |
| 90715 |
|
745 |
726 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
130 |
$3K |
| 86738 |
|
212 |
210 |
$3K |
| 90723 |
|
647 |
631 |
$2K |
| 90461 |
|
551 |
476 |
$2K |
| 90648 |
|
663 |
641 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,736 |
3,630 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,844 |
1,609 |
$2K |
| D2140 |
|
64 |
49 |
$2K |
| 90680 |
|
461 |
449 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,321 |
2,202 |
$2K |
| 82951 |
|
148 |
140 |
$2K |
| 82607 |
|
113 |
113 |
$2K |
| 90698 |
|
473 |
448 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
136 |
116 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
111 |
103 |
$1K |
| 90657 |
|
247 |
241 |
$1K |
| D1351 |
Sealant - per tooth |
82 |
42 |
$1K |
| 90700 |
|
528 |
504 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
585 |
561 |
$1K |
| 90696 |
|
501 |
488 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
202 |
190 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
149 |
89 |
$1K |
| 85730 |
|
215 |
210 |
$1K |
| 90620 |
|
672 |
631 |
$1K |
| 84703 |
|
188 |
173 |
$1K |
| 90655 |
|
358 |
354 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
1,910 |
1,806 |
$1K |
| 99201 |
|
112 |
112 |
$968.07 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
57 |
57 |
$947.16 |
| 82947 |
|
239 |
233 |
$862.95 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
123 |
122 |
$833.26 |
| 84702 |
|
58 |
55 |
$832.88 |
| 90647 |
|
223 |
216 |
$824.00 |
| 90658 |
|
346 |
326 |
$819.00 |
| 85610 |
|
220 |
214 |
$809.25 |
| 0134A |
|
52 |
50 |
$760.00 |
| 86328 |
|
77 |
76 |
$741.00 |
| 87177 |
|
117 |
117 |
$664.93 |
| 85651 |
|
194 |
185 |
$635.44 |
| 86696 |
|
35 |
35 |
$631.05 |
| 90744 |
|
155 |
155 |
$620.00 |
| 82677 |
|
25 |
25 |
$576.00 |
| 0094A |
|
14 |
14 |
$560.00 |
| 99368 |
|
675 |
595 |
$525.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,683 |
1,583 |
$487.64 |
| 90480 |
|
12 |
12 |
$480.00 |
| 86336 |
|
24 |
24 |
$458.14 |
| 86695 |
|
35 |
35 |
$440.30 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
76 |
$434.60 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
109 |
102 |
$413.31 |
| 90837 |
Psychotherapy, 53 minutes with patient |
252 |
243 |
$378.00 |
| 86762 |
|
26 |
26 |
$356.48 |
| 82570 |
|
73 |
72 |
$345.48 |
| 90681 |
|
190 |
189 |
$344.00 |
| 90697 |
|
418 |
383 |
$342.18 |
| 86580 |
|
38 |
36 |
$307.30 |
| 84156 |
|
82 |
80 |
$272.00 |
| 87390 |
|
16 |
16 |
$252.30 |
| 82105 |
|
13 |
13 |
$208.00 |
| 85660 |
|
39 |
39 |
$204.64 |
| 82950 |
|
42 |
42 |
$203.85 |
| 87070 |
|
24 |
24 |
$197.28 |
| 86900 |
|
54 |
54 |
$150.55 |
| 86038 |
|
12 |
12 |
$138.36 |
| 87807 |
|
12 |
12 |
$124.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$124.56 |
| 82270 |
|
39 |
39 |
$120.90 |
| 90621 |
|
92 |
92 |
$116.00 |
| 86901 |
|
41 |
41 |
$113.50 |
| 87340 |
|
13 |
13 |
$107.35 |
| V5008 |
Hearing screening |
1,629 |
1,510 |
$100.00 |
| 82043 |
|
15 |
15 |
$94.50 |
| 90713 |
|
12 |
12 |
$48.00 |
| 96127 |
|
3,989 |
3,792 |
$47.31 |
| 99401 |
|
2,566 |
2,238 |
$20.54 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
18 |
17 |
$20.00 |
| 99173 |
|
210 |
209 |
$3.20 |
| 91301 |
|
2,104 |
1,880 |
$0.33 |
| 90619 |
|
336 |
323 |
$0.03 |
| G0420 |
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour |
147 |
144 |
$0.02 |
| 91306 |
|
225 |
225 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
575 |
564 |
$0.00 |
| 1111F |
|
461 |
425 |
$0.00 |
| 99384 |
|
16 |
16 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$0.00 |
| 91309 |
|
14 |
14 |
$0.00 |
| 99383 |
|
46 |
46 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 90688 |
|
65 |
65 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 0074A |
|
13 |
13 |
$0.00 |
| 99408 |
|
4,530 |
4,213 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
42 |
35 |
$0.00 |
| 91313 |
|
52 |
50 |
$0.00 |
| 91300 |
|
3,451 |
2,480 |
$0.00 |
| 90671 |
|
154 |
153 |
$0.00 |
| 90785 |
|
24 |
24 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
86 |
80 |
$0.00 |
| 0124A |
|
16 |
16 |
$0.00 |
| 90587 |
|
26 |
26 |
$0.00 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
24 |
24 |
$0.00 |
| 91312 |
|
16 |
16 |
$0.00 |