| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,108 |
87,055 |
$5.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,852 |
38,253 |
$2.84M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,393 |
7,070 |
$545K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,484 |
2,595 |
$427K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,930 |
5,534 |
$414K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,799 |
3,676 |
$406K |
| D1120 |
Prophylaxis - child |
11,013 |
10,979 |
$314K |
| D0330 |
Panoramic radiographic image |
7,511 |
7,413 |
$311K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,975 |
3,826 |
$291K |
| D1110 |
Prophylaxis - adult |
6,760 |
6,719 |
$250K |
| D1208 |
Topical application of fluoride, excluding varnish |
12,687 |
12,636 |
$246K |
| 90677 |
|
1,096 |
997 |
$208K |
| 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 |
14,662 |
11,481 |
$204K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
8,354 |
8,265 |
$203K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,950 |
2,023 |
$177K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,600 |
5,202 |
$167K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,659 |
2,104 |
$153K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,818 |
20,512 |
$130K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,344 |
1,342 |
$126K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,448 |
1,688 |
$119K |
| D0120 |
Periodic oral evaluation - established patient |
8,251 |
8,195 |
$114K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,338 |
1,698 |
$110K |
| 90697 |
|
1,176 |
1,107 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,086 |
1,043 |
$88K |
| D0140 |
Limited oral evaluation - problem focused |
5,369 |
5,249 |
$87K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,407 |
6,122 |
$82K |
| D0274 |
Bitewings - four radiographic images |
4,154 |
4,133 |
$82K |
| 99215 |
Prolong outpt/office vis |
1,004 |
911 |
$77K |
| 90670 |
|
3,698 |
3,545 |
$69K |
| D0210 |
Intraoral - complete series of radiographic images |
5,032 |
4,295 |
$63K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,148 |
2,071 |
$62K |
| D1351 |
Sealant - per tooth |
2,755 |
847 |
$56K |
| 90686 |
|
4,748 |
4,423 |
$56K |
| 90651 |
|
486 |
467 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,157 |
5,879 |
$50K |
| 90461 |
|
10,035 |
9,455 |
$50K |
| 90791 |
Psychiatric diagnostic evaluation |
466 |
440 |
$44K |
| 96127 |
|
7,462 |
7,175 |
$35K |
| D0220 |
Intraoral - periapical first radiographic image |
4,051 |
3,961 |
$32K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
208 |
207 |
$32K |
| 90681 |
|
801 |
732 |
$29K |
| 99173 |
|
11,420 |
10,897 |
$27K |
| 90633 |
|
1,666 |
1,592 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,759 |
1,535 |
$20K |
| 90648 |
|
1,860 |
1,780 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
10,985 |
10,007 |
$19K |
| 90723 |
|
1,188 |
1,132 |
$18K |
| 99000 |
|
13,828 |
12,883 |
$15K |
| 82947 |
|
5,709 |
5,157 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
195 |
183 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
213 |
204 |
$13K |
| 83655 |
|
1,347 |
1,268 |
$13K |
| D1354 |
|
2,487 |
832 |
$12K |
| 90619 |
|
151 |
140 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
695 |
562 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
157 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,382 |
1,314 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
875 |
747 |
$9K |
| 92551 |
|
938 |
879 |
$9K |
| 90710 |
|
202 |
191 |
$8K |
| D9995 |
|
224 |
215 |
$8K |
| 80306 |
|
443 |
186 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
933 |
850 |
$6K |
| 94760 |
|
10,809 |
9,400 |
$6K |
| 85018 |
|
2,792 |
2,628 |
$6K |
| 81025 |
|
873 |
832 |
$6K |
| 90734 |
|
220 |
214 |
$6K |
| D2331 |
|
86 |
57 |
$6K |
| 90716 |
|
89 |
88 |
$5K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
175 |
165 |
$5K |
| 99381 |
|
55 |
50 |
$4K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
402 |
263 |
$4K |
| 90656 |
|
277 |
274 |
$4K |
| D0272 |
Bitewings - two radiographic images |
201 |
201 |
$4K |
| 3008F |
|
6,372 |
6,144 |
$4K |
| 81002 |
|
1,435 |
1,329 |
$3K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
26 |
24 |
$3K |
| D2330 |
|
112 |
72 |
$3K |
| 36416 |
|
12,216 |
11,253 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
31 |
$3K |
| 90696 |
|
131 |
122 |
$3K |
| 80061 |
Lipid panel |
199 |
193 |
$3K |
| 99188 |
|
104 |
102 |
$2K |
| 90715 |
|
104 |
98 |
$2K |
| 0012A |
|
61 |
61 |
$2K |
| 99443 |
|
25 |
25 |
$2K |
| D9920 |
|
37 |
36 |
$2K |
| 90707 |
|
50 |
50 |
$2K |
| 0011A |
|
40 |
39 |
$1K |
| 0064A |
|
28 |
28 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
225 |
225 |
$937.10 |
| D0230 |
Intraoral - periapical each additional radiographic image |
93 |
56 |
$793.78 |
| 99442 |
|
15 |
14 |
$711.24 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
12 |
$615.32 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
106 |
98 |
$573.58 |
| 90863 |
|
69 |
46 |
$448.34 |
| 90700 |
|
28 |
25 |
$421.01 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
13 |
13 |
$264.80 |
| 99406 |
|
19 |
12 |
$236.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$221.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
141 |
125 |
$174.97 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
60 |
47 |
$167.39 |
| 93000 |
|
15 |
13 |
$159.69 |
| T2003 |
Non-emergency transportation; encounter/trip |
31 |
14 |
$127.00 |
| 99177 |
|
27 |
27 |
$115.17 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
401 |
326 |
$102.27 |
| D9994 |
|
15 |
15 |
$82.80 |
| 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 |
22 |
21 |
$78.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
12 |
$48.88 |
| 90473 |
|
324 |
298 |
$35.10 |
| G0008 |
Administration of influenza virus vaccine |
415 |
340 |
$30.44 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
16 |
12 |
$15.00 |
| 91301 |
|
121 |
117 |
$1.01 |
| 91306 |
|
28 |
28 |
$0.10 |
| D1206 |
Topical application of fluoride varnish |
1,479 |
1,479 |
$0.00 |
| D3120 |
|
41 |
36 |
$0.00 |
| D4342 |
|
57 |
27 |
$0.00 |
| D4341 |
|
52 |
25 |
$0.00 |