| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,405 |
9,827 |
$5.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,658 |
7,061 |
$3.64M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,021 |
1,736 |
$3.42M |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
4,463 |
2,007 |
$2.37M |
| 99441 |
|
2,864 |
2,597 |
$1.44M |
| T1017 |
Targeted case management, each 15 minutes |
5,503 |
1,903 |
$1.19M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,424 |
1,099 |
$772K |
| 98940 |
|
1,743 |
1,248 |
$764K |
| D0120 |
Periodic oral evaluation - established patient |
3,012 |
2,794 |
$636K |
| 99442 |
|
1,146 |
1,076 |
$556K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,821 |
887 |
$499K |
| D0140 |
Limited oral evaluation - problem focused |
2,183 |
1,904 |
$484K |
| 92015 |
Determination of refractive state |
1,494 |
1,459 |
$457K |
| 99215 |
Prolong outpt/office vis |
726 |
671 |
$374K |
| D0220 |
Intraoral - periapical first radiographic image |
1,610 |
1,473 |
$371K |
| D1110 |
Prophylaxis - adult |
1,273 |
1,173 |
$336K |
| D0274 |
Bitewings - four radiographic images |
1,526 |
1,427 |
$317K |
| 0011A |
|
561 |
550 |
$262K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,953 |
1,831 |
$255K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
551 |
536 |
$252K |
| 0012A |
|
499 |
490 |
$240K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
476 |
455 |
$217K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
462 |
445 |
$206K |
| D1206 |
Topical application of fluoride varnish |
3,008 |
2,817 |
$204K |
| D0330 |
Panoramic radiographic image |
919 |
882 |
$158K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,517 |
1,455 |
$144K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
812 |
791 |
$135K |
| D1120 |
Prophylaxis - child |
581 |
530 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
244 |
239 |
$112K |
| 99443 |
|
241 |
231 |
$111K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
276 |
253 |
$74K |
| 0013A |
|
139 |
138 |
$70K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
253 |
243 |
$55K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
935 |
227 |
$51K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
402 |
220 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,259 |
1,029 |
$48K |
| 92002 |
|
148 |
145 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
366 |
339 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
61 |
$28K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
161 |
84 |
$23K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
92 |
64 |
$18K |
| D0272 |
Bitewings - two radiographic images |
86 |
81 |
$17K |
| 90688 |
|
717 |
687 |
$14K |
| 0134A |
|
36 |
35 |
$12K |
| D1351 |
Sealant - per tooth |
246 |
52 |
$12K |
| 90686 |
|
831 |
783 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
24 |
$10K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
12 |
$7K |
| 93000 |
|
118 |
115 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
418 |
403 |
$5K |
| 0064A |
|
18 |
17 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
13 |
$4K |
| D0270 |
|
31 |
28 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
46 |
12 |
$3K |
| 90461 |
|
990 |
932 |
$2K |
| 90633 |
|
155 |
142 |
$2K |
| 90723 |
|
261 |
254 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$2K |
| 90670 |
|
590 |
565 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
388 |
221 |
$1K |
| 90715 |
|
169 |
160 |
$974.00 |
| 90651 |
|
155 |
147 |
$427.00 |
| 90647 |
|
323 |
300 |
$427.00 |
| 90685 |
|
42 |
41 |
$427.00 |
| 36415 |
Collection of venous blood by venipuncture |
5,705 |
5,115 |
$408.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,222 |
3,076 |
$314.40 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,249 |
1,193 |
$257.01 |
| 82962 |
|
4,755 |
4,294 |
$215.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,982 |
1,863 |
$79.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
364 |
342 |
$36.41 |
| 81001 |
|
858 |
779 |
$22.16 |
| 81003 |
|
1,008 |
953 |
$8.61 |
| 71046 |
Radiologic examination, chest; 2 views |
45 |
44 |
$4.09 |
| 36416 |
|
159 |
150 |
$0.00 |
| 85018 |
|
426 |
400 |
$0.00 |
| 82044 |
|
156 |
155 |
$0.00 |
| D9995 |
|
34 |
24 |
$0.00 |
| 82043 |
|
42 |
37 |
$0.00 |
| 80305 |
|
592 |
525 |
$0.00 |
| 81025 |
|
1,356 |
1,232 |
$0.00 |
| 90734 |
|
55 |
54 |
$0.00 |
| 87210 |
|
1,007 |
933 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,736 |
1,622 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
44 |
42 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90710 |
|
50 |
38 |
$0.00 |
| 82570 |
|
122 |
119 |
$0.00 |
| 90750 |
|
15 |
15 |
$0.00 |
| 86703 |
|
14 |
14 |
$0.00 |