| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,241 |
27,663 |
$974K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,715 |
1,150 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,244 |
2,149 |
$111K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,991 |
2,904 |
$78K |
| D1110 |
Prophylaxis - adult |
1,777 |
1,706 |
$72K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,694 |
1,548 |
$65K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,319 |
3,085 |
$58K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,343 |
8,714 |
$58K |
| 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 |
9,906 |
3,223 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,930 |
1,403 |
$41K |
| D0274 |
Bitewings - four radiographic images |
1,558 |
1,498 |
$37K |
| D1120 |
Prophylaxis - child |
876 |
859 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,032 |
3,874 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
11,328 |
9,741 |
$27K |
| D0330 |
Panoramic radiographic image |
694 |
677 |
$26K |
| D7140 |
Extraction, erupted tooth or exposed root |
682 |
332 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,588 |
1,474 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
700 |
640 |
$16K |
| D1206 |
Topical application of fluoride varnish |
1,085 |
1,060 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,185 |
1,137 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
176 |
133 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
128 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
120 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
156 |
152 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
89 |
$7K |
| 90461 |
|
388 |
378 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
385 |
$5K |
| 87420 |
|
267 |
240 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
173 |
161 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
315 |
309 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
430 |
407 |
$4K |
| 99460 |
|
85 |
82 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
94 |
86 |
$3K |
| 90686 |
|
438 |
420 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
31 |
29 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
306 |
266 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,325 |
826 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
342 |
259 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
39 |
34 |
$2K |
| 99173 |
|
63 |
63 |
$2K |
| D0272 |
Bitewings - two radiographic images |
110 |
107 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
14 |
$1K |
| D1351 |
Sealant - per tooth |
63 |
24 |
$1K |
| 73630 |
|
45 |
38 |
$1K |
| 90674 |
|
45 |
45 |
$965.29 |
| 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 |
91 |
85 |
$846.07 |
| 99462 |
|
38 |
26 |
$798.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
131 |
123 |
$738.85 |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
13 |
$649.18 |
| 99217 |
|
13 |
12 |
$587.84 |
| 81001 |
|
395 |
343 |
$433.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
14 |
$413.84 |
| 90670 |
|
116 |
112 |
$382.25 |
| 90633 |
|
224 |
213 |
$342.51 |
| 86308 |
|
49 |
47 |
$288.15 |
| 36416 |
|
208 |
196 |
$171.21 |
| 90734 |
|
13 |
12 |
$133.42 |
| 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 |
74 |
68 |
$116.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
164 |
152 |
$105.50 |
| 90723 |
|
41 |
38 |
$89.12 |
| 90648 |
|
93 |
92 |
$44.62 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
59 |
53 |
$23.02 |
| A4617 |
Mouth piece |
45 |
40 |
$12.60 |
| 3044F |
|
1,599 |
1,538 |
$6.59 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,980 |
3,759 |
$4.39 |
| 3074F |
|
875 |
796 |
$4.31 |
| 3079F |
|
769 |
719 |
$3.70 |
| D0999 |
Unspecified diagnostic procedure, by report |
931 |
892 |
$0.61 |
| 3078F |
|
120 |
105 |
$0.49 |
| 3075F |
|
64 |
63 |
$0.34 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,621 |
1,497 |
$0.21 |
| 4004F |
|
1,626 |
1,408 |
$0.10 |
| G8482 |
Influenza immunization administered or previously received |
30 |
29 |
$0.01 |
| D1330 |
|
330 |
300 |
$0.00 |
| 1036F |
|
30 |
25 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
14 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
920 |
851 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
105 |
102 |
$0.00 |