| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,354 |
63,480 |
$1.60M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25,638 |
24,880 |
$1.29M |
| H1000 |
Prenatal care, at-risk assessment |
16,642 |
14,412 |
$1.17M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
23,729 |
22,874 |
$1.13M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,977 |
11,234 |
$638K |
| D0190 |
|
14,362 |
14,209 |
$573K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,351 |
6,911 |
$401K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
7,710 |
6,993 |
$387K |
| D1120 |
Prophylaxis - child |
7,629 |
7,558 |
$373K |
| 59410 |
|
1,185 |
911 |
$371K |
| D1110 |
Prophylaxis - adult |
5,641 |
5,592 |
$371K |
| D0120 |
Periodic oral evaluation - established patient |
12,282 |
12,141 |
$369K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
4,047 |
3,751 |
$282K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
6,876 |
6,785 |
$265K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55,672 |
53,674 |
$243K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,953 |
11,074 |
$230K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31,281 |
30,370 |
$189K |
| D1351 |
Sealant - per tooth |
6,067 |
3,126 |
$140K |
| D0274 |
Bitewings - four radiographic images |
6,230 |
6,166 |
$133K |
| D1206 |
Topical application of fluoride varnish |
28,209 |
27,929 |
$131K |
| 59515 |
|
311 |
249 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,013 |
3,705 |
$105K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,602 |
1,517 |
$89K |
| 90670 |
|
9,939 |
9,739 |
$87K |
| 90671 |
|
3,652 |
3,481 |
$45K |
| 99385 |
|
920 |
872 |
$44K |
| D7140 |
Extraction, erupted tooth or exposed root |
841 |
747 |
$40K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
710 |
650 |
$40K |
| 99381 |
|
849 |
806 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
599 |
556 |
$32K |
| D0140 |
Limited oral evaluation - problem focused |
1,325 |
1,311 |
$31K |
| 99188 |
|
4,334 |
4,227 |
$29K |
| 99383 |
|
474 |
454 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,239 |
2,089 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
233 |
225 |
$18K |
| D0272 |
Bitewings - two radiographic images |
8,501 |
8,413 |
$15K |
| 90651 |
|
2,340 |
2,236 |
$13K |
| 90686 |
|
8,405 |
8,199 |
$12K |
| 90633 |
|
5,680 |
5,552 |
$12K |
| D9999 |
Unspecified adjunctive procedure, by report |
718 |
718 |
$12K |
| D1999 |
|
199 |
199 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
109 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
16,122 |
15,870 |
$10K |
| 99384 |
|
147 |
137 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
14,182 |
14,007 |
$8K |
| 90710 |
|
1,670 |
1,619 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,999 |
1,871 |
$8K |
| D1330 |
|
13,768 |
13,635 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,325 |
2,172 |
$7K |
| 99386 |
|
90 |
88 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,453 |
1,464 |
$7K |
| 11721 |
|
1,220 |
1,120 |
$6K |
| 90674 |
|
2,287 |
2,127 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,331 |
1,280 |
$6K |
| 90474 |
|
4,808 |
4,735 |
$5K |
| D1354 |
|
1,110 |
970 |
$5K |
| 90716 |
|
548 |
542 |
$4K |
| 99382 |
|
83 |
82 |
$4K |
| D0240 |
|
671 |
554 |
$4K |
| 90655 |
|
3,594 |
3,556 |
$4K |
| 59025 |
Fetal non-stress test |
371 |
285 |
$3K |
| 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 |
3,598 |
2,806 |
$3K |
| 81003 |
|
4,319 |
3,829 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,559 |
1,372 |
$2K |
| 0012A |
|
1,191 |
908 |
$2K |
| 0064A |
|
258 |
207 |
$2K |
| 90723 |
|
1,243 |
1,217 |
$2K |
| 99173 |
|
20,145 |
18,947 |
$2K |
| 90681 |
|
4,248 |
4,169 |
$2K |
| 0011A |
|
1,134 |
826 |
$1K |
| 87807 |
|
430 |
405 |
$1K |
| 90700 |
|
622 |
596 |
$998.37 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
12 |
12 |
$833.80 |
| D0999 |
Unspecified diagnostic procedure, by report |
39 |
39 |
$780.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
402 |
339 |
$675.00 |
| 85018 |
|
1,247 |
1,201 |
$642.49 |
| 90697 |
|
5,085 |
4,877 |
$628.97 |
| 92551 |
|
17,782 |
16,678 |
$602.62 |
| 93000 |
|
123 |
116 |
$577.04 |
| 90620 |
|
137 |
126 |
$533.19 |
| 0513F |
|
3,192 |
2,847 |
$520.00 |
| 99215 |
Prolong outpt/office vis |
42 |
39 |
$513.60 |
| 36415 |
Collection of venous blood by venipuncture |
24,221 |
22,762 |
$493.73 |
| 81025 |
|
190 |
156 |
$412.86 |
| 90647 |
|
2,199 |
2,150 |
$386.05 |
| 0013A |
|
120 |
105 |
$320.00 |
| 3008F |
|
71,392 |
64,415 |
$285.35 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$258.55 |
| 1000F |
|
16,190 |
14,339 |
$251.18 |
| 90619 |
|
298 |
280 |
$221.20 |
| V2020 |
Frames, purchases |
110 |
108 |
$210.00 |
| 0031A |
|
85 |
66 |
$188.39 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
345 |
301 |
$184.09 |
| 3074F |
|
7,784 |
7,033 |
$175.02 |
| D2330 |
|
29 |
25 |
$160.00 |
| 73630 |
|
24 |
15 |
$81.83 |
| 90696 |
|
202 |
186 |
$80.00 |
| 90734 |
|
205 |
180 |
$60.00 |
| 82962 |
|
458 |
379 |
$31.72 |
| 90707 |
|
303 |
302 |
$31.63 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
30 |
28 |
$25.14 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
33 |
29 |
$22.24 |
| 90656 |
|
797 |
796 |
$20.25 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
69 |
67 |
$20.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$17.42 |
| 3075F |
|
934 |
846 |
$0.00 |
| 1036F |
|
14,549 |
12,820 |
$0.00 |
| 1125F |
|
658 |
595 |
$0.00 |
| 3079F |
|
2,906 |
2,585 |
$0.00 |
| 1170F |
|
441 |
389 |
$0.00 |
| 1126F |
|
3,378 |
3,037 |
$0.00 |
| 3351F |
|
1,050 |
976 |
$0.00 |
| 3352F |
|
477 |
444 |
$0.00 |
| 90698 |
|
397 |
383 |
$0.00 |
| 1111F |
|
664 |
549 |
$0.00 |
| 3017F |
|
568 |
488 |
$0.00 |
| 1031F |
|
27 |
24 |
$0.00 |
| 3014F |
|
335 |
292 |
$0.00 |
| 1034F |
|
150 |
136 |
$0.00 |
| 91306 |
|
214 |
175 |
$0.00 |
| 90657 |
|
310 |
303 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
121 |
111 |
$0.00 |
| 91301 |
|
48 |
38 |
$0.00 |
| 1157F |
|
53 |
48 |
$0.00 |
| 36416 |
|
225 |
161 |
$0.00 |
| 4000F |
|
40 |
29 |
$0.00 |
| 3353F |
|
127 |
114 |
$0.00 |
| 91307 |
|
14 |
12 |
$0.00 |
| 36410 |
|
16 |
15 |
$0.00 |
| 91303 |
|
76 |
60 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
24 |
16 |
$0.00 |
| 1038F |
|
20 |
13 |
$0.00 |
| 1039F |
|
630 |
549 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,528 |
1,284 |
$0.00 |
| 3015F |
|
985 |
866 |
$0.00 |
| 3725F |
|
7,653 |
7,100 |
$0.00 |
| 0502F |
|
3,751 |
3,197 |
$0.00 |
| 0521F |
|
932 |
855 |
$0.00 |
| 1160F |
|
6,915 |
6,250 |
$0.00 |
| 1159F |
|
7,387 |
6,680 |
$0.00 |
| 3078F |
|
5,879 |
5,272 |
$0.00 |
| 4004F |
|
1,539 |
1,388 |
$0.00 |
| 1033F |
|
240 |
205 |
$0.00 |
| 90658 |
|
259 |
243 |
$0.00 |
| 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 |
451 |
384 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
52 |
50 |
$0.00 |
| 92015 |
Determination of refractive state |
231 |
223 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
96 |
95 |
$0.00 |
| 3288F |
|
49 |
37 |
$0.00 |
| 1158F |
|
94 |
85 |
$0.00 |
| 3077F |
|
93 |
71 |
$0.00 |
| 90380 |
|
27 |
27 |
$0.00 |
| 99080 |
|
72 |
71 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
27 |
27 |
$0.00 |