| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
203,122 |
176,039 |
$30.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112,498 |
104,842 |
$20.43M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35,082 |
31,432 |
$6.46M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28,963 |
28,477 |
$5.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,935 |
27,117 |
$5.04M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24,548 |
24,041 |
$4.55M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,575 |
19,489 |
$3.71M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17,341 |
16,887 |
$3.20M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61,490 |
58,295 |
$1.34M |
| 87428 |
|
15,584 |
15,170 |
$942K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,294 |
2,802 |
$580K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,225 |
1,767 |
$390K |
| G9153 |
Mapcp demonstration - physician incentive pool |
7,321 |
7,205 |
$352K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,273 |
4,075 |
$334K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
328 |
250 |
$331K |
| 99460 |
|
3,506 |
3,386 |
$275K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,172 |
3,064 |
$196K |
| 96160 |
|
3,472 |
3,340 |
$86K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
492 |
437 |
$82K |
| 90791 |
Psychiatric diagnostic evaluation |
339 |
334 |
$57K |
| 99215 |
Prolong outpt/office vis |
313 |
301 |
$51K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,152 |
1,152 |
$45K |
| D1110 |
Prophylaxis - adult |
832 |
832 |
$40K |
| 97802 |
|
192 |
190 |
$34K |
| 99051 |
|
2,680 |
2,638 |
$30K |
| D0274 |
Bitewings - four radiographic images |
1,118 |
1,118 |
$28K |
| 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 |
134 |
122 |
$27K |
| 96127 |
|
47,482 |
36,583 |
$25K |
| 59514 |
|
27 |
13 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
792 |
772 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
792 |
792 |
$18K |
| D0330 |
Panoramic radiographic image |
344 |
344 |
$17K |
| 96161 |
|
684 |
599 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27,397 |
24,867 |
$17K |
| D7140 |
Extraction, erupted tooth or exposed root |
184 |
81 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
91 |
$15K |
| 90834 |
Psychotherapy, 45 minutes with patient |
85 |
74 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
241 |
165 |
$14K |
| D1206 |
Topical application of fluoride varnish |
802 |
802 |
$13K |
| 99462 |
|
445 |
381 |
$12K |
| D1120 |
Prophylaxis - child |
356 |
356 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
53 |
$11K |
| 99383 |
|
58 |
58 |
$11K |
| 0071A |
|
256 |
255 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,629 |
4,189 |
$10K |
| 0072A |
|
231 |
231 |
$9K |
| 90715 |
|
1,591 |
1,515 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
205 |
205 |
$8K |
| 90688 |
|
639 |
580 |
$7K |
| 99443 |
|
334 |
275 |
$7K |
| 99442 |
|
436 |
341 |
$7K |
| 98968 |
|
337 |
292 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
542 |
537 |
$6K |
| 90677 |
|
1,965 |
1,941 |
$6K |
| 99384 |
|
34 |
29 |
$6K |
| 92552 |
|
4,330 |
4,095 |
$5K |
| 90461 |
|
18,264 |
16,949 |
$5K |
| 0012A |
|
110 |
109 |
$4K |
| 90686 |
|
27,164 |
26,350 |
$4K |
| 0011A |
|
101 |
98 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
82 |
81 |
$3K |
| 99441 |
|
489 |
421 |
$3K |
| 0004A |
|
77 |
77 |
$3K |
| 99201 |
|
16 |
16 |
$3K |
| 80305 |
|
286 |
273 |
$3K |
| 81003 |
|
11,120 |
9,680 |
$2K |
| 90480 |
|
274 |
262 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99245 |
|
12 |
12 |
$2K |
| 0064A |
|
54 |
54 |
$2K |
| D0272 |
Bitewings - two radiographic images |
94 |
94 |
$2K |
| 90674 |
|
89 |
88 |
$2K |
| 0001A |
|
45 |
44 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
18 |
16 |
$1K |
| 0082A |
|
44 |
44 |
$1K |
| 90670 |
|
15,907 |
14,988 |
$1K |
| 0002A |
|
28 |
28 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
14,131 |
13,206 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
13 |
12 |
$998.74 |
| 0081A |
|
40 |
38 |
$988.48 |
| 81025 |
|
2,334 |
2,259 |
$949.50 |
| 85018 |
|
11,091 |
10,491 |
$947.16 |
| 90620 |
|
1,019 |
990 |
$773.56 |
| 90671 |
|
833 |
825 |
$768.13 |
| 92551 |
|
4,365 |
4,099 |
$755.06 |
| 99354 |
|
73 |
66 |
$705.26 |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$701.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,292 |
4,178 |
$678.60 |
| 76801 |
|
13 |
13 |
$659.29 |
| 59025 |
Fetal non-stress test |
69 |
50 |
$566.81 |
| 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 |
171 |
160 |
$501.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,632 |
1,605 |
$451.13 |
| 0083A |
|
13 |
13 |
$440.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13 |
12 |
$431.82 |
| 98967 |
|
28 |
24 |
$367.51 |
| 0124A |
|
14 |
14 |
$360.00 |
| 90647 |
|
7,022 |
6,595 |
$349.89 |
| 0171A |
|
12 |
12 |
$320.00 |
| 90661 |
|
305 |
303 |
$315.54 |
| 90651 |
|
3,872 |
3,725 |
$287.16 |
| 87807 |
|
1,037 |
994 |
$272.14 |
| 91322 |
|
28 |
26 |
$251.90 |
| 90681 |
|
2,369 |
2,185 |
$229.89 |
| 90630 |
|
12 |
12 |
$185.60 |
| 11721 |
|
28 |
28 |
$123.91 |
| 99406 |
|
14 |
13 |
$115.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
228 |
227 |
$89.49 |
| 82948 |
|
248 |
224 |
$86.51 |
| 99188 |
|
164 |
159 |
$84.58 |
| 90687 |
|
17 |
15 |
$83.51 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$71.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
590 |
569 |
$71.44 |
| 90656 |
|
503 |
496 |
$49.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
323 |
308 |
$46.72 |
| 99070 |
|
101 |
99 |
$27.84 |
| 90685 |
|
211 |
209 |
$18.29 |
| 90633 |
|
6,176 |
5,971 |
$9.23 |
| 36416 |
|
11,617 |
10,934 |
$8.36 |
| 90723 |
|
8,375 |
7,789 |
$6.94 |
| 99173 |
|
32,997 |
30,519 |
$2.71 |
| 3008F |
|
7,517 |
6,775 |
$2.33 |
| 3074F |
|
6,878 |
6,464 |
$2.00 |
| 1159F |
|
5,152 |
4,729 |
$0.01 |
| 91321 |
|
128 |
125 |
$0.01 |
| 90734 |
|
1,191 |
1,120 |
$0.00 |
| 1160F |
|
5,018 |
4,603 |
$0.00 |
| 90710 |
|
741 |
724 |
$0.00 |
| 90707 |
|
352 |
345 |
$0.00 |
| 3078F |
|
6,193 |
5,803 |
$0.00 |
| 90700 |
|
305 |
298 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
164 |
155 |
$0.00 |
| 3077F |
|
66 |
58 |
$0.00 |
| 90655 |
|
60 |
60 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
261 |
257 |
$0.00 |
| 90756 |
|
55 |
51 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 90672 |
|
51 |
48 |
$0.00 |
| 90658 |
|
29 |
29 |
$0.00 |
| 90619 |
|
667 |
641 |
$0.00 |
| 99000 |
|
339 |
330 |
$0.00 |
| 90696 |
|
446 |
436 |
$0.00 |
| 90716 |
|
401 |
390 |
$0.00 |
| D0603 |
|
307 |
299 |
$0.00 |
| 91307 |
|
29 |
26 |
$0.00 |
| 3075F |
|
50 |
45 |
$0.00 |
| 3079F |
|
93 |
87 |
$0.00 |
| 1126F |
|
48 |
44 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
26 |
26 |
$0.00 |
| 91301 |
|
17 |
17 |
$0.00 |
| 95117 |
|
34 |
24 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
24 |
$0.00 |