| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,683 |
60,225 |
$2.32M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
39,500 |
27,391 |
$2.03M |
| 99349 |
|
8,237 |
5,154 |
$592K |
| 90832 |
Psychotherapy, 30 minutes with patient |
13,384 |
9,193 |
$524K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,758 |
7,811 |
$376K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
1,736 |
191 |
$106K |
| 99348 |
|
1,319 |
690 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
485 |
470 |
$27K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,598 |
1,351 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,657 |
1,196 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
433 |
410 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
382 |
201 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
266 |
123 |
$17K |
| D0330 |
Panoramic radiographic image |
276 |
268 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
256 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
137 |
136 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
346 |
328 |
$10K |
| D1110 |
Prophylaxis - adult |
184 |
174 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
116 |
$7K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
142 |
136 |
$7K |
| 87428 |
|
247 |
236 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
108 |
105 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
277 |
264 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
74 |
69 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
55 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
59 |
13 |
$4K |
| 93000 |
|
252 |
230 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
130 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
51 |
$3K |
| 90461 |
|
84 |
81 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
116 |
112 |
$3K |
| 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 |
336 |
295 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
281 |
241 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
174 |
169 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
48 |
25 |
$2K |
| 99343 |
|
20 |
18 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
103 |
$1K |
| 90658 |
|
183 |
178 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$943.64 |
| H0001 |
Alcohol and/or drug assessment |
19 |
18 |
$917.51 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
12 |
$874.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
165 |
141 |
$748.23 |
| 90670 |
|
103 |
99 |
$725.55 |
| 87807 |
|
52 |
50 |
$547.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$421.40 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$389.85 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
29 |
$373.20 |
| 90723 |
|
57 |
54 |
$353.60 |
| 71045 |
Radiologic examination, chest; single view |
25 |
25 |
$316.93 |
| 86580 |
|
132 |
123 |
$145.05 |
| H0038 |
Self-help/peer services, per 15 minutes |
16 |
16 |
$141.67 |
| 90680 |
|
13 |
12 |
$75.20 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
25 |
24 |
$58.78 |
| 90686 |
|
21 |
20 |
$53.38 |
| 90732 |
|
28 |
28 |
$50.00 |
| 0002A |
|
12 |
12 |
$40.00 |
| 0003A |
|
16 |
16 |
$30.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
39 |
$29.96 |
| 90647 |
|
27 |
26 |
$22.77 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$18.06 |
| 90633 |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |