| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,496 |
18,544 |
$671K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,117 |
14,708 |
$667K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,735 |
6,420 |
$277K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,260 |
5,426 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,757 |
1,498 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,267 |
1,046 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,442 |
1,196 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,171 |
993 |
$73K |
| 92551 |
|
5,404 |
4,427 |
$38K |
| 96127 |
|
10,175 |
7,584 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,235 |
1,089 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,182 |
932 |
$29K |
| 96160 |
|
3,112 |
2,268 |
$29K |
| 97802 |
|
2,153 |
1,960 |
$25K |
| 90837 |
Psychotherapy, 53 minutes with patient |
368 |
263 |
$24K |
| 96161 |
|
2,648 |
2,130 |
$14K |
| D7140 |
Extraction, erupted tooth or exposed root |
272 |
80 |
$14K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
38 |
25 |
$13K |
| 99383 |
|
185 |
175 |
$13K |
| 97803 |
|
934 |
855 |
$12K |
| 99173 |
|
2,930 |
2,216 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
247 |
189 |
$10K |
| 81003 |
|
7,735 |
5,724 |
$10K |
| 85018 |
|
5,678 |
4,277 |
$10K |
| 99384 |
|
159 |
133 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
554 |
343 |
$8K |
| 81025 |
|
1,712 |
1,388 |
$7K |
| 59426 |
|
18 |
12 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
387 |
239 |
$7K |
| D0330 |
Panoramic radiographic image |
371 |
220 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
146 |
129 |
$5K |
| 0011A |
|
256 |
179 |
$5K |
| 99441 |
|
359 |
331 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
82 |
$4K |
| 0012A |
|
218 |
158 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,984 |
1,460 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
67 |
$3K |
| 99177 |
|
563 |
433 |
$3K |
| 82962 |
|
2,416 |
1,820 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
31 |
$2K |
| 99382 |
|
39 |
36 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
302 |
169 |
$2K |
| 3078F |
|
2,360 |
1,995 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
23 |
21 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$1K |
| 3074F |
|
2,291 |
1,931 |
$1K |
| 59430 |
|
17 |
12 |
$1K |
| 3077F |
|
816 |
695 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
93 |
52 |
$1K |
| 99406 |
|
143 |
113 |
$1K |
| 90651 |
|
606 |
527 |
$1K |
| 3079F |
|
1,099 |
933 |
$1K |
| 90620 |
|
166 |
133 |
$918.37 |
| 90686 |
|
1,576 |
1,204 |
$864.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
79 |
$669.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
72 |
$557.58 |
| 0503F |
|
231 |
195 |
$450.22 |
| 90734 |
|
208 |
157 |
$431.57 |
| 99442 |
|
14 |
13 |
$334.46 |
| 36416 |
|
323 |
214 |
$312.53 |
| 96154 |
|
117 |
49 |
$285.90 |
| 90461 |
|
555 |
460 |
$249.03 |
| 3080F |
|
135 |
116 |
$240.00 |
| 86703 |
|
101 |
87 |
$238.45 |
| 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 |
30 |
28 |
$207.62 |
| 1125F |
|
852 |
704 |
$200.00 |
| 3075F |
|
208 |
198 |
$150.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$122.13 |
| 3061F |
|
137 |
106 |
$110.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
18 |
$104.72 |
| 1126F |
|
541 |
506 |
$90.00 |
| 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 |
33 |
26 |
$89.72 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$61.50 |
| 96152 |
|
35 |
13 |
$58.11 |
| 90715 |
|
107 |
91 |
$54.40 |
| 1159F |
|
644 |
593 |
$40.00 |
| D0190 |
|
13 |
13 |
$36.00 |
| 1160F |
|
37 |
29 |
$30.00 |
| 90685 |
|
264 |
231 |
$22.87 |
| 3044F |
|
378 |
308 |
$10.00 |
| 3060F |
|
42 |
28 |
$10.00 |
| 1158F |
|
20 |
13 |
$10.00 |
| 91301 |
|
94 |
69 |
$0.15 |
| 0500F |
|
17 |
12 |
$0.04 |
| 90716 |
|
272 |
246 |
$0.00 |
| 90723 |
|
178 |
151 |
$0.00 |
| 3352F |
|
17 |
15 |
$0.00 |
| 3008F |
|
2,122 |
1,762 |
$0.00 |
| 90680 |
|
121 |
102 |
$0.00 |
| 90619 |
|
98 |
97 |
$0.00 |
| 3351F |
|
310 |
266 |
$0.00 |
| 1036F |
|
220 |
186 |
$0.00 |
| 4010F |
|
113 |
95 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
28 |
26 |
$0.00 |
| 0501F |
|
17 |
13 |
$0.00 |
| 90677 |
|
43 |
42 |
$0.00 |
| 1111F |
|
532 |
428 |
$0.00 |
| 1034F |
|
47 |
40 |
$0.00 |
| 1170F |
|
51 |
42 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| D4999 |
|
16 |
13 |
$0.00 |
| 90671 |
|
86 |
80 |
$0.00 |
| 99188 |
|
96 |
72 |
$0.00 |
| 0502F |
|
3,802 |
2,454 |
$0.00 |
| D9430 |
|
53 |
51 |
$0.00 |
| 90707 |
|
259 |
216 |
$0.00 |
| 90633 |
|
479 |
421 |
$0.00 |
| 90648 |
|
451 |
352 |
$0.00 |
| 90670 |
|
727 |
585 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |