| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68,397 |
54,198 |
$2.48M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,476 |
15,766 |
$672K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,989 |
6,427 |
$315K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,455 |
5,487 |
$287K |
| D1110 |
Prophylaxis - adult |
12,413 |
11,733 |
$284K |
| D1120 |
Prophylaxis - child |
9,954 |
9,725 |
$277K |
| D0140 |
Limited oral evaluation - problem focused |
21,010 |
20,202 |
$277K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,894 |
3,836 |
$276K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
7,926 |
7,321 |
$262K |
| D0120 |
Periodic oral evaluation - established patient |
5,660 |
4,934 |
$248K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,788 |
6,761 |
$190K |
| 97802 |
|
29,749 |
22,388 |
$106K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,138 |
1,600 |
$106K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,578 |
2,296 |
$98K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
5,158 |
3,129 |
$90K |
| D1208 |
Topical application of fluoride, excluding varnish |
25,010 |
23,612 |
$75K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,240 |
1,788 |
$63K |
| 87428 |
|
4,955 |
3,882 |
$59K |
| D0330 |
Panoramic radiographic image |
8,476 |
7,899 |
$44K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,434 |
1,110 |
$40K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
630 |
581 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,332 |
2,286 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
253 |
206 |
$18K |
| T1015 |
Clinic visit/encounter, all-inclusive |
750 |
463 |
$18K |
| 80053 |
Comprehensive metabolic panel |
1,368 |
1,281 |
$16K |
| D1330 |
|
25,498 |
24,233 |
$16K |
| 99407 |
|
6,611 |
5,628 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,225 |
3,222 |
$14K |
| D9999 |
Unspecified adjunctive procedure, by report |
579 |
579 |
$13K |
| D0274 |
Bitewings - four radiographic images |
8,815 |
8,211 |
$13K |
| 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 |
4,197 |
2,735 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
129 |
93 |
$11K |
| 92015 |
Determination of refractive state |
2,733 |
1,969 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
14,549 |
12,780 |
$6K |
| D1351 |
Sealant - per tooth |
479 |
219 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
119 |
110 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,610 |
1,177 |
$5K |
| D0999 |
Unspecified diagnostic procedure, by report |
964 |
691 |
$5K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
100 |
80 |
$4K |
| 99201 |
|
129 |
109 |
$4K |
| D1999 |
|
102 |
102 |
$4K |
| 86803 |
|
826 |
682 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
636 |
539 |
$3K |
| H2000 |
Comprehensive multidisciplinary evaluation |
114 |
93 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
293 |
242 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,657 |
5,878 |
$3K |
| 83655 |
|
1,146 |
990 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,760 |
1,603 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
690 |
616 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,042 |
788 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
823 |
706 |
$2K |
| 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 |
6,997 |
5,037 |
$2K |
| D0272 |
Bitewings - two radiographic images |
805 |
750 |
$2K |
| D2335 |
|
28 |
25 |
$2K |
| 0001A |
|
45 |
44 |
$1K |
| 0011A |
|
112 |
94 |
$1K |
| 0012A |
|
98 |
88 |
$1K |
| 81003 |
|
2,226 |
1,792 |
$1K |
| 99490 |
Ccm add 20min |
285 |
216 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
135 |
114 |
$1K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,253 |
4,494 |
$961.70 |
| 86328 |
|
329 |
194 |
$893.62 |
| D2331 |
|
35 |
28 |
$884.57 |
| 0002A |
|
23 |
23 |
$834.30 |
| 80061 |
Lipid panel |
1,024 |
963 |
$827.58 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
17 |
$618.75 |
| D2330 |
|
27 |
15 |
$494.37 |
| 84443 |
Thyroid stimulating hormone (TSH) |
505 |
477 |
$493.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
380 |
233 |
$451.29 |
| V2020 |
Frames, purchases |
1,203 |
849 |
$374.79 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
957 |
655 |
$354.20 |
| 85018 |
|
1,120 |
982 |
$340.76 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
340 |
253 |
$321.68 |
| 99406 |
|
121 |
81 |
$310.68 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
858 |
603 |
$272.44 |
| 90756 |
|
300 |
272 |
$263.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
951 |
692 |
$137.98 |
| 36415 |
Collection of venous blood by venipuncture |
3,909 |
2,806 |
$111.63 |
| D0602 |
|
184 |
179 |
$82.02 |
| 90661 |
|
19 |
16 |
$66.87 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
173 |
168 |
$57.75 |
| D0603 |
|
1,450 |
1,392 |
$40.43 |
| 0031A |
|
33 |
27 |
$35.01 |
| 80305 |
|
14 |
13 |
$32.50 |
| 82962 |
|
53 |
37 |
$31.93 |
| D0191 |
|
122 |
101 |
$19.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
27 |
$18.60 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
16 |
16 |
$7.59 |
| 96127 |
|
1,410 |
969 |
$4.90 |
| 99173 |
|
1,277 |
932 |
$0.00 |
| 3078F |
|
717 |
569 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
267 |
179 |
$0.00 |
| 83037 |
|
321 |
242 |
$0.00 |
| D0431 |
|
49 |
49 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
48 |
42 |
$0.00 |
| 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) |
69 |
52 |
$0.00 |
| 90658 |
|
112 |
112 |
$0.00 |
| 91300 |
|
91 |
72 |
$0.00 |
| 3077F |
|
63 |
61 |
$0.00 |
| 96160 |
|
13 |
12 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
29 |
29 |
$0.00 |
| 91301 |
|
256 |
216 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
94 |
50 |
$0.00 |
| D1310 |
|
21,990 |
20,809 |
$0.00 |
| 1126F |
|
243 |
177 |
$0.00 |
| 1125F |
|
83 |
76 |
$0.00 |
| D1320 |
|
2,402 |
1,969 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 3079F |
|
189 |
149 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
24 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
307 |
238 |
$0.00 |
| 36416 |
|
398 |
297 |
$0.00 |
| 3074F |
|
817 |
672 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
69 |
67 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
76 |
50 |
$0.00 |
| 1036F |
|
194 |
147 |
$0.00 |
| 92551 |
|
454 |
386 |
$0.00 |
| D0170 |
|
75 |
74 |
$0.00 |
| D0601 |
|
103 |
102 |
$0.00 |
| 99000 |
|
55 |
48 |
$0.00 |
| 3075F |
|
33 |
31 |
$0.00 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
40 |
36 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
13 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
24 |
12 |
$0.00 |
| 91303 |
|
14 |
14 |
$0.00 |