| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,451 |
50,078 |
$3.74M |
| 90837 |
Psychotherapy, 53 minutes with patient |
21,196 |
10,764 |
$2.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,766 |
10,811 |
$922K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,873 |
7,722 |
$604K |
| 59426 |
|
964 |
777 |
$576K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,067 |
7,648 |
$569K |
| 59430 |
|
1,199 |
1,154 |
$263K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,504 |
2,468 |
$191K |
| 90670 |
|
4,987 |
4,843 |
$120K |
| 90686 |
|
8,728 |
8,450 |
$109K |
| 90677 |
|
1,437 |
1,401 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
937 |
911 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,097 |
1,085 |
$91K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
768 |
754 |
$89K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,529 |
1,031 |
$83K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,927 |
3,813 |
$81K |
| 3008F |
|
96,747 |
84,024 |
$77K |
| D1120 |
Prophylaxis - child |
2,710 |
2,683 |
$68K |
| 90834 |
Psychotherapy, 45 minutes with patient |
980 |
752 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
842 |
817 |
$66K |
| 92551 |
|
6,817 |
6,672 |
$65K |
| D1206 |
Topical application of fluoride varnish |
4,047 |
4,016 |
$65K |
| 90697 |
|
1,698 |
1,646 |
$62K |
| 99381 |
|
829 |
701 |
$60K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
671 |
650 |
$56K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
618 |
608 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,312 |
17,702 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,869 |
2,789 |
$52K |
| D0120 |
Periodic oral evaluation - established patient |
3,676 |
3,637 |
$51K |
| 90651 |
|
1,087 |
1,077 |
$50K |
| 90681 |
|
2,388 |
2,295 |
$49K |
| 90715 |
|
1,570 |
1,511 |
$48K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
486 |
470 |
$46K |
| D1110 |
Prophylaxis - adult |
1,676 |
1,649 |
$45K |
| 90633 |
|
3,459 |
3,381 |
$45K |
| 90710 |
|
1,215 |
1,185 |
$44K |
| 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 |
2,680 |
2,266 |
$41K |
| 99000 |
|
22,251 |
19,679 |
$39K |
| D0220 |
Intraoral - periapical first radiographic image |
3,935 |
3,780 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,840 |
2,787 |
$31K |
| 90648 |
|
2,989 |
2,907 |
$31K |
| D0210 |
Intraoral - complete series of radiographic images |
1,079 |
756 |
$29K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,467 |
2,104 |
$28K |
| 99188 |
|
1,401 |
1,375 |
$28K |
| 87428 |
|
918 |
865 |
$28K |
| 90723 |
|
1,791 |
1,730 |
$27K |
| 87807 |
|
1,989 |
1,868 |
$24K |
| 90461 |
|
11,018 |
10,654 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
14,610 |
13,084 |
$22K |
| 90734 |
|
617 |
610 |
$19K |
| 99383 |
|
225 |
220 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,584 |
2,528 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,360 |
1,306 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,544 |
5,269 |
$17K |
| D0274 |
Bitewings - four radiographic images |
948 |
940 |
$15K |
| 0012A |
|
426 |
423 |
$14K |
| 90716 |
|
614 |
603 |
$14K |
| 99385 |
|
153 |
149 |
$14K |
| 99384 |
|
137 |
134 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
134 |
132 |
$13K |
| 90750 |
|
109 |
102 |
$12K |
| 90700 |
|
970 |
960 |
$12K |
| 99173 |
|
5,119 |
5,024 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
219 |
188 |
$11K |
| 0011A |
|
424 |
423 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
72 |
61 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
87 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
416 |
264 |
$9K |
| 99177 |
|
1,940 |
1,911 |
$8K |
| 81025 |
|
1,090 |
1,053 |
$8K |
| 76801 |
|
107 |
104 |
$7K |
| 90707 |
|
437 |
427 |
$7K |
| 90696 |
|
432 |
430 |
$7K |
| 3078F |
|
1,332 |
1,268 |
$6K |
| 0071A |
|
145 |
143 |
$6K |
| 3074F |
|
1,353 |
1,282 |
$5K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
75 |
62 |
$5K |
| 0072A |
|
131 |
129 |
$5K |
| 97803 |
|
100 |
93 |
$5K |
| 97802 |
|
56 |
52 |
$4K |
| 0003A |
|
117 |
117 |
$4K |
| D0330 |
Panoramic radiographic image |
62 |
61 |
$4K |
| 59425 |
|
18 |
12 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
94 |
$4K |
| 90698 |
|
179 |
178 |
$3K |
| 0001A |
|
72 |
72 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
138 |
138 |
$3K |
| 0002A |
|
70 |
70 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
207 |
197 |
$2K |
| 90744 |
|
168 |
168 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
75 |
18 |
$2K |
| 99386 |
|
18 |
17 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
159 |
145 |
$2K |
| 81002 |
|
555 |
530 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
64 |
15 |
$1K |
| 3079F |
|
265 |
257 |
$1K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
16 |
13 |
$1K |
| 82274 |
|
129 |
97 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 92587 |
|
213 |
206 |
$916.81 |
| 90713 |
|
70 |
68 |
$770.57 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
319 |
308 |
$430.18 |
| 90685 |
|
37 |
36 |
$405.28 |
| 3075F |
|
50 |
47 |
$375.00 |
| 80061 |
Lipid panel |
1,076 |
1,056 |
$307.97 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
115 |
29 |
$110.76 |
| 36416 |
|
1,225 |
1,199 |
$77.20 |
| 87481 |
|
65 |
65 |
$70.18 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
14 |
13 |
$35.09 |
| 97014 |
|
122 |
34 |
$29.06 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
56 |
55 |
$26.61 |
| 88141 |
|
53 |
52 |
$18.44 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
140 |
135 |
$4.14 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$3.50 |
| 84439 |
|
321 |
312 |
$0.00 |
| D4910 |
|
87 |
87 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
65 |
65 |
$0.00 |
| 91300 |
|
24 |
23 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
37 |
28 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
53 |
53 |
$0.00 |
| 87150 |
|
12 |
12 |
$0.00 |
| V5008 |
Hearing screening |
100 |
100 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
77 |
77 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
252 |
246 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
623 |
601 |
$0.00 |
| D4355 |
|
31 |
31 |
$0.00 |
| 91307 |
|
201 |
180 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
77 |
77 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
12 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 85027 |
|
14 |
14 |
$0.00 |