| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,298 |
29,423 |
$5.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,154 |
4,907 |
$786K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,303 |
3,233 |
$577K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,547 |
1,542 |
$321K |
| D1206 |
Topical application of fluoride varnish |
3,225 |
3,157 |
$314K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,357 |
1,347 |
$285K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,279 |
1,272 |
$267K |
| 90791 |
Psychiatric diagnostic evaluation |
1,661 |
1,638 |
$253K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,142 |
1,139 |
$241K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,971 |
1,877 |
$219K |
| D0999 |
Unspecified diagnostic procedure, by report |
1,951 |
1,812 |
$166K |
| D1110 |
Prophylaxis - adult |
1,289 |
1,234 |
$156K |
| D0330 |
Panoramic radiographic image |
1,788 |
1,733 |
$154K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
800 |
766 |
$142K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
658 |
633 |
$105K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,807 |
718 |
$78K |
| 99383 |
|
407 |
406 |
$71K |
| D1120 |
Prophylaxis - child |
565 |
559 |
$61K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,162 |
1,126 |
$58K |
| D0140 |
Limited oral evaluation - problem focused |
1,076 |
1,002 |
$53K |
| 99384 |
|
290 |
288 |
$53K |
| 99381 |
|
270 |
268 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
205 |
203 |
$39K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,912 |
4,784 |
$33K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,250 |
1,171 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
154 |
151 |
$30K |
| D0220 |
Intraoral - periapical first radiographic image |
2,512 |
2,353 |
$28K |
| 99382 |
|
172 |
171 |
$27K |
| 80061 |
Lipid panel |
3,174 |
3,085 |
$25K |
| 92551 |
|
2,578 |
2,564 |
$21K |
| 80053 |
Comprehensive metabolic panel |
2,998 |
2,897 |
$20K |
| D9999 |
Unspecified adjunctive procedure, by report |
200 |
199 |
$19K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,213 |
2,139 |
$19K |
| D0274 |
Bitewings - four radiographic images |
1,006 |
974 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
904 |
868 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,763 |
3,624 |
$12K |
| D1351 |
Sealant - per tooth |
1,672 |
344 |
$11K |
| 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 |
5,219 |
4,502 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,690 |
4,644 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
344 |
307 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
39 |
35 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
514 |
494 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,098 |
1,954 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
366 |
348 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$3K |
| 84439 |
|
512 |
480 |
$3K |
| D1354 |
|
1,566 |
321 |
$3K |
| 0240U |
|
39 |
37 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
13 |
12 |
$3K |
| 99385 |
|
13 |
13 |
$2K |
| 81003 |
|
2,548 |
2,436 |
$2K |
| 99173 |
|
2,417 |
2,405 |
$2K |
| 82570 |
|
621 |
598 |
$2K |
| 0064A |
|
89 |
89 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
31 |
25 |
$2K |
| 92587 |
|
2,515 |
2,496 |
$1K |
| 90750 |
|
41 |
40 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,902 |
1,858 |
$1K |
| 81025 |
|
371 |
361 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
83 |
83 |
$836.76 |
| 99460 |
|
12 |
12 |
$828.00 |
| 92015 |
Determination of refractive state |
360 |
345 |
$827.05 |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,292 |
1,120 |
$825.90 |
| 99406 |
|
79 |
74 |
$793.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
53 |
$737.20 |
| 90686 |
|
2,252 |
2,213 |
$689.84 |
| 81001 |
|
246 |
237 |
$622.61 |
| 82977 |
|
124 |
123 |
$551.98 |
| 82044 |
|
581 |
558 |
$506.73 |
| 86580 |
|
99 |
96 |
$377.66 |
| 90651 |
|
871 |
862 |
$377.04 |
| 83735 |
|
97 |
97 |
$374.82 |
| 80069 |
|
77 |
68 |
$372.57 |
| 90670 |
|
1,707 |
1,683 |
$368.50 |
| 82948 |
|
300 |
289 |
$328.49 |
| 90715 |
|
1,229 |
1,206 |
$297.63 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
58 |
55 |
$296.66 |
| 84550 |
|
95 |
95 |
$271.14 |
| 82947 |
|
330 |
320 |
$270.31 |
| 87210 |
|
76 |
73 |
$255.34 |
| 0071A |
|
73 |
73 |
$191.17 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$191.15 |
| 0011A |
|
22 |
21 |
$188.52 |
| 90674 |
|
644 |
636 |
$178.25 |
| 80305 |
|
12 |
12 |
$126.39 |
| 82248 |
|
66 |
66 |
$92.73 |
| 82043 |
|
27 |
27 |
$53.84 |
| 90710 |
|
752 |
745 |
$0.02 |
| 90633 |
|
1,046 |
1,038 |
$0.01 |
| 90723 |
|
645 |
632 |
$0.00 |
| D1330 |
|
643 |
628 |
$0.00 |
| 90647 |
|
685 |
675 |
$0.00 |
| 90697 |
|
788 |
783 |
$0.00 |
| 90677 |
|
295 |
294 |
$0.00 |
| D1310 |
|
379 |
376 |
$0.00 |
| 90619 |
|
137 |
135 |
$0.00 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
48 |
42 |
$0.00 |
| 90696 |
|
127 |
127 |
$0.00 |
| 90620 |
|
78 |
78 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
56 |
49 |
$0.00 |
| 0072A |
|
66 |
66 |
$0.00 |
| 99496 |
|
14 |
13 |
$0.00 |
| 90656 |
|
49 |
49 |
$0.00 |
| 36416 |
|
18 |
17 |
$0.00 |
| D0603 |
|
44 |
44 |
$0.00 |
| 0052A |
|
12 |
12 |
$0.00 |
| 99177 |
|
2,520 |
2,504 |
$0.00 |
| 90734 |
|
871 |
859 |
$0.00 |
| 90461 |
|
2,815 |
2,794 |
$0.00 |
| D1999 |
|
257 |
235 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
227 |
226 |
$0.00 |
| 90681 |
|
431 |
428 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
15 |
$0.00 |
| 0124A |
|
13 |
13 |
$0.00 |
| 0002A |
|
19 |
19 |
$0.00 |
| D0190 |
|
16 |
15 |
$0.00 |
| 0054A |
|
13 |
13 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |