| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117,512 |
92,188 |
$5.32M |
| T1015 |
Clinic visit/encounter, all-inclusive |
197,314 |
143,936 |
$5.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,072 |
41,756 |
$2.97M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,404 |
10,775 |
$966K |
| 59425 |
|
15,674 |
10,990 |
$899K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,350 |
11,410 |
$876K |
| 90832 |
Psychotherapy, 30 minutes with patient |
23,236 |
14,668 |
$778K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,446 |
8,054 |
$670K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23,488 |
17,803 |
$514K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,085 |
4,932 |
$416K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39,818 |
30,059 |
$375K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,399 |
3,703 |
$281K |
| D9999 |
Unspecified adjunctive procedure, by report |
17,177 |
10,655 |
$278K |
| D1110 |
Prophylaxis - adult |
5,324 |
4,226 |
$191K |
| 90791 |
Psychiatric diagnostic evaluation |
2,197 |
1,863 |
$177K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,664 |
4,535 |
$155K |
| 99000 |
|
74,290 |
53,108 |
$151K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,530 |
2,067 |
$146K |
| D0210 |
Intraoral - complete series of radiographic images |
3,094 |
2,521 |
$132K |
| 36415 |
Collection of venous blood by venipuncture |
46,926 |
37,041 |
$127K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,782 |
1,129 |
$103K |
| D0120 |
Periodic oral evaluation - established patient |
5,447 |
4,440 |
$99K |
| D1120 |
Prophylaxis - child |
3,320 |
2,837 |
$92K |
| D0140 |
Limited oral evaluation - problem focused |
2,988 |
2,408 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,161 |
1,768 |
$84K |
| D1206 |
Topical application of fluoride varnish |
5,140 |
4,246 |
$82K |
| 99381 |
|
2,331 |
2,060 |
$80K |
| D0274 |
Bitewings - four radiographic images |
3,363 |
2,617 |
$76K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,684 |
991 |
$74K |
| D1351 |
Sealant - per tooth |
3,054 |
542 |
$69K |
| D0330 |
Panoramic radiographic image |
1,712 |
1,382 |
$62K |
| 90674 |
|
7,602 |
5,597 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
733 |
605 |
$45K |
| 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 |
3,761 |
2,850 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,437 |
2,734 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,265 |
2,590 |
$39K |
| 83655 |
|
4,209 |
3,459 |
$39K |
| 99354 |
|
1,020 |
833 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,314 |
1,185 |
$33K |
| 98940 |
|
1,623 |
1,141 |
$32K |
| 90473 |
|
2,511 |
2,008 |
$30K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,653 |
4,335 |
$29K |
| D0220 |
Intraoral - periapical first radiographic image |
2,822 |
2,232 |
$27K |
| D7140 |
Extraction, erupted tooth or exposed root |
330 |
211 |
$26K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,177 |
777 |
$25K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
204 |
174 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,206 |
3,331 |
$21K |
| 99188 |
|
2,672 |
2,069 |
$18K |
| 96127 |
|
6,312 |
4,938 |
$17K |
| 81002 |
|
7,541 |
5,797 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,332 |
1,643 |
$14K |
| 90715 |
|
1,860 |
1,482 |
$11K |
| 85018 |
|
5,679 |
4,578 |
$11K |
| 99383 |
|
145 |
102 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
707 |
558 |
$10K |
| 87807 |
|
1,060 |
798 |
$9K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
373 |
161 |
$9K |
| 90474 |
|
740 |
566 |
$7K |
| 59426 |
|
251 |
204 |
$7K |
| 99382 |
|
62 |
48 |
$4K |
| 99384 |
|
71 |
59 |
$4K |
| D0272 |
Bitewings - two radiographic images |
254 |
207 |
$4K |
| 90698 |
|
11,840 |
9,110 |
$3K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
41 |
28 |
$3K |
| 0071A |
|
112 |
79 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
83 |
70 |
$3K |
| 99385 |
|
110 |
95 |
$2K |
| 87210 |
|
988 |
866 |
$2K |
| D1354 |
|
52 |
13 |
$2K |
| 98943 |
|
117 |
93 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
13 |
$2K |
| 90670 |
|
10,325 |
8,109 |
$2K |
| 99173 |
|
1,909 |
1,557 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
25 |
$2K |
| 90651 |
|
3,694 |
2,889 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
29 |
25 |
$1K |
| 0011A |
|
37 |
29 |
$893.04 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
268 |
237 |
$877.96 |
| 90686 |
|
8,730 |
7,059 |
$825.08 |
| D1352 |
|
21 |
13 |
$709.00 |
| 0072A |
|
28 |
20 |
$706.99 |
| 90681 |
|
4,497 |
3,583 |
$657.38 |
| 90744 |
|
5,989 |
4,670 |
$608.46 |
| D0230 |
Intraoral - periapical each additional radiographic image |
120 |
47 |
$576.60 |
| D0270 |
|
28 |
27 |
$506.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
25 |
$483.74 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
13 |
12 |
$391.92 |
| 90716 |
|
1,446 |
1,149 |
$361.42 |
| 90620 |
|
1,401 |
1,102 |
$333.11 |
| 90661 |
|
468 |
427 |
$326.36 |
| 90707 |
|
1,373 |
1,094 |
$294.96 |
| 90633 |
|
6,315 |
4,775 |
$266.35 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
23 |
14 |
$221.81 |
| D4342 |
|
59 |
13 |
$202.92 |
| 82962 |
|
244 |
229 |
$118.82 |
| 90734 |
|
2,879 |
2,282 |
$106.61 |
| 86580 |
|
114 |
100 |
$96.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
126 |
103 |
$95.05 |
| 3044F |
|
1,528 |
1,382 |
$80.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
33 |
25 |
$5.59 |
| 90710 |
|
1,750 |
1,306 |
$3.95 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$3.90 |
| 90696 |
|
1,234 |
918 |
$2.65 |
| 90677 |
|
1,361 |
1,016 |
$0.74 |
| 90685 |
|
113 |
95 |
$0.45 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
317 |
280 |
$0.42 |
| 90700 |
|
68 |
54 |
$0.35 |
| 90648 |
|
45 |
43 |
$0.08 |
| 1159F |
|
6,578 |
6,117 |
$0.00 |
| 3078F |
|
3,335 |
3,109 |
$0.00 |
| 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 |
273 |
236 |
$0.00 |
| 3077F |
|
120 |
114 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
13 |
$0.00 |
| 90380 |
|
24 |
13 |
$0.00 |
| 91301 |
|
60 |
51 |
$0.00 |
| 3074F |
|
3,904 |
3,633 |
$0.00 |
| 3079F |
|
878 |
835 |
$0.00 |
| 3075F |
|
184 |
176 |
$0.00 |
| 1126F |
|
168 |
132 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
40 |
38 |
$0.00 |
| 91307 |
|
161 |
106 |
$0.00 |
| 88720 |
|
14 |
12 |
$0.00 |
| 3080F |
|
44 |
41 |
$0.00 |
| 93000 |
|
21 |
16 |
$0.00 |
| 90381 |
|
32 |
15 |
$0.00 |
| 90723 |
|
20 |
20 |
$0.00 |