| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120,495 |
63,889 |
$6.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,797 |
32,781 |
$3.36M |
| 90832 |
Psychotherapy, 30 minutes with patient |
26,529 |
12,753 |
$1.67M |
| D7140 |
Extraction, erupted tooth or exposed root |
17,236 |
6,957 |
$878K |
| D1110 |
Prophylaxis - adult |
21,952 |
13,162 |
$786K |
| D0140 |
Limited oral evaluation - problem focused |
24,220 |
12,513 |
$656K |
| D1120 |
Prophylaxis - child |
22,155 |
9,474 |
$633K |
| D0120 |
Periodic oral evaluation - established patient |
28,456 |
11,238 |
$545K |
| D1351 |
Sealant - per tooth |
21,711 |
4,770 |
$527K |
| D0330 |
Panoramic radiographic image |
24,379 |
10,180 |
$523K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,335 |
5,157 |
$498K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,097 |
4,603 |
$496K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
9,240 |
2,752 |
$486K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,341 |
4,635 |
$479K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
7,817 |
4,196 |
$475K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,974 |
4,205 |
$459K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,114 |
3,005 |
$442K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
22,504 |
6,943 |
$393K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
8,067 |
3,930 |
$385K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,398 |
3,151 |
$376K |
| D9310 |
|
5,408 |
3,686 |
$331K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,830 |
15,215 |
$285K |
| D0220 |
Intraoral - periapical first radiographic image |
15,690 |
11,707 |
$256K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19,731 |
11,012 |
$203K |
| D0210 |
Intraoral - complete series of radiographic images |
6,606 |
6,554 |
$190K |
| 90791 |
Psychiatric diagnostic evaluation |
1,681 |
1,237 |
$166K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,830 |
1,455 |
$161K |
| D0274 |
Bitewings - four radiographic images |
6,371 |
5,679 |
$161K |
| D9243 |
|
1,232 |
1,192 |
$156K |
| D1208 |
Topical application of fluoride, excluding varnish |
8,609 |
8,218 |
$127K |
| D4341 |
|
2,431 |
1,187 |
$126K |
| D9239 |
|
2,162 |
1,385 |
$120K |
| 90686 |
|
10,651 |
7,850 |
$100K |
| 99441 |
|
2,938 |
1,874 |
$94K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,467 |
1,040 |
$88K |
| D0190 |
|
4,540 |
3,838 |
$85K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,433 |
742 |
$83K |
| 59426 |
|
757 |
301 |
$79K |
| D1206 |
Topical application of fluoride varnish |
2,929 |
2,684 |
$78K |
| 81025 |
|
4,765 |
2,744 |
$59K |
| 90461 |
|
5,717 |
5,555 |
$56K |
| D7230 |
|
479 |
136 |
$47K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,677 |
2,568 |
$46K |
| D7240 |
Removal of impacted tooth - completely bony |
222 |
52 |
$44K |
| 85018 |
|
4,719 |
2,896 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,868 |
4,777 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,270 |
1,136 |
$39K |
| 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 |
2,361 |
946 |
$38K |
| D9110 |
|
785 |
530 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,244 |
1,187 |
$31K |
| 99188 |
|
3,494 |
2,840 |
$30K |
| 81002 |
|
2,060 |
990 |
$30K |
| 86580 |
|
1,681 |
704 |
$27K |
| D5110 |
|
333 |
132 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
498 |
228 |
$22K |
| 0012A |
|
543 |
489 |
$21K |
| D7250 |
|
708 |
131 |
$20K |
| D0272 |
Bitewings - two radiographic images |
1,251 |
1,162 |
$20K |
| 3008F |
|
2,843 |
1,518 |
$18K |
| 90756 |
|
1,511 |
749 |
$18K |
| 83655 |
|
2,240 |
1,498 |
$18K |
| 90734 |
|
2,572 |
741 |
$17K |
| 94760 |
|
1,034 |
387 |
$16K |
| 99406 |
|
3,844 |
3,568 |
$16K |
| 0011A |
|
514 |
458 |
$16K |
| 99385 |
|
266 |
135 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
339 |
208 |
$16K |
| 82962 |
|
978 |
374 |
$14K |
| 90715 |
|
1,237 |
689 |
$14K |
| 99442 |
|
330 |
193 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
812 |
804 |
$13K |
| 99215 |
Prolong outpt/office vis |
392 |
128 |
$13K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
266 |
98 |
$12K |
| 82274 |
|
713 |
293 |
$12K |
| 99384 |
|
251 |
75 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
645 |
248 |
$10K |
| 90670 |
|
3,942 |
2,779 |
$10K |
| 80305 |
|
801 |
409 |
$9K |
| D2331 |
|
145 |
68 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
93 |
63 |
$8K |
| 90674 |
|
820 |
605 |
$7K |
| 90633 |
|
2,225 |
1,574 |
$7K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
691 |
243 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
661 |
623 |
$7K |
| 92015 |
Determination of refractive state |
1,550 |
1,394 |
$6K |
| 99381 |
|
57 |
39 |
$4K |
| 90744 |
|
1,217 |
743 |
$4K |
| 0072A |
|
96 |
96 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
28 |
$3K |
| 99443 |
|
65 |
38 |
$3K |
| 59425 |
|
22 |
12 |
$3K |
| D2752 |
|
24 |
12 |
$3K |
| D2330 |
|
53 |
37 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
339 |
115 |
$3K |
| 0134A |
|
78 |
75 |
$3K |
| 1160F |
|
475 |
153 |
$3K |
| 92201 |
|
227 |
227 |
$2K |
| 90696 |
|
413 |
122 |
$2K |
| 99407 |
|
206 |
181 |
$2K |
| 0071A |
|
65 |
65 |
$2K |
| 90707 |
|
522 |
93 |
$2K |
| 0064A |
|
69 |
69 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
24 |
13 |
$2K |
| 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 |
92 |
86 |
$2K |
| 90700 |
|
338 |
61 |
$2K |
| 0013A |
|
53 |
53 |
$2K |
| 90677 |
|
474 |
471 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
124 |
72 |
$1K |
| 90656 |
|
84 |
30 |
$1K |
| 90621 |
|
203 |
143 |
$1K |
| 90732 |
|
138 |
87 |
$1K |
| 96160 |
|
417 |
330 |
$1K |
| 96127 |
|
253 |
241 |
$1K |
| 92551 |
|
476 |
465 |
$881.79 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
14 |
$812.77 |
| 90723 |
|
129 |
30 |
$703.90 |
| 92225 |
|
117 |
116 |
$694.27 |
| D0603 |
|
5,360 |
5,306 |
$665.27 |
| D9995 |
|
68 |
67 |
$630.33 |
| 0111A |
|
13 |
13 |
$515.10 |
| 99173 |
|
407 |
387 |
$444.86 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
31 |
27 |
$443.02 |
| D9996 |
|
81 |
81 |
$407.85 |
| 90651 |
|
997 |
995 |
$390.00 |
| 90685 |
|
79 |
48 |
$352.70 |
| D9219 |
|
281 |
266 |
$329.30 |
| 91301 |
|
16 |
12 |
$167.22 |
| 90680 |
|
1,653 |
1,610 |
$163.15 |
| 90648 |
|
209 |
188 |
$127.62 |
| 90710 |
|
215 |
203 |
$114.66 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
12 |
$71.84 |
| 90716 |
|
108 |
105 |
$70.54 |
| D0602 |
|
2,876 |
2,873 |
$70.29 |
| D0601 |
|
1,410 |
1,405 |
$70.29 |
| 93000 |
|
16 |
16 |
$18.51 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
60 |
$17.46 |
| 90698 |
|
2,013 |
2,008 |
$0.00 |
| 99000 |
|
376 |
372 |
$0.00 |
| 92250 |
|
13 |
12 |
$0.00 |
| D1353 |
|
19 |
13 |
$0.00 |
| 2023F |
|
14 |
14 |
$0.00 |
| 91311 |
|
27 |
25 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
12 |
12 |
$0.00 |
| 91313 |
|
58 |
58 |
$0.00 |
| 99001 |
|
278 |
277 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
29 |
29 |
$0.00 |
| 92202 |
|
31 |
30 |
$0.00 |