| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,595 |
77,870 |
$2.58M |
| H1000 |
Prenatal care, at-risk assessment |
23,557 |
17,419 |
$1.14M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,754 |
13,000 |
$1.02M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,038 |
12,479 |
$1.00M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,663 |
7,398 |
$533K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,447 |
12,347 |
$357K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,950 |
3,859 |
$297K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
445 |
353 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,821 |
5,461 |
$257K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21,433 |
20,280 |
$137K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28,524 |
27,017 |
$116K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,489 |
1,420 |
$92K |
| 99188 |
|
12,484 |
11,888 |
$90K |
| 99381 |
|
812 |
647 |
$47K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,035 |
759 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
639 |
596 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,076 |
2,946 |
$36K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,500 |
1,452 |
$29K |
| 3074F |
|
36,814 |
33,966 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
345 |
333 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
22,537 |
21,017 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,243 |
6,722 |
$24K |
| 99385 |
|
312 |
299 |
$21K |
| 99384 |
|
257 |
244 |
$19K |
| 99383 |
|
238 |
208 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
418 |
408 |
$18K |
| 90697 |
|
1,923 |
1,842 |
$16K |
| 81003 |
|
8,655 |
6,964 |
$14K |
| 11721 |
|
807 |
759 |
$12K |
| D0330 |
Panoramic radiographic image |
341 |
341 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
135 |
125 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
528 |
508 |
$8K |
| 85018 |
|
2,836 |
2,652 |
$8K |
| 90474 |
|
1,910 |
1,833 |
$8K |
| D1110 |
Prophylaxis - adult |
289 |
285 |
$7K |
| 92551 |
|
15,997 |
15,021 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
99 |
91 |
$6K |
| D1206 |
Topical application of fluoride varnish |
1,172 |
1,128 |
$6K |
| D1330 |
|
1,225 |
1,180 |
$6K |
| 90633 |
|
5,346 |
5,009 |
$5K |
| 59430 |
|
109 |
91 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
174 |
147 |
$4K |
| D0274 |
Bitewings - four radiographic images |
1,082 |
1,076 |
$3K |
| 81025 |
|
1,161 |
1,086 |
$3K |
| 90681 |
|
3,384 |
3,176 |
$3K |
| 90670 |
|
8,266 |
7,734 |
$3K |
| 99215 |
Prolong outpt/office vis |
42 |
39 |
$3K |
| 81002 |
|
5,584 |
4,482 |
$3K |
| D1120 |
Prophylaxis - child |
435 |
398 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
844 |
779 |
$2K |
| 93000 |
|
527 |
484 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
381 |
365 |
$2K |
| 99173 |
|
16,028 |
15,087 |
$2K |
| 76801 |
|
37 |
29 |
$2K |
| 90723 |
|
5,110 |
4,769 |
$2K |
| 3075F |
|
3,723 |
3,535 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
1,860 |
1,827 |
$1K |
| 0002A |
|
42 |
42 |
$1K |
| 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 |
2,010 |
1,543 |
$1K |
| 36416 |
|
1,429 |
1,320 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
127 |
125 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
218 |
181 |
$1K |
| 90686 |
|
4,191 |
3,906 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
198 |
148 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
69 |
56 |
$1K |
| 99386 |
|
14 |
12 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
21 |
12 |
$954.55 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
69 |
$908.15 |
| 0001A |
|
32 |
32 |
$861.10 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,908 |
1,389 |
$789.57 |
| 90715 |
|
134 |
102 |
$705.87 |
| 90656 |
|
178 |
171 |
$700.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$593.93 |
| 90461 |
|
1,065 |
945 |
$579.97 |
| 90473 |
|
206 |
198 |
$548.00 |
| 82962 |
|
545 |
508 |
$514.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
68 |
$471.32 |
| 0071A |
|
19 |
14 |
$456.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
51 |
39 |
$455.00 |
| D1351 |
Sealant - per tooth |
77 |
18 |
$399.00 |
| 1036F |
|
42,912 |
37,696 |
$397.75 |
| 11055 |
|
12 |
12 |
$362.65 |
| 91300 |
|
54 |
54 |
$314.04 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
49 |
47 |
$309.55 |
| 96127 |
|
13,676 |
12,063 |
$279.79 |
| 99401 |
|
121 |
119 |
$273.12 |
| 99402 |
|
91 |
85 |
$266.98 |
| 3008F |
|
64,117 |
57,668 |
$253.02 |
| 90648 |
|
6,982 |
6,518 |
$234.02 |
| 90651 |
|
2,051 |
1,930 |
$216.01 |
| 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 |
52 |
49 |
$209.71 |
| 99441 |
|
108 |
103 |
$171.50 |
| 90661 |
|
26 |
25 |
$164.06 |
| 90710 |
|
860 |
829 |
$155.00 |
| 99442 |
|
13 |
12 |
$132.99 |
| 1159F |
|
20,946 |
19,291 |
$121.84 |
| D0272 |
Bitewings - two radiographic images |
51 |
51 |
$106.20 |
| 1126F |
|
26,547 |
24,490 |
$97.29 |
| 1034F |
|
2,590 |
2,234 |
$80.50 |
| 90700 |
|
983 |
937 |
$65.00 |
| 3044F |
|
382 |
336 |
$60.00 |
| 3079F |
|
13,766 |
12,510 |
$46.16 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
1,254 |
1,213 |
$32.24 |
| 1160F |
|
27,630 |
25,361 |
$27.27 |
| D9310 |
|
37 |
37 |
$26.75 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$24.86 |
| 3051F |
|
264 |
214 |
$20.00 |
| 90734 |
|
1,018 |
945 |
$10.00 |
| 90696 |
|
253 |
219 |
$10.00 |
| 90620 |
|
188 |
182 |
$10.00 |
| 94760 |
|
112 |
93 |
$1.94 |
| 3078F |
|
28,256 |
25,546 |
$0.01 |
| 90707 |
|
1,197 |
1,120 |
$0.00 |
| 97803 |
|
780 |
729 |
$0.00 |
| 3725F |
|
30,959 |
27,445 |
$0.00 |
| 3077F |
|
3,887 |
3,531 |
$0.00 |
| 96160 |
|
1,437 |
1,301 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
960 |
713 |
$0.00 |
| 90671 |
|
213 |
194 |
$0.00 |
| 98968 |
|
19 |
13 |
$0.00 |
| 1158F |
|
36 |
34 |
$0.00 |
| D0431 |
|
13 |
13 |
$0.00 |
| 3080F |
|
1,618 |
1,444 |
$0.00 |
| 1125F |
|
4,404 |
4,126 |
$0.00 |
| 96161 |
|
287 |
280 |
$0.00 |
| 90716 |
|
1,328 |
1,252 |
$0.00 |
| 90677 |
|
1,499 |
1,441 |
$0.00 |
| 99000 |
|
130 |
123 |
$0.00 |
| 91307 |
|
96 |
66 |
$0.00 |
| 0501F |
|
19 |
16 |
$0.00 |
| 90688 |
|
43 |
38 |
$0.00 |
| 0513F |
|
13 |
12 |
$0.00 |
| 90698 |
|
15 |
13 |
$0.00 |