| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,724 |
37,337 |
$2.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,759 |
40,453 |
$2.54M |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,699 |
5,447 |
$554K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,072 |
3,668 |
$544K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,602 |
6,914 |
$224K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,677 |
2,644 |
$213K |
| D7140 |
Extraction, erupted tooth or exposed root |
4,658 |
2,106 |
$200K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,201 |
834 |
$195K |
| D0140 |
Limited oral evaluation - problem focused |
10,789 |
9,745 |
$166K |
| D0603 |
|
20,127 |
17,844 |
$160K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,033 |
1,992 |
$148K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,460 |
2,219 |
$129K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,538 |
1,512 |
$116K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,450 |
4,799 |
$107K |
| 96127 |
|
27,321 |
15,218 |
$101K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,198 |
1,155 |
$91K |
| D1110 |
Prophylaxis - adult |
5,317 |
4,735 |
$82K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,844 |
1,773 |
$80K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,567 |
10,346 |
$62K |
| D0210 |
Intraoral - complete series of radiographic images |
3,032 |
2,613 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
715 |
694 |
$59K |
| D0220 |
Intraoral - periapical first radiographic image |
12,349 |
10,978 |
$52K |
| D0120 |
Periodic oral evaluation - established patient |
5,553 |
4,989 |
$51K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,611 |
2,545 |
$51K |
| S4993 |
Contraceptive pills for birth control |
5,192 |
3,878 |
$50K |
| 90686 |
|
2,929 |
2,814 |
$49K |
| 90791 |
Psychiatric diagnostic evaluation |
410 |
392 |
$42K |
| 99215 |
Prolong outpt/office vis |
269 |
248 |
$41K |
| D1354 |
|
4,571 |
1,199 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,016 |
4,622 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
379 |
372 |
$32K |
| D1120 |
Prophylaxis - child |
2,801 |
2,580 |
$31K |
| 99385 |
|
212 |
201 |
$31K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,383 |
1,078 |
$28K |
| 90670 |
|
1,310 |
1,295 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
214 |
197 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,827 |
1,700 |
$26K |
| D1206 |
Topical application of fluoride varnish |
5,742 |
5,280 |
$25K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,697 |
1,171 |
$25K |
| 90723 |
|
1,203 |
1,187 |
$25K |
| D0274 |
Bitewings - four radiographic images |
3,305 |
2,960 |
$24K |
| 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 |
2,831 |
1,828 |
$23K |
| 90647 |
|
1,108 |
1,096 |
$22K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
166 |
140 |
$18K |
| 0011A |
|
416 |
405 |
$18K |
| S9443 |
Lactation classes, non-physician provider, per session |
448 |
271 |
$17K |
| 97803 |
|
722 |
694 |
$17K |
| 99401 |
|
577 |
383 |
$16K |
| 0012A |
|
387 |
379 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
160 |
$15K |
| 90633 |
|
689 |
680 |
$14K |
| 0001A |
|
350 |
332 |
$11K |
| 90715 |
|
555 |
538 |
$11K |
| 0002A |
|
318 |
313 |
$11K |
| 97802 |
|
408 |
395 |
$10K |
| 80305 |
|
1,402 |
1,096 |
$9K |
| 99383 |
|
88 |
87 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,970 |
1,779 |
$8K |
| 0013A |
|
224 |
221 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,234 |
2,053 |
$6K |
| 98926 |
|
161 |
153 |
$6K |
| 81025 |
|
1,240 |
1,170 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,566 |
1,028 |
$6K |
| 90677 |
|
266 |
263 |
$5K |
| D0330 |
Panoramic radiographic image |
467 |
464 |
$5K |
| 99381 |
|
84 |
78 |
$5K |
| 99403 |
|
90 |
66 |
$5K |
| D0170 |
|
487 |
471 |
$5K |
| S4930 |
|
533 |
525 |
$5K |
| 99173 |
|
2,328 |
2,291 |
$5K |
| 96160 |
|
1,473 |
1,249 |
$4K |
| 99417 |
Prolong home eval add 15m |
65 |
65 |
$4K |
| D4346 |
|
157 |
116 |
$4K |
| 90681 |
|
198 |
194 |
$4K |
| 0072A |
|
117 |
117 |
$4K |
| D0601 |
|
1,181 |
1,131 |
$4K |
| 0071A |
|
124 |
123 |
$4K |
| 90671 |
|
184 |
180 |
$4K |
| 90651 |
|
165 |
162 |
$4K |
| 98927 |
|
72 |
68 |
$3K |
| 0124A |
|
105 |
103 |
$3K |
| 0004A |
|
112 |
108 |
$3K |
| 0031A |
|
59 |
55 |
$3K |
| 0134A |
|
97 |
89 |
$3K |
| 90710 |
|
163 |
156 |
$3K |
| D2331 |
|
104 |
66 |
$3K |
| 90674 |
|
133 |
131 |
$3K |
| 99404 |
|
31 |
25 |
$2K |
| 90685 |
|
101 |
100 |
$2K |
| 90734 |
|
100 |
97 |
$2K |
| 90696 |
|
100 |
95 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,860 |
4,785 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
15 |
13 |
$2K |
| 0064A |
|
68 |
66 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
26 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$1K |
| 90707 |
|
60 |
60 |
$1K |
| 90716 |
|
56 |
56 |
$1K |
| 90619 |
|
56 |
56 |
$1K |
| 99406 |
|
115 |
111 |
$1K |
| 90700 |
|
57 |
57 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 99442 |
|
31 |
26 |
$994.69 |
| D0272 |
Bitewings - two radiographic images |
330 |
313 |
$949.26 |
| 0054A |
|
42 |
41 |
$935.60 |
| 99402 |
|
17 |
15 |
$750.24 |
| D9310 |
|
125 |
125 |
$730.60 |
| 90656 |
|
45 |
45 |
$717.48 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
54 |
54 |
$704.60 |
| D1351 |
Sealant - per tooth |
508 |
169 |
$679.68 |
| 90653 |
|
33 |
33 |
$675.00 |
| 98968 |
|
41 |
31 |
$641.54 |
| A4267 |
Contraceptive supply, condom, male, each |
174 |
168 |
$639.42 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
64 |
51 |
$545.40 |
| 99407 |
|
29 |
25 |
$491.15 |
| 99349 |
|
12 |
12 |
$475.25 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
74 |
57 |
$465.36 |
| 90688 |
|
30 |
29 |
$364.23 |
| 81002 |
|
259 |
225 |
$326.24 |
| 98925 |
|
13 |
12 |
$312.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
31 |
$301.34 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,606 |
1,517 |
$287.14 |
| 90713 |
|
12 |
12 |
$241.56 |
| G0008 |
Administration of influenza virus vaccine |
47 |
42 |
$213.05 |
| 98967 |
|
15 |
12 |
$196.74 |
| 86580 |
|
19 |
18 |
$142.93 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
24 |
18 |
$101.12 |
| D0270 |
|
49 |
49 |
$93.60 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$79.41 |
| 36416 |
|
26 |
24 |
$68.76 |
| J3490 |
Unclassified drugs |
455 |
321 |
$53.83 |
| 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 |
20 |
12 |
$38.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$16.18 |
| 91301 |
|
69 |
68 |
$0.00 |
| D0602 |
|
285 |
279 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
58 |
58 |
$0.00 |
| D9995 |
|
316 |
315 |
$0.00 |
| 90474 |
|
179 |
175 |
$0.00 |
| D2330 |
|
71 |
52 |
$0.00 |
| D1330 |
|
380 |
364 |
$0.00 |
| 99000 |
|
36 |
33 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
12 |
$0.00 |
| D0191 |
|
1,828 |
1,806 |
$0.00 |
| 91313 |
|
89 |
81 |
$0.00 |
| 91312 |
|
101 |
99 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$0.00 |
| D2940 |
|
43 |
28 |
$0.00 |