| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167,586 |
86,981 |
$11.33M |
| D0220 |
Intraoral - periapical first radiographic image |
198,850 |
54,242 |
$5.65M |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
38,014 |
20,746 |
$3.98M |
| D0120 |
Periodic oral evaluation - established patient |
65,624 |
36,865 |
$2.06M |
| 92065 |
|
21,501 |
8,082 |
$2.00M |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18,413 |
10,497 |
$1.73M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,315 |
11,737 |
$1.52M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
22,552 |
8,000 |
$1.33M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15,020 |
8,811 |
$1.28M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,257 |
8,360 |
$1.19M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,056 |
6,784 |
$1.08M |
| D1110 |
Prophylaxis - adult |
28,139 |
20,893 |
$1.06M |
| D0274 |
Bitewings - four radiographic images |
39,649 |
23,235 |
$1.02M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
11,999 |
7,349 |
$898K |
| D1120 |
Prophylaxis - child |
20,772 |
15,924 |
$730K |
| D0140 |
Limited oral evaluation - problem focused |
11,116 |
6,237 |
$730K |
| 17110 |
|
7,179 |
4,624 |
$721K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12,048 |
4,199 |
$646K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,927 |
5,034 |
$644K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
10,373 |
4,065 |
$606K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,978 |
4,573 |
$561K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,072 |
4,361 |
$549K |
| D1351 |
Sealant - per tooth |
9,401 |
2,745 |
$534K |
| 0502F |
|
5,315 |
2,116 |
$502K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
6,376 |
1,795 |
$439K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,059 |
3,006 |
$413K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,613 |
14,336 |
$403K |
| D0272 |
Bitewings - two radiographic images |
16,862 |
8,526 |
$382K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,377 |
2,364 |
$368K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,517 |
2,805 |
$358K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
3,381 |
1,841 |
$330K |
| D0230 |
Intraoral - periapical each additional radiographic image |
39,985 |
34,311 |
$289K |
| D1208 |
Topical application of fluoride, excluding varnish |
21,878 |
20,733 |
$271K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,115 |
6,908 |
$240K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,940 |
282 |
$232K |
| D0603 |
|
8,378 |
2,903 |
$230K |
| 92015 |
Determination of refractive state |
12,567 |
11,475 |
$210K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,171 |
497 |
$192K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26,163 |
25,266 |
$186K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,164 |
1,216 |
$177K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
72 |
72 |
$171K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,917 |
1,882 |
$158K |
| 11730 |
|
1,490 |
1,248 |
$134K |
| 99201 |
|
1,870 |
713 |
$132K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,526 |
845 |
$131K |
| 92066 |
|
1,126 |
592 |
$124K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,467 |
1,236 |
$116K |
| 87070 |
|
21,726 |
20,782 |
$111K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,641 |
688 |
$105K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
1,043 |
527 |
$93K |
| 36415 |
Collection of venous blood by venipuncture |
26,585 |
24,065 |
$92K |
| D2740 |
Crown - porcelain/ceramic |
371 |
181 |
$78K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,300 |
2,165 |
$68K |
| 99385 |
|
1,111 |
364 |
$64K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,243 |
298 |
$63K |
| 90791 |
Psychiatric diagnostic evaluation |
661 |
465 |
$61K |
| 76830 |
Ultrasound, transvaginal |
798 |
699 |
$60K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
906 |
812 |
$57K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
470 |
269 |
$57K |
| D1354 |
|
803 |
316 |
$50K |
| 11055 |
|
625 |
486 |
$48K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
716 |
455 |
$41K |
| D2331 |
|
405 |
199 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,272 |
1,844 |
$36K |
| 97803 |
|
1,661 |
913 |
$35K |
| 97161 |
|
463 |
353 |
$35K |
| D0602 |
|
1,256 |
577 |
$32K |
| 11720 |
|
231 |
206 |
$29K |
| 90461 |
|
1,206 |
1,191 |
$27K |
| 96127 |
|
7,211 |
7,075 |
$27K |
| 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 |
746 |
273 |
$25K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
334 |
328 |
$24K |
| D1999 |
|
1,866 |
1,295 |
$23K |
| 0501F |
|
210 |
123 |
$23K |
| 11755 |
|
213 |
190 |
$23K |
| D0270 |
|
1,187 |
1,005 |
$23K |
| 87428 |
|
493 |
491 |
$18K |
| 90686 |
|
2,021 |
1,974 |
$18K |
| 99381 |
|
150 |
81 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,522 |
1,490 |
$17K |
| D9310 |
|
170 |
98 |
$14K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
589 |
191 |
$14K |
| 0012A |
|
439 |
439 |
$12K |
| 0011A |
|
458 |
453 |
$9K |
| D1510 |
|
35 |
28 |
$8K |
| 97113 |
|
158 |
59 |
$8K |
| 99177 |
|
2,054 |
1,996 |
$8K |
| 81003 |
|
2,138 |
1,978 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
484 |
483 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
642 |
619 |
$7K |
| 97802 |
|
85 |
85 |
$5K |
| 90715 |
|
139 |
134 |
$4K |
| 83655 |
|
600 |
597 |
$4K |
| 99386 |
|
89 |
15 |
$4K |
| D9995 |
|
109 |
80 |
$4K |
| 11721 |
|
43 |
38 |
$4K |
| 99383 |
|
59 |
14 |
$3K |
| 99382 |
|
63 |
14 |
$3K |
| 85018 |
|
1,397 |
1,383 |
$3K |
| D2330 |
|
26 |
12 |
$2K |
| 92002 |
|
22 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
542 |
539 |
$2K |
| 99384 |
|
15 |
15 |
$2K |
| 36416 |
|
2,210 |
2,121 |
$2K |
| 81025 |
|
208 |
178 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
26 |
12 |
$2K |
| D0330 |
Panoramic radiographic image |
56 |
15 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
24 |
$1K |
| 90674 |
|
151 |
144 |
$1K |
| 11900 |
|
16 |
12 |
$942.51 |
| 92558 |
|
96 |
84 |
$729.38 |
| 0064A |
|
16 |
16 |
$640.00 |
| 90697 |
|
301 |
282 |
$558.70 |
| D0601 |
|
37 |
28 |
$527.06 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
27 |
$459.78 |
| 87807 |
|
101 |
98 |
$451.15 |
| 97014 |
|
54 |
24 |
$389.07 |
| 0031A |
|
12 |
12 |
$252.76 |
| 99459 |
|
15 |
15 |
$222.29 |
| 90677 |
|
313 |
306 |
$187.52 |
| 86580 |
|
14 |
13 |
$69.97 |
| 90656 |
|
154 |
154 |
$48.71 |
| 90670 |
|
61 |
55 |
$37.87 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
15 |
$11.40 |
| 91301 |
|
380 |
379 |
$1.55 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
14 |
$0.25 |
| 91306 |
|
12 |
12 |
$0.04 |
| 90619 |
|
26 |
26 |
$0.04 |
| 90707 |
|
12 |
12 |
$0.01 |
| 97010 |
|
342 |
150 |
$0.00 |
| 92310 |
|
13 |
13 |
$0.00 |