| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
311,407 |
139,273 |
$15.80M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261,832 |
87,194 |
$9.51M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
174,502 |
33,434 |
$9.18M |
| 90832 |
Psychotherapy, 30 minutes with patient |
40,284 |
27,630 |
$3.73M |
| 92551 |
|
138,624 |
34,381 |
$3.60M |
| D0120 |
Periodic oral evaluation - established patient |
125,510 |
33,688 |
$3.59M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
83,245 |
16,784 |
$3.31M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55,307 |
28,452 |
$2.86M |
| D0140 |
Limited oral evaluation - problem focused |
59,192 |
25,629 |
$2.60M |
| 36415 |
Collection of venous blood by venipuncture |
126,871 |
54,789 |
$2.39M |
| 99443 |
|
14,970 |
10,860 |
$1.48M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15,964 |
10,749 |
$1.45M |
| D1110 |
Prophylaxis - adult |
24,457 |
11,434 |
$1.38M |
| 81003 |
|
45,362 |
15,098 |
$1.37M |
| 97010 |
|
38,381 |
5,242 |
$1.27M |
| 99442 |
|
13,598 |
12,177 |
$1.27M |
| D1120 |
Prophylaxis - child |
47,598 |
18,297 |
$1.19M |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17,606 |
8,128 |
$1.16M |
| D8670 |
Periodic orthodontic treatment visit |
6,057 |
4,683 |
$1.03M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
8,685 |
3,144 |
$1.01M |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16,742 |
7,576 |
$990K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
33,662 |
8,878 |
$966K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30,872 |
22,208 |
$941K |
| 81025 |
|
29,812 |
11,990 |
$936K |
| D7140 |
Extraction, erupted tooth or exposed root |
15,168 |
6,381 |
$764K |
| 99441 |
|
8,883 |
7,840 |
$749K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19,445 |
6,611 |
$745K |
| 92015 |
Determination of refractive state |
13,178 |
5,329 |
$722K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,854 |
9,023 |
$720K |
| D0220 |
Intraoral - periapical first radiographic image |
43,763 |
36,576 |
$627K |
| 94760 |
|
16,339 |
6,370 |
$585K |
| D1351 |
Sealant - per tooth |
14,783 |
4,158 |
$579K |
| D0274 |
Bitewings - four radiographic images |
26,030 |
19,875 |
$565K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,974 |
3,443 |
$506K |
| 97162 |
|
6,761 |
6,571 |
$504K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
11,880 |
8,086 |
$440K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
9,710 |
5,700 |
$403K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
49,032 |
16,184 |
$373K |
| 92557 |
|
5,886 |
2,818 |
$336K |
| D8660 |
|
5,420 |
4,144 |
$329K |
| D1330 |
|
22,589 |
17,893 |
$325K |
| D0330 |
Panoramic radiographic image |
9,748 |
6,821 |
$309K |
| 90686 |
|
21,247 |
19,646 |
$304K |
| D9310 |
|
4,779 |
2,335 |
$285K |
| D4341 |
|
4,806 |
1,804 |
$276K |
| D1208 |
Topical application of fluoride, excluding varnish |
21,031 |
19,468 |
$239K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,970 |
2,326 |
$188K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,747 |
2,320 |
$165K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,384 |
23,663 |
$163K |
| 97166 |
|
2,091 |
2,011 |
$159K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,412 |
8,085 |
$155K |
| 86703 |
|
4,093 |
3,778 |
$153K |
| D3999 |
|
1,206 |
834 |
$140K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,241 |
1,857 |
$132K |
| D0270 |
|
9,178 |
7,578 |
$132K |
| D1354 |
|
7,513 |
2,082 |
$130K |
| 92579 |
|
2,044 |
1,127 |
$125K |
| D5899 |
|
946 |
748 |
$123K |
| D0272 |
Bitewings - two radiographic images |
8,315 |
6,581 |
$120K |
| D0210 |
Intraoral - complete series of radiographic images |
9,091 |
8,898 |
$109K |
| D0230 |
Intraoral - periapical each additional radiographic image |
20,507 |
19,997 |
$109K |
| 3008F |
|
85,314 |
71,727 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,023 |
6,711 |
$102K |
| D0350 |
|
3,514 |
1,882 |
$101K |
| 92550 |
|
3,659 |
2,701 |
$97K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,801 |
3,266 |
$95K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
5,268 |
3,757 |
$92K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
111 |
101 |
$90K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,550 |
2,224 |
$89K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,835 |
1,684 |
$82K |
| D0240 |
|
4,957 |
4,239 |
$76K |
| 97014 |
|
15,737 |
5,468 |
$66K |
| 97165 |
|
718 |
685 |
$64K |
| 99401 |
|
3,810 |
3,768 |
$60K |
| D0340 |
|
1,597 |
1,570 |
$58K |
| 92587 |
|
2,557 |
2,462 |
$58K |
| 90670 |
|
3,730 |
2,912 |
$54K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
837 |
442 |
$51K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,863 |
555 |
$51K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
4,151 |
3,613 |
$46K |
| D0470 |
|
1,648 |
1,623 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,576 |
11,342 |
$39K |
| 1036F |
|
26,363 |
21,568 |
$38K |
| 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 |
2,429 |
2,158 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
751 |
582 |
$38K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
14,370 |
5,044 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
387 |
342 |
$37K |
| 80053 |
Comprehensive metabolic panel |
1,829 |
264 |
$34K |
| D2999 |
|
319 |
191 |
$33K |
| 99385 |
|
825 |
822 |
$31K |
| 0011A |
|
583 |
570 |
$31K |
| 81002 |
|
1,008 |
517 |
$31K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
877 |
348 |
$30K |
| 3074F |
|
74,574 |
63,771 |
$30K |
| D9430 |
|
472 |
317 |
$30K |
| 82962 |
|
1,138 |
319 |
$29K |
| 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 |
344 |
274 |
$29K |
| 96127 |
|
8,256 |
8,194 |
$29K |
| 90651 |
|
4,502 |
4,489 |
$28K |
| 98929 |
|
1,448 |
1,216 |
$27K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
282 |
160 |
$25K |
| 80061 |
Lipid panel |
1,262 |
350 |
$24K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
326 |
156 |
$24K |
| 97161 |
|
511 |
506 |
$23K |
| 0012A |
|
513 |
509 |
$23K |
| D9110 |
|
325 |
207 |
$23K |
| D1206 |
Topical application of fluoride varnish |
1,207 |
1,149 |
$21K |
| D3221 |
|
528 |
262 |
$21K |
| 97164 |
|
2,075 |
1,911 |
$20K |
| 85027 |
|
700 |
152 |
$20K |
| 90461 |
|
6,453 |
6,418 |
$18K |
| 92002 |
|
155 |
141 |
$17K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
43,117 |
38,385 |
$16K |
| 99381 |
|
283 |
283 |
$16K |
| G0435 |
Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening |
293 |
104 |
$16K |
| 99173 |
|
16,861 |
16,582 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,406 |
298 |
$16K |
| 90715 |
|
2,969 |
2,959 |
$15K |
| 86580 |
|
831 |
152 |
$14K |
| 92523 |
|
142 |
124 |
$14K |
| 97802 |
|
284 |
281 |
$14K |
| 90746 |
|
1,081 |
1,075 |
$13K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
631 |
221 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
280 |
111 |
$13K |
| 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 |
13,000 |
7,168 |
$13K |
| 82043 |
|
1,115 |
102 |
$12K |
| 97035 |
|
3,894 |
1,708 |
$12K |
| D1310 |
|
11,620 |
11,233 |
$11K |
| D0603 |
|
8,747 |
8,513 |
$11K |
| 97168 |
|
1,209 |
1,046 |
$10K |
| 1126F |
|
28,359 |
25,300 |
$9K |
| D2331 |
|
106 |
51 |
$9K |
| 97803 |
|
177 |
177 |
$8K |
| D2335 |
|
90 |
44 |
$8K |
| D9990 |
|
293 |
227 |
$8K |
| 90707 |
|
1,111 |
1,103 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
44 |
43 |
$7K |
| 90736 |
|
542 |
539 |
$7K |
| 98926 |
|
100 |
95 |
$7K |
| 90620 |
|
1,369 |
1,368 |
$7K |
| 92555 |
|
138 |
37 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
61 |
27 |
$6K |
| D0190 |
|
2,608 |
2,551 |
$5K |
| D2330 |
|
68 |
37 |
$5K |
| 90710 |
|
1,169 |
1,166 |
$5K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
27 |
12 |
$5K |
| 99384 |
|
141 |
141 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
127 |
97 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
117 |
116 |
$5K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
81 |
41 |
$4K |
| D0170 |
|
47 |
28 |
$4K |
| 85018 |
|
146 |
28 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
310 |
29 |
$4K |
| 83655 |
|
146 |
28 |
$4K |
| D0602 |
|
498 |
428 |
$4K |
| 99386 |
|
69 |
69 |
$4K |
| 90633 |
|
2,302 |
2,294 |
$4K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,219 |
3,850 |
$4K |
| 3077F |
|
7,720 |
6,993 |
$4K |
| 76830 |
Ultrasound, transvaginal |
88 |
88 |
$4K |
| 86480 |
|
74 |
74 |
$4K |
| 99383 |
|
139 |
139 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
31 |
29 |
$3K |
| 90716 |
|
1,107 |
1,102 |
$3K |
| 11721 |
|
131 |
130 |
$3K |
| 3725F |
|
39,105 |
35,572 |
$3K |
| 97116 |
|
648 |
216 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
53 |
47 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
58 |
58 |
$3K |
| 3075F |
|
9,891 |
9,295 |
$3K |
| 98925 |
|
484 |
402 |
$2K |
| 90734 |
|
1,848 |
1,845 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
47 |
15 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
19 |
12 |
$2K |
| 90677 |
|
225 |
225 |
$2K |
| 90662 |
|
400 |
398 |
$2K |
| 3078F |
|
66,526 |
58,733 |
$2K |
| 87077 |
|
69 |
13 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
128 |
13 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
176 |
137 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
124 |
13 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,001 |
995 |
$2K |
| 86708 |
|
193 |
12 |
$2K |
| 99382 |
|
41 |
41 |
$2K |
| 90656 |
|
1,628 |
1,623 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
231 |
161 |
$1K |
| 59430 |
|
27 |
27 |
$1K |
| D0273 |
|
42 |
16 |
$1K |
| 99429 |
|
596 |
425 |
$1K |
| D2940 |
|
24 |
15 |
$1K |
| D0460 |
|
103 |
91 |
$1K |
| 81001 |
|
85 |
76 |
$1K |
| D0180 |
|
66 |
57 |
$1K |
| 99397 |
|
13 |
13 |
$1K |
| 98966 |
|
44 |
28 |
$866.64 |
| 90647 |
|
934 |
933 |
$826.16 |
| 1159F |
|
15,951 |
14,569 |
$807.84 |
| 90723 |
|
1,175 |
1,170 |
$800.00 |
| 90673 |
|
59 |
59 |
$699.34 |
| 90480 |
|
66 |
66 |
$662.76 |
| 97804 |
|
12 |
12 |
$600.00 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$600.00 |
| 1125F |
|
5,618 |
5,448 |
$574.70 |
| 92283 |
|
212 |
208 |
$529.40 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
3,577 |
3,343 |
$520.05 |
| 97167 |
|
13 |
13 |
$493.65 |
| 90700 |
|
267 |
267 |
$466.15 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,007 |
774 |
$437.49 |
| 0002A |
|
15 |
15 |
$435.62 |
| 90698 |
|
535 |
535 |
$414.52 |
| 91322 |
|
55 |
55 |
$404.56 |
| 92582 |
|
24 |
24 |
$330.80 |
| G0008 |
Administration of influenza virus vaccine |
341 |
339 |
$323.08 |
| 90636 |
|
13 |
13 |
$320.03 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
89 |
89 |
$312.48 |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
20 |
12 |
$310.81 |
| 90696 |
|
1,104 |
1,101 |
$300.00 |
| 90681 |
|
1,173 |
1,172 |
$200.00 |
| 90691 |
|
37 |
37 |
$200.00 |
| 58301 |
|
12 |
12 |
$168.90 |
| 97039 |
|
408 |
184 |
$144.01 |
| 90680 |
|
282 |
282 |
$100.00 |
| 87340 |
|
53 |
52 |
$93.42 |
| 88142 |
|
14 |
14 |
$75.03 |
| D1320 |
|
12 |
12 |
$54.55 |
| 3079F |
|
19,434 |
17,911 |
$50.07 |
| 73560 |
|
12 |
12 |
$50.00 |
| 86592 |
|
93 |
93 |
$48.93 |
| 86803 |
|
46 |
46 |
$47.69 |
| 90668 |
|
29 |
29 |
$43.42 |
| 97032 |
|
47 |
12 |
$17.67 |
| 99406 |
|
14 |
12 |
$14.13 |
| 92558 |
|
56 |
56 |
$8.28 |
| 1160F |
|
15,974 |
14,652 |
$0.60 |
| 90619 |
|
650 |
650 |
$0.10 |
| 90697 |
|
220 |
220 |
$0.07 |
| 3044F |
|
6,230 |
5,691 |
$0.04 |
| 90671 |
|
121 |
121 |
$0.03 |
| 91301 |
|
512 |
485 |
$0.01 |
| 91300 |
|
20 |
19 |
$0.01 |
| 3080F |
|
3,694 |
3,458 |
$0.00 |
| 1170F |
|
100 |
98 |
$0.00 |
| 3052F |
|
545 |
507 |
$0.00 |
| D0601 |
|
14 |
14 |
$0.00 |
| 1034F |
|
1,883 |
1,613 |
$0.00 |
| 3011F |
|
121 |
121 |
$0.00 |
| 3017F |
|
218 |
208 |
$0.00 |
| D9215 |
|
13 |
13 |
$0.00 |
| 99080 |
|
5,659 |
1,394 |
$0.00 |
| 4013F |
|
167 |
164 |
$0.00 |
| 3028F |
|
745 |
723 |
$0.00 |
| 3051F |
|
1,086 |
968 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,159 |
2,091 |
$0.00 |
| 3046F |
|
1,102 |
976 |
$0.00 |
| 90648 |
|
436 |
435 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
53 |
53 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
534 |
505 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
14 |
14 |
$0.00 |
| 1158F |
|
420 |
396 |
$0.00 |
| 90621 |
|
17 |
17 |
$0.00 |