| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,751 |
79,501 |
$1.89M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,315 |
18,022 |
$964K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16,001 |
15,861 |
$875K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,277 |
13,987 |
$729K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,174 |
9,039 |
$526K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
86,822 |
36,777 |
$347K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,696 |
4,432 |
$263K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,376 |
5,359 |
$218K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,649 |
1,618 |
$208K |
| 90791 |
Psychiatric diagnostic evaluation |
3,693 |
3,662 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,604 |
5,422 |
$174K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,956 |
1,169 |
$136K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,627 |
4,167 |
$127K |
| 90461 |
|
24,059 |
19,849 |
$118K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,342 |
1,329 |
$113K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
191 |
187 |
$108K |
| D1120 |
Prophylaxis - child |
2,418 |
2,348 |
$79K |
| 59430 |
|
1,094 |
1,088 |
$70K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18,452 |
12,636 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,318 |
1,288 |
$56K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
753 |
741 |
$56K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
5,655 |
2,181 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,147 |
9,971 |
$52K |
| D0120 |
Periodic oral evaluation - established patient |
1,969 |
1,916 |
$52K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,266 |
1,084 |
$48K |
| D1206 |
Topical application of fluoride varnish |
3,152 |
3,057 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,720 |
4,504 |
$41K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
444 |
232 |
$40K |
| 76801 |
|
464 |
449 |
$38K |
| D1110 |
Prophylaxis - adult |
651 |
627 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
486 |
486 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,392 |
4,244 |
$32K |
| D0272 |
Bitewings - two radiographic images |
1,585 |
1,542 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,023 |
1,970 |
$29K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
831 |
792 |
$25K |
| 59025 |
Fetal non-stress test |
1,844 |
1,297 |
$25K |
| D0220 |
Intraoral - periapical first radiographic image |
2,235 |
2,166 |
$22K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,180 |
2,056 |
$20K |
| D0274 |
Bitewings - four radiographic images |
648 |
626 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
216 |
200 |
$16K |
| 99215 |
Prolong outpt/office vis |
266 |
258 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,742 |
3,618 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
177 |
172 |
$12K |
| 84703 |
|
3,744 |
3,667 |
$12K |
| 99243 |
|
135 |
132 |
$11K |
| 76830 |
Ultrasound, transvaginal |
131 |
129 |
$11K |
| D0330 |
Panoramic radiographic image |
574 |
547 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
824 |
625 |
$9K |
| 92523 |
|
145 |
143 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
327 |
322 |
$7K |
| 82947 |
|
4,271 |
3,994 |
$5K |
| 99385 |
|
71 |
71 |
$5K |
| 99381 |
|
74 |
72 |
$5K |
| 81002 |
|
2,088 |
2,050 |
$5K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
193 |
175 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
69 |
68 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
470 |
462 |
$4K |
| 99205 |
Prolong outpt/office vis |
44 |
44 |
$3K |
| 76820 |
|
87 |
50 |
$3K |
| 90474 |
|
334 |
331 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
29 |
$2K |
| 90715 |
|
404 |
403 |
$2K |
| D1351 |
Sealant - per tooth |
120 |
28 |
$2K |
| 97802 |
|
1,913 |
1,888 |
$2K |
| 76818 |
|
118 |
90 |
$2K |
| 90620 |
|
160 |
157 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
20 |
12 |
$1K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
38 |
14 |
$1K |
| 97803 |
|
2,302 |
2,108 |
$974.68 |
| 99242 |
|
13 |
13 |
$753.30 |
| 90686 |
|
19,620 |
19,354 |
$708.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
815 |
791 |
$644.70 |
| 90651 |
|
4,417 |
4,382 |
$616.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
796 |
784 |
$446.01 |
| 90734 |
|
548 |
541 |
$415.05 |
| 81025 |
|
85 |
82 |
$240.08 |
| 85018 |
|
1,064 |
769 |
$191.38 |
| 87420 |
|
53 |
53 |
$168.24 |
| D0170 |
|
14 |
14 |
$148.86 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
127 |
126 |
$112.93 |
| 90633 |
|
4,943 |
4,837 |
$72.28 |
| 96381 |
|
12 |
12 |
$16.50 |
| 0001A |
|
1,763 |
1,558 |
$15.52 |
| 87999 |
|
87 |
86 |
$3.17 |
| 90688 |
|
329 |
328 |
$0.02 |
| 90619 |
|
563 |
556 |
$0.02 |
| 90680 |
|
7,709 |
7,652 |
$0.00 |
| D0603 |
|
2,862 |
2,716 |
$0.00 |
| 96127 |
|
16,710 |
15,159 |
$0.00 |
| 90723 |
|
2,191 |
2,174 |
$0.00 |
| 91307 |
|
71 |
71 |
$0.00 |
| 90698 |
|
271 |
269 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,712 |
3,097 |
$0.00 |
| 90697 |
|
3,787 |
3,754 |
$0.00 |
| D0602 |
|
2,116 |
2,060 |
$0.00 |
| 96161 |
|
2,694 |
2,675 |
$0.00 |
| 90716 |
|
449 |
431 |
$0.00 |
| 96040 |
|
203 |
198 |
$0.00 |
| 36416 |
|
146 |
129 |
$0.00 |
| 90677 |
|
351 |
351 |
$0.00 |
| 90696 |
|
295 |
295 |
$0.00 |
| D0601 |
|
128 |
115 |
$0.00 |
| 96156 |
|
20 |
20 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$0.00 |
| 91315 |
|
27 |
27 |
$0.00 |
| 90381 |
|
26 |
26 |
$0.00 |
| 0072A |
|
13 |
13 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
15 |
15 |
$0.00 |
| 0064A |
|
13 |
13 |
$0.00 |
| 0081A |
|
14 |
14 |
$0.00 |
| 98967 |
|
12 |
12 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12,766 |
12,586 |
$0.00 |
| 90648 |
|
4,861 |
4,755 |
$0.00 |
| 90700 |
|
313 |
310 |
$0.00 |
| 90685 |
|
242 |
240 |
$0.00 |
| 90710 |
|
312 |
312 |
$0.00 |
| 91300 |
|
125 |
114 |
$0.00 |
| 90707 |
|
413 |
402 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
28 |
24 |
$0.00 |
| 98966 |
|
296 |
281 |
$0.00 |
| 91312 |
|
36 |
36 |
$0.00 |
| 91308 |
|
33 |
29 |
$0.00 |
| 0071A |
|
35 |
35 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |