| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,786 |
5,205 |
$2.69M |
| D0999 |
Unspecified diagnostic procedure, by report |
3,880 |
3,728 |
$2.40M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,127 |
3,803 |
$1.86M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,269 |
866 |
$704K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
673 |
594 |
$298K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,193 |
600 |
$226K |
| 80053 |
Comprehensive metabolic panel |
3,823 |
551 |
$211K |
| 80061 |
Lipid panel |
401 |
394 |
$206K |
| 0012A |
|
356 |
351 |
$144K |
| 0011A |
|
299 |
294 |
$122K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
515 |
313 |
$100K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
446 |
215 |
$84K |
| D1206 |
Topical application of fluoride varnish |
1,738 |
1,623 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
106 |
$44K |
| 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 |
161 |
65 |
$43K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
164 |
94 |
$40K |
| 87430 |
|
546 |
407 |
$40K |
| 96127 |
|
195 |
96 |
$38K |
| 99441 |
|
74 |
72 |
$31K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
555 |
426 |
$28K |
| D1330 |
|
1,129 |
989 |
$26K |
| D1110 |
Prophylaxis - adult |
576 |
497 |
$25K |
| 98942 |
|
35 |
30 |
$22K |
| 99442 |
|
46 |
44 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
478 |
378 |
$17K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
26 |
12 |
$13K |
| 90619 |
|
48 |
48 |
$13K |
| 80050 |
General health panel |
282 |
162 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
26 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$11K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
659 |
462 |
$11K |
| 99000 |
|
1,437 |
1,358 |
$10K |
| 82948 |
|
68 |
41 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
36 |
27 |
$9K |
| 99050 |
|
53 |
25 |
$7K |
| D0272 |
Bitewings - two radiographic images |
315 |
289 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
802 |
789 |
$3K |
| D0330 |
Panoramic radiographic image |
214 |
204 |
$3K |
| 0064A |
|
25 |
24 |
$3K |
| 92551 |
|
60 |
57 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
39 |
$2K |
| 90686 |
|
69 |
64 |
$2K |
| D0274 |
Bitewings - four radiographic images |
170 |
162 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
334 |
334 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
246 |
239 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
148 |
148 |
$765.00 |
| 84439 |
|
40 |
37 |
$676.18 |
| D1351 |
Sealant - per tooth |
128 |
38 |
$485.04 |
| 90461 |
|
153 |
151 |
$38.84 |
| 81003 |
|
14 |
14 |
$0.41 |
| 99177 |
|
52 |
51 |
$0.00 |
| D0190 |
|
29 |
29 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 98940 |
|
24 |
18 |
$0.00 |
| 90715 |
|
19 |
19 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |