| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
376,145 |
322,624 |
$2.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,749 |
4,101 |
$428K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,303 |
3,720 |
$121K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,390 |
2,890 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,002 |
845 |
$100K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
936 |
700 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,228 |
5,253 |
$81K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
942 |
845 |
$44K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,945 |
1,620 |
$43K |
| 0001A |
|
634 |
476 |
$29K |
| 81025 |
|
3,983 |
3,137 |
$26K |
| 0002A |
|
522 |
436 |
$26K |
| 99215 |
Prolong outpt/office vis |
145 |
140 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
404 |
319 |
$19K |
| T1002 |
Rn services, up to 15 minutes |
337 |
330 |
$18K |
| 99384 |
|
173 |
141 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
6,214 |
5,220 |
$14K |
| 81003 |
|
5,131 |
3,059 |
$13K |
| 99205 |
Prolong outpt/office vis |
67 |
53 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
315 |
217 |
$13K |
| D1120 |
Prophylaxis - child |
435 |
331 |
$11K |
| 0072A |
|
348 |
192 |
$11K |
| 0071A |
|
451 |
199 |
$10K |
| 0012A |
|
180 |
161 |
$9K |
| 96127 |
|
2,676 |
2,159 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
103 |
81 |
$8K |
| 90686 |
|
2,986 |
2,581 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
63 |
$7K |
| D1206 |
Topical application of fluoride varnish |
452 |
343 |
$7K |
| D1351 |
Sealant - per tooth |
282 |
45 |
$7K |
| 87210 |
|
1,666 |
1,423 |
$7K |
| 0011A |
|
186 |
179 |
$7K |
| 82120 |
|
1,655 |
1,427 |
$6K |
| 99383 |
|
67 |
52 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
371 |
253 |
$5K |
| D0272 |
Bitewings - two radiographic images |
321 |
224 |
$5K |
| 90651 |
|
262 |
228 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
208 |
203 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
404 |
245 |
$5K |
| 90734 |
|
528 |
368 |
$4K |
| 85018 |
|
1,381 |
1,191 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
25 |
$3K |
| 0003A |
|
107 |
56 |
$3K |
| 81001 |
|
869 |
760 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
267 |
228 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
349 |
246 |
$2K |
| 90620 |
|
147 |
128 |
$2K |
| 90619 |
|
476 |
395 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
293 |
273 |
$2K |
| 96160 |
|
709 |
525 |
$2K |
| 0013A |
|
44 |
29 |
$2K |
| 90715 |
|
479 |
357 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
355 |
287 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
353 |
285 |
$1K |
| 0064A |
|
37 |
24 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 86592 |
|
475 |
438 |
$1K |
| 90480 |
|
24 |
17 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
28 |
$903.38 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
26 |
$897.58 |
| 92551 |
|
1,387 |
1,161 |
$895.54 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
276 |
247 |
$793.78 |
| 87081 |
|
85 |
80 |
$461.79 |
| 0134A |
|
26 |
14 |
$455.00 |
| 90707 |
|
29 |
29 |
$406.38 |
| 90716 |
|
32 |
30 |
$371.73 |
| 99173 |
|
1,627 |
1,380 |
$232.48 |
| 80061 |
Lipid panel |
126 |
116 |
$102.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
191 |
180 |
$98.72 |
| 99000 |
|
1,095 |
959 |
$77.91 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
84 |
77 |
$75.28 |
| 86803 |
|
63 |
60 |
$54.45 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
40 |
$51.31 |
| 90696 |
|
52 |
40 |
$49.13 |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
31 |
$41.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
123 |
113 |
$39.52 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
73 |
63 |
$25.00 |
| 87340 |
|
44 |
44 |
$23.66 |
| 80053 |
Comprehensive metabolic panel |
121 |
111 |
$21.48 |
| 83020 |
|
12 |
12 |
$15.98 |
| 86900 |
|
43 |
43 |
$7.58 |
| 86901 |
|
43 |
43 |
$7.58 |
| 91307 |
|
842 |
380 |
$4.10 |
| 90633 |
|
122 |
111 |
$0.11 |
| 90710 |
|
73 |
58 |
$0.00 |
| 91300 |
|
1,324 |
925 |
$0.00 |
| LU283 |
|
28 |
28 |
$0.00 |
| LU233 |
|
89 |
88 |
$0.00 |
| 90685 |
|
25 |
23 |
$0.00 |
| 90670 |
|
51 |
51 |
$0.00 |
| 91301 |
|
490 |
425 |
$0.00 |
| 91306 |
|
86 |
53 |
$0.00 |
| 86580 |
|
25 |
12 |
$0.00 |
| 36416 |
|
244 |
199 |
$0.00 |
| 0500F |
|
68 |
66 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 91305 |
|
20 |
14 |
$0.00 |
| 90647 |
|
24 |
24 |
$0.00 |