| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276,801 |
216,193 |
$18.49M |
| 90832 |
Psychotherapy, 30 minutes with patient |
76,572 |
36,455 |
$5.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,846 |
35,977 |
$3.28M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51,570 |
41,436 |
$3.02M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,335 |
5,272 |
$569K |
| 97803 |
|
11,061 |
10,259 |
$424K |
| 97802 |
|
7,123 |
7,071 |
$362K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,479 |
3,175 |
$321K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,093 |
1,508 |
$307K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,856 |
3,053 |
$272K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,545 |
3,022 |
$241K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,039 |
2,082 |
$229K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,243 |
1,821 |
$223K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,716 |
10,663 |
$188K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
7,050 |
1,641 |
$183K |
| D0120 |
Periodic oral evaluation - established patient |
8,304 |
1,893 |
$162K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,822 |
1,325 |
$152K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,713 |
1,387 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,641 |
1,158 |
$140K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,666 |
14,567 |
$134K |
| 99402 |
|
3,369 |
3,297 |
$122K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
908 |
558 |
$114K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
883 |
563 |
$104K |
| D0180 |
|
3,704 |
1,163 |
$92K |
| 36415 |
Collection of venous blood by venipuncture |
70,975 |
70,026 |
$88K |
| 92551 |
|
13,963 |
13,926 |
$76K |
| D1110 |
Prophylaxis - adult |
1,396 |
1,288 |
$44K |
| 81025 |
|
8,598 |
8,420 |
$42K |
| 90461 |
|
1,915 |
1,910 |
$41K |
| D0140 |
Limited oral evaluation - problem focused |
993 |
538 |
$40K |
| 90686 |
|
6,519 |
6,512 |
$31K |
| 81000 |
|
9,427 |
7,474 |
$28K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
400 |
243 |
$26K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
190 |
134 |
$25K |
| 86701 |
|
3,279 |
3,256 |
$23K |
| 99201 |
|
233 |
154 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,469 |
1,434 |
$20K |
| D0220 |
Intraoral - periapical first radiographic image |
1,378 |
1,235 |
$18K |
| 99401 |
|
657 |
652 |
$18K |
| 99385 |
|
176 |
167 |
$17K |
| 90651 |
|
427 |
427 |
$16K |
| 90688 |
|
1,238 |
1,236 |
$16K |
| D0274 |
Bitewings - four radiographic images |
896 |
888 |
$16K |
| 92015 |
Determination of refractive state |
1,332 |
1,296 |
$14K |
| 90715 |
|
482 |
482 |
$13K |
| 99442 |
|
131 |
97 |
$12K |
| 99384 |
|
140 |
53 |
$11K |
| 94760 |
|
17,614 |
16,897 |
$11K |
| 99173 |
|
8,756 |
8,743 |
$11K |
| 90682 |
|
354 |
354 |
$10K |
| 99215 |
Prolong outpt/office vis |
146 |
133 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
74 |
53 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
726 |
726 |
$10K |
| D4341 |
|
103 |
49 |
$8K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
992 |
931 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
153 |
137 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
308 |
308 |
$8K |
| 90670 |
|
502 |
502 |
$7K |
| 11721 |
|
139 |
122 |
$6K |
| 96160 |
|
243 |
243 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
169 |
169 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
51 |
36 |
$5K |
| D9996 |
|
295 |
269 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
839 |
660 |
$5K |
| 93000 |
|
362 |
360 |
$4K |
| 82962 |
|
2,275 |
2,104 |
$4K |
| 92250 |
|
315 |
315 |
$4K |
| 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 |
267 |
228 |
$3K |
| 99406 |
|
287 |
280 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
632 |
615 |
$3K |
| 90677 |
|
52 |
52 |
$3K |
| 96127 |
|
1,069 |
1,000 |
$2K |
| 90734 |
|
144 |
144 |
$2K |
| D4910 |
|
16 |
13 |
$2K |
| 90656 |
|
386 |
385 |
$2K |
| 83037 |
|
415 |
415 |
$2K |
| 3074F |
|
9,192 |
8,992 |
$2K |
| 0011A |
|
72 |
72 |
$2K |
| D1310 |
|
1,215 |
1,185 |
$2K |
| 20550 |
|
29 |
25 |
$1K |
| 99383 |
|
15 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
107 |
$1K |
| 3078F |
|
7,870 |
7,704 |
$1K |
| 0054A |
|
30 |
30 |
$914.78 |
| 90746 |
|
15 |
15 |
$852.98 |
| 90707 |
|
32 |
32 |
$771.00 |
| D0431 |
|
826 |
815 |
$593.25 |
| 0003A |
|
14 |
14 |
$501.80 |
| 0071A |
|
15 |
14 |
$489.78 |
| 0124A |
|
13 |
13 |
$482.67 |
| D0603 |
|
301 |
271 |
$438.18 |
| 90673 |
|
14 |
14 |
$405.05 |
| 99429 |
|
14 |
14 |
$369.35 |
| 85018 |
|
138 |
136 |
$295.05 |
| D0190 |
|
283 |
283 |
$289.80 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$279.23 |
| 3044F |
|
481 |
481 |
$192.03 |
| 0012A |
|
13 |
13 |
$184.78 |
| 3079F |
|
434 |
421 |
$140.02 |
| D0601 |
|
43 |
42 |
$103.58 |
| 90633 |
|
231 |
231 |
$94.62 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
54 |
$28.04 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
37 |
37 |
$22.20 |
| 99499 |
|
294 |
243 |
$0.00 |
| 1159F |
|
24 |
24 |
$0.00 |
| 0521F |
|
372 |
362 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90685 |
|
51 |
51 |
$0.00 |
| 1160F |
|
25 |
25 |
$0.00 |
| 91300 |
|
17 |
17 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| D1330 |
|
1,168 |
1,166 |
$0.00 |
| 90698 |
|
40 |
40 |
$0.00 |
| 3008F |
|
628 |
564 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
740 |
618 |
$0.00 |
| 91301 |
|
68 |
66 |
$0.00 |
| 3075F |
|
39 |
38 |
$0.00 |
| D0170 |
|
24 |
24 |
$0.00 |