| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116,494 |
103,810 |
$4.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72,316 |
64,430 |
$2.41M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
15,664 |
10,948 |
$1.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20,033 |
19,431 |
$1.12M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16,307 |
15,396 |
$942K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,346 |
13,860 |
$650K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,515 |
8,705 |
$286K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46,964 |
44,177 |
$242K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,737 |
4,583 |
$223K |
| D1120 |
Prophylaxis - child |
2,017 |
1,971 |
$77K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,604 |
1,552 |
$59K |
| D0120 |
Periodic oral evaluation - established patient |
2,207 |
2,151 |
$52K |
| D1110 |
Prophylaxis - adult |
989 |
972 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
841 |
785 |
$38K |
| H1000 |
Prenatal care, at-risk assessment |
793 |
631 |
$30K |
| D0274 |
Bitewings - four radiographic images |
1,279 |
1,231 |
$29K |
| 99381 |
|
320 |
308 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
728 |
691 |
$16K |
| 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 |
10,278 |
7,684 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
188 |
181 |
$12K |
| D1351 |
Sealant - per tooth |
980 |
259 |
$12K |
| D1330 |
|
3,716 |
3,520 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
178 |
161 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
444 |
357 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
259 |
251 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,677 |
3,558 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
121 |
$8K |
| D0272 |
Bitewings - two radiographic images |
1,938 |
1,897 |
$8K |
| 99383 |
|
96 |
88 |
$6K |
| 99188 |
|
9,328 |
8,992 |
$6K |
| 72110 |
|
485 |
442 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
745 |
682 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
377 |
360 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21,635 |
19,612 |
$5K |
| 90671 |
|
2,336 |
2,274 |
$5K |
| 91300 |
|
274 |
242 |
$4K |
| 98940 |
|
183 |
81 |
$4K |
| 90686 |
|
9,039 |
8,684 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
36 |
30 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
107 |
63 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
93 |
90 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
646 |
593 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
634 |
581 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,587 |
5,071 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,281 |
1,195 |
$2K |
| 92250 |
|
161 |
146 |
$2K |
| 99215 |
Prolong outpt/office vis |
41 |
40 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,862 |
4,434 |
$2K |
| 91301 |
|
98 |
97 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
4,038 |
3,910 |
$2K |
| 96127 |
|
4,692 |
4,416 |
$2K |
| 0002A |
|
128 |
127 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
203 |
138 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
360 |
353 |
$1K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
19,958 |
17,875 |
$1K |
| 0001A |
|
147 |
147 |
$1K |
| 73560 |
|
213 |
171 |
$1K |
| 0012A |
|
63 |
61 |
$1K |
| 99384 |
|
46 |
41 |
$1K |
| 72050 |
|
80 |
67 |
$1K |
| 3078F |
|
8,097 |
7,265 |
$946.07 |
| 81025 |
|
2,285 |
2,118 |
$861.79 |
| 90723 |
|
2,362 |
2,272 |
$819.54 |
| 3079F |
|
6,499 |
5,747 |
$756.78 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
44 |
40 |
$747.74 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
614 |
581 |
$738.14 |
| 81003 |
|
4,371 |
3,744 |
$673.99 |
| 3074F |
|
10,753 |
9,687 |
$574.62 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
651 |
581 |
$556.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,482 |
1,422 |
$513.51 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
12 |
12 |
$509.08 |
| D0270 |
|
50 |
50 |
$469.84 |
| 0011A |
|
33 |
32 |
$465.22 |
| 90647 |
|
2,352 |
2,252 |
$403.94 |
| 90633 |
|
4,236 |
4,058 |
$393.26 |
| 91303 |
|
16 |
15 |
$360.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
216 |
161 |
$350.22 |
| D1206 |
Topical application of fluoride varnish |
3,076 |
3,013 |
$341.54 |
| G0008 |
Administration of influenza virus vaccine |
205 |
157 |
$329.18 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,667 |
7,979 |
$304.34 |
| 1125F |
|
3,551 |
3,008 |
$291.78 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
42 |
35 |
$262.08 |
| 90651 |
|
1,553 |
1,513 |
$257.47 |
| 87808 |
|
464 |
390 |
$243.63 |
| 90670 |
|
9,505 |
9,138 |
$231.01 |
| 87905 |
|
517 |
442 |
$224.31 |
| 3044F |
|
112 |
106 |
$216.26 |
| 0031A |
|
16 |
15 |
$200.00 |
| 80305 |
|
320 |
277 |
$191.98 |
| 3077F |
|
3,538 |
3,239 |
$162.34 |
| 99051 |
|
833 |
632 |
$118.74 |
| 83655 |
|
458 |
448 |
$116.32 |
| 3008F |
|
8,382 |
7,749 |
$115.51 |
| 3080F |
|
1,756 |
1,577 |
$105.83 |
| 90710 |
|
1,245 |
1,206 |
$100.89 |
| 90744 |
|
1,186 |
1,148 |
$89.22 |
| 87210 |
|
1,009 |
969 |
$84.20 |
| 92015 |
Determination of refractive state |
123 |
80 |
$75.76 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
13 |
$74.92 |
| 90656 |
|
221 |
219 |
$67.05 |
| 90696 |
|
233 |
220 |
$63.05 |
| 90474 |
|
59 |
59 |
$61.00 |
| 99406 |
|
430 |
384 |
$46.14 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
332 |
220 |
$40.67 |
| 82962 |
|
871 |
824 |
$38.55 |
| 3075F |
|
1,473 |
1,265 |
$37.83 |
| 90698 |
|
2,421 |
2,333 |
$37.83 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
513 |
480 |
$36.00 |
| 85018 |
|
693 |
681 |
$35.39 |
| 90621 |
|
545 |
511 |
$33.22 |
| 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 |
17 |
13 |
$19.63 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
341 |
303 |
$12.61 |
| 1000F |
|
1,929 |
1,637 |
$12.61 |
| 92551 |
|
3,316 |
3,274 |
$12.61 |
| 86703 |
|
56 |
42 |
$9.17 |
| 90715 |
|
173 |
169 |
$8.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,597 |
7,755 |
$0.98 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
325 |
313 |
$0.11 |
| 90697 |
|
2,362 |
2,299 |
$0.01 |
| 96161 |
|
1,931 |
1,823 |
$0.00 |
| 90680 |
|
3,870 |
3,745 |
$0.00 |
| 1126F |
|
4,290 |
3,895 |
$0.00 |
| 1170F |
|
745 |
498 |
$0.00 |
| 99174 |
|
1,200 |
1,157 |
$0.00 |
| 1030F |
|
256 |
244 |
$0.00 |
| 87807 |
|
192 |
188 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
212 |
181 |
$0.00 |
| 1005F |
|
43 |
40 |
$0.00 |
| 0501F |
|
46 |
42 |
$0.00 |
| 90674 |
|
53 |
48 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
464 |
455 |
$0.00 |
| 0500F |
|
46 |
42 |
$0.00 |
| 94760 |
|
71 |
69 |
$0.00 |
| 90619 |
|
167 |
165 |
$0.00 |
| 91307 |
|
15 |
13 |
$0.00 |
| 90620 |
|
143 |
143 |
$0.00 |
| D0603 |
|
47 |
44 |
$0.00 |
| 1022F |
|
167 |
156 |
$0.00 |
| 90716 |
|
42 |
40 |
$0.00 |
| D0602 |
|
19 |
13 |
$0.00 |
| 4010F |
|
13 |
13 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 88720 |
|
27 |
25 |
$0.00 |
| D0601 |
|
42 |
33 |
$0.00 |
| 99177 |
|
9,421 |
9,254 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
28 |
27 |
$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 |
215 |
183 |
$0.00 |
| 1159F |
|
263 |
234 |
$0.00 |
| 1160F |
|
711 |
472 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
28 |
28 |
$0.00 |
| 3725F |
|
631 |
590 |
$0.00 |
| 90734 |
|
306 |
292 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
313 |
279 |
$0.00 |
| 2014F |
|
229 |
180 |
$0.00 |
| 96160 |
|
125 |
124 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
14 |
14 |
$0.00 |
| 90707 |
|
66 |
64 |
$0.00 |
| 2022F |
|
14 |
14 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90756 |
|
14 |
14 |
$0.00 |
| 0502F |
|
46 |
42 |
$0.00 |
| 90700 |
|
40 |
39 |
$0.00 |
| 1003F |
|
14 |
14 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |