| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203,274 |
157,743 |
$8.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,245 |
17,537 |
$967K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,491 |
18,323 |
$761K |
| 99442 |
|
15,664 |
13,142 |
$524K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,381 |
34,442 |
$517K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,994 |
11,318 |
$470K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,323 |
9,012 |
$370K |
| 99443 |
|
8,658 |
6,829 |
$323K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
5,784 |
4,476 |
$317K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,243 |
6,756 |
$290K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,550 |
4,430 |
$268K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,759 |
1,543 |
$224K |
| 92502 |
|
6,601 |
6,564 |
$217K |
| 99497 |
|
3,573 |
3,344 |
$189K |
| D1110 |
Prophylaxis - adult |
4,097 |
1,746 |
$159K |
| 97802 |
|
30,392 |
29,852 |
$155K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12,494 |
11,486 |
$138K |
| 99441 |
|
4,106 |
3,367 |
$135K |
| 99215 |
Prolong outpt/office vis |
1,337 |
1,165 |
$134K |
| D0140 |
Limited oral evaluation - problem focused |
2,817 |
1,284 |
$130K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,400 |
1,258 |
$108K |
| 99401 |
|
13,031 |
12,002 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,472 |
1,985 |
$93K |
| 92551 |
|
22,068 |
21,966 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,864 |
10,664 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
656 |
557 |
$78K |
| 92002 |
|
989 |
896 |
$71K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
798 |
737 |
$57K |
| 99173 |
|
20,589 |
20,555 |
$43K |
| D4355 |
|
1,550 |
352 |
$38K |
| 90832 |
Psychotherapy, 30 minutes with patient |
522 |
361 |
$31K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
5,567 |
5,557 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
1,067 |
703 |
$22K |
| 81002 |
|
7,108 |
6,167 |
$22K |
| 81025 |
|
4,495 |
4,363 |
$18K |
| 0001A |
|
418 |
417 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
15,133 |
14,883 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
600 |
200 |
$14K |
| 90461 |
|
1,871 |
1,582 |
$14K |
| 92552 |
|
2,341 |
2,339 |
$14K |
| 0012A |
|
405 |
405 |
$13K |
| 0002A |
|
349 |
349 |
$13K |
| 0011A |
|
484 |
484 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,450 |
2,436 |
$12K |
| 84703 |
|
2,533 |
2,467 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,022 |
1,013 |
$11K |
| 90686 |
|
5,722 |
5,701 |
$10K |
| 97750 |
|
1,766 |
1,726 |
$10K |
| 90688 |
|
1,324 |
1,314 |
$10K |
| D1120 |
Prophylaxis - child |
353 |
132 |
$9K |
| 99385 |
|
122 |
80 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
80 |
59 |
$9K |
| 82962 |
|
5,544 |
5,125 |
$8K |
| 90687 |
|
3,234 |
3,211 |
$8K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
392 |
129 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,036 |
953 |
$7K |
| 90658 |
|
1,774 |
1,768 |
$7K |
| 96127 |
|
6,589 |
6,555 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,468 |
2,466 |
$7K |
| 3074F |
|
16,292 |
15,018 |
$7K |
| 3078F |
|
15,476 |
14,320 |
$7K |
| 1126F |
|
95,863 |
85,924 |
$6K |
| 99188 |
|
643 |
643 |
$6K |
| 90655 |
|
1,693 |
1,692 |
$6K |
| 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 |
733 |
646 |
$6K |
| 90670 |
|
642 |
639 |
$6K |
| D2140 |
|
54 |
41 |
$6K |
| 11721 |
|
308 |
308 |
$5K |
| D0330 |
Panoramic radiographic image |
216 |
173 |
$5K |
| 93000 |
|
458 |
455 |
$4K |
| 90651 |
|
1,417 |
1,417 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
124 |
62 |
$4K |
| 90715 |
|
332 |
332 |
$4K |
| 93975 |
|
16 |
15 |
$3K |
| 97035 |
|
300 |
93 |
$3K |
| 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 |
52 |
27 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
544 |
535 |
$3K |
| 3079F |
|
4,313 |
4,088 |
$3K |
| 90746 |
|
39 |
39 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
26 |
13 |
$3K |
| 90682 |
|
58 |
58 |
$2K |
| D0274 |
Bitewings - four radiographic images |
286 |
283 |
$2K |
| 87430 |
|
672 |
652 |
$2K |
| 97014 |
|
263 |
79 |
$2K |
| 96160 |
|
4,482 |
4,462 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
16 |
12 |
$2K |
| 3008F |
|
135,637 |
122,027 |
$1K |
| 97803 |
|
59 |
54 |
$1K |
| 99406 |
|
149 |
140 |
$1K |
| 90734 |
|
629 |
627 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
146 |
143 |
$1K |
| 99243 |
|
14 |
13 |
$1K |
| 0003A |
|
30 |
30 |
$1K |
| 3075F |
|
1,825 |
1,736 |
$1K |
| 83655 |
|
195 |
195 |
$1K |
| 3077F |
|
1,811 |
1,682 |
$993.75 |
| 99381 |
|
65 |
64 |
$864.91 |
| 90653 |
|
138 |
137 |
$849.76 |
| 86580 |
|
127 |
123 |
$844.25 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
144 |
50 |
$795.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
65 |
$773.11 |
| 11056 |
|
24 |
24 |
$690.02 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
66 |
66 |
$673.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$650.61 |
| 97032 |
|
42 |
12 |
$630.42 |
| 90620 |
|
163 |
162 |
$627.41 |
| 86480 |
|
1,183 |
1,183 |
$615.59 |
| 99383 |
|
128 |
92 |
$595.20 |
| 90677 |
|
152 |
152 |
$579.44 |
| 87081 |
|
480 |
471 |
$560.96 |
| 0013A |
|
17 |
17 |
$560.00 |
| 0072A |
|
17 |
15 |
$538.05 |
| 94760 |
|
6,041 |
5,799 |
$508.04 |
| 86804 |
|
200 |
197 |
$468.51 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
207 |
206 |
$406.83 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$374.78 |
| 1111F |
|
1,314 |
1,206 |
$335.50 |
| 90633 |
|
298 |
298 |
$320.22 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
354 |
354 |
$282.16 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
371 |
371 |
$256.82 |
| 94664 |
|
25 |
25 |
$230.28 |
| 87806 |
|
86 |
86 |
$225.50 |
| 1160F |
|
5,832 |
5,319 |
$182.87 |
| D0220 |
Intraoral - periapical first radiographic image |
37 |
37 |
$159.17 |
| 90723 |
|
39 |
39 |
$150.00 |
| 96161 |
|
307 |
298 |
$122.17 |
| 90657 |
|
77 |
77 |
$109.76 |
| 1159F |
|
4,840 |
4,419 |
$105.35 |
| 3080F |
|
253 |
234 |
$80.22 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,516 |
1,349 |
$65.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$57.42 |
| 83037 |
|
15 |
15 |
$33.70 |
| 90647 |
|
67 |
67 |
$25.00 |
| G0435 |
Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening |
36 |
32 |
$23.60 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
26 |
26 |
$10.25 |
| 1125F |
|
116 |
115 |
$7.00 |
| V5008 |
Hearing screening |
5,580 |
5,576 |
$6.63 |
| D1330 |
|
246 |
244 |
$0.00 |
| 1000F |
|
3,433 |
3,431 |
$0.00 |
| 4010F |
|
34 |
33 |
$0.00 |
| 1036F |
|
91 |
91 |
$0.00 |
| 99402 |
|
17 |
17 |
$0.00 |
| 1157F |
|
16 |
16 |
$0.00 |
| 3044F |
|
36 |
34 |
$0.00 |
| D0602 |
|
27 |
27 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
46 |
46 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 3048F |
|
15 |
14 |
$0.00 |
| 1158F |
|
4,950 |
4,533 |
$0.00 |
| 3725F |
|
198 |
198 |
$0.00 |
| 90473 |
|
16 |
16 |
$0.00 |
| D0190 |
|
14 |
14 |
$0.00 |
| 2022F |
|
13 |
13 |
$0.00 |
| 90648 |
|
54 |
54 |
$0.00 |
| 1100F |
|
12 |
12 |
$0.00 |
| 90672 |
|
30 |
30 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| S5000 |
Prescription drug, generic |
15 |
14 |
$0.00 |