| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163,097 |
90,202 |
$10.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118,319 |
64,425 |
$8.34M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36,168 |
20,262 |
$1.78M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
21,573 |
1,832 |
$993K |
| 99443 |
|
20,413 |
4,781 |
$928K |
| 90832 |
Psychotherapy, 30 minutes with patient |
13,342 |
7,480 |
$788K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38,430 |
22,307 |
$776K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21,009 |
7,082 |
$747K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19,971 |
6,564 |
$717K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
7,171 |
4,294 |
$669K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18,979 |
5,780 |
$646K |
| D0140 |
Limited oral evaluation - problem focused |
21,918 |
10,849 |
$555K |
| 59426 |
|
2,577 |
1,099 |
$525K |
| 11721 |
|
15,165 |
9,192 |
$512K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,875 |
4,643 |
$504K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,100 |
2,312 |
$390K |
| 90791 |
Psychiatric diagnostic evaluation |
4,320 |
2,468 |
$377K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,308 |
5,925 |
$358K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,462 |
2,969 |
$351K |
| D1110 |
Prophylaxis - adult |
9,253 |
4,864 |
$340K |
| 92551 |
|
23,419 |
14,758 |
$286K |
| 0502F |
|
9,738 |
3,522 |
$277K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,600 |
2,493 |
$249K |
| 99201 |
|
4,856 |
3,142 |
$248K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,861 |
2,094 |
$245K |
| 92015 |
Determination of refractive state |
10,102 |
5,000 |
$234K |
| 59425 |
|
1,653 |
800 |
$217K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,197 |
2,122 |
$200K |
| D0120 |
Periodic oral evaluation - established patient |
7,305 |
3,281 |
$193K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,666 |
1,540 |
$191K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,421 |
2,954 |
$176K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
6,827 |
3,020 |
$172K |
| D0330 |
Panoramic radiographic image |
5,465 |
3,919 |
$160K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,647 |
2,326 |
$158K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,261 |
1,245 |
$153K |
| 76801 |
|
1,395 |
1,365 |
$140K |
| 99442 |
|
3,151 |
1,833 |
$131K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,824 |
5,205 |
$123K |
| D1120 |
Prophylaxis - child |
3,799 |
2,032 |
$117K |
| D9999 |
Unspecified adjunctive procedure, by report |
1,149 |
1,094 |
$113K |
| 59430 |
|
968 |
510 |
$102K |
| 11056 |
|
1,934 |
1,603 |
$96K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,273 |
3,014 |
$93K |
| 90839 |
|
1,112 |
795 |
$91K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
796 |
795 |
$87K |
| D0220 |
Intraoral - periapical first radiographic image |
4,539 |
3,338 |
$83K |
| 99441 |
|
1,917 |
1,106 |
$73K |
| D0274 |
Bitewings - four radiographic images |
3,047 |
1,474 |
$71K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,082 |
625 |
$66K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
992 |
633 |
$61K |
| D1206 |
Topical application of fluoride varnish |
2,202 |
1,909 |
$60K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
663 |
660 |
$58K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,860 |
3,277 |
$55K |
| 71046 |
Radiologic examination, chest; 2 views |
801 |
778 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
923 |
312 |
$42K |
| 90686 |
|
9,174 |
9,065 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
561 |
402 |
$40K |
| 99215 |
Prolong outpt/office vis |
378 |
272 |
$38K |
| 81025 |
|
1,995 |
1,796 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,812 |
1,520 |
$28K |
| 92250 |
|
1,550 |
453 |
$26K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,935 |
329 |
$25K |
| 86580 |
|
1,182 |
638 |
$21K |
| 90715 |
|
1,386 |
1,361 |
$20K |
| 92002 |
|
469 |
235 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,718 |
847 |
$19K |
| 74018 |
|
261 |
260 |
$18K |
| D0272 |
Bitewings - two radiographic images |
925 |
726 |
$17K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
332 |
211 |
$17K |
| 0011A |
|
646 |
532 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,007 |
767 |
$17K |
| 93000 |
|
1,081 |
986 |
$14K |
| D1351 |
Sealant - per tooth |
408 |
102 |
$14K |
| 99383 |
|
373 |
126 |
$14K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
238 |
164 |
$14K |
| 99408 |
|
564 |
256 |
$14K |
| 91301 |
|
1,154 |
770 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
672 |
546 |
$11K |
| 0500F |
|
378 |
205 |
$10K |
| 92133 |
|
453 |
241 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,442 |
1,410 |
$10K |
| 81003 |
|
1,182 |
1,091 |
$10K |
| 0012A |
|
344 |
300 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
132 |
127 |
$10K |
| 11057 |
|
187 |
177 |
$10K |
| 99205 |
Prolong outpt/office vis |
89 |
78 |
$9K |
| H0038 |
Self-help/peer services, per 15 minutes |
252 |
91 |
$9K |
| 96127 |
|
2,289 |
2,055 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
719 |
537 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,777 |
2,710 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
351 |
336 |
$8K |
| 99381 |
|
135 |
79 |
$8K |
| 92083 |
|
224 |
96 |
$8K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
156 |
88 |
$7K |
| 0064A |
|
145 |
142 |
$7K |
| 97803 |
|
151 |
149 |
$6K |
| 99406 |
|
476 |
463 |
$6K |
| 0072A |
|
127 |
127 |
$5K |
| 72110 |
|
123 |
104 |
$5K |
| 0071A |
|
132 |
132 |
$5K |
| 99385 |
|
76 |
41 |
$5K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
95 |
61 |
$5K |
| D0190 |
|
105 |
57 |
$4K |
| 90707 |
|
65 |
63 |
$4K |
| D9310 |
|
63 |
43 |
$4K |
| 97802 |
|
375 |
374 |
$3K |
| 99173 |
|
1,206 |
1,044 |
$3K |
| 81001 |
|
292 |
267 |
$3K |
| 0154A |
|
61 |
61 |
$2K |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
143 |
61 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
99 |
99 |
$2K |
| D2140 |
|
46 |
25 |
$2K |
| 92134 |
|
83 |
25 |
$2K |
| 90713 |
|
43 |
40 |
$2K |
| 72070 |
|
102 |
101 |
$2K |
| H0049 |
Alcohol and/or drug screening |
315 |
294 |
$2K |
| D7250 |
|
31 |
26 |
$2K |
| 91306 |
|
99 |
96 |
$2K |
| 0134A |
|
43 |
43 |
$2K |
| 90620 |
|
459 |
457 |
$2K |
| 80061 |
Lipid panel |
126 |
126 |
$2K |
| 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 |
703 |
671 |
$2K |
| 86592 |
|
206 |
199 |
$1K |
| 90651 |
|
1,588 |
1,576 |
$1K |
| 99384 |
|
73 |
12 |
$1K |
| 0051A |
|
39 |
39 |
$1K |
| 0052A |
|
31 |
31 |
$1K |
| 80053 |
Comprehensive metabolic panel |
122 |
122 |
$1K |
| 91303 |
|
77 |
35 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
19 |
12 |
$1K |
| 90619 |
|
337 |
336 |
$1K |
| 84075 |
|
79 |
34 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
136 |
135 |
$1K |
| 0031A |
|
40 |
38 |
$1K |
| 90716 |
|
54 |
54 |
$1K |
| 11055 |
|
17 |
12 |
$1K |
| 82947 |
|
237 |
233 |
$923.07 |
| 90746 |
|
17 |
17 |
$912.11 |
| 90630 |
|
35 |
35 |
$675.49 |
| 92552 |
|
47 |
47 |
$654.58 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
315 |
310 |
$646.36 |
| 0054A |
|
15 |
15 |
$592.45 |
| D0230 |
Intraoral - periapical each additional radiographic image |
72 |
72 |
$531.07 |
| 76514 |
|
56 |
47 |
$511.30 |
| 82950 |
|
49 |
44 |
$468.45 |
| D1208 |
Topical application of fluoride, excluding varnish |
34 |
13 |
$457.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
162 |
158 |
$384.95 |
| 82465 |
|
51 |
51 |
$356.93 |
| 80076 |
|
42 |
42 |
$328.66 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
223 |
139 |
$291.05 |
| 96160 |
|
113 |
108 |
$237.21 |
| D0270 |
|
35 |
34 |
$217.67 |
| 90734 |
|
1,154 |
1,146 |
$182.69 |
| 90633 |
|
1,498 |
1,490 |
$180.98 |
| 82248 |
|
12 |
12 |
$66.84 |
| 85027 |
|
12 |
12 |
$60.62 |
| 85651 |
|
12 |
12 |
$37.68 |
| 85007 |
|
12 |
12 |
$33.07 |
| 90685 |
|
165 |
165 |
$20.00 |
| 90671 |
|
299 |
299 |
$0.81 |
| 91313 |
|
16 |
16 |
$0.05 |
| 91305 |
|
93 |
82 |
$0.04 |
| 90696 |
|
180 |
180 |
$0.00 |
| 90723 |
|
536 |
535 |
$0.00 |
| 90744 |
|
112 |
112 |
$0.00 |
| 90656 |
|
136 |
136 |
$0.00 |
| 90698 |
|
651 |
649 |
$0.00 |
| 91307 |
|
262 |
249 |
$0.00 |
| 91315 |
|
39 |
39 |
$0.00 |
| 90677 |
|
117 |
117 |
$0.00 |
| 90680 |
|
54 |
54 |
$0.00 |
| 4010F |
|
13 |
13 |
$0.00 |
| 90670 |
|
1,997 |
1,993 |
$0.00 |
| 90648 |
|
868 |
867 |
$0.00 |
| 90710 |
|
470 |
470 |
$0.00 |
| 90681 |
|
65 |
65 |
$0.00 |
| 90672 |
|
247 |
247 |
$0.00 |