| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,322 |
58,898 |
$7.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,380 |
61,646 |
$7.13M |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,888 |
6,932 |
$937K |
| 90832 |
Psychotherapy, 30 minutes with patient |
13,473 |
8,669 |
$826K |
| 99215 |
Prolong outpt/office vis |
4,647 |
4,236 |
$568K |
| D1110 |
Prophylaxis - adult |
8,504 |
8,404 |
$458K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,174 |
3,166 |
$373K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,011 |
2,995 |
$355K |
| D0120 |
Periodic oral evaluation - established patient |
9,601 |
9,371 |
$256K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,945 |
1,913 |
$230K |
| D1120 |
Prophylaxis - child |
5,027 |
4,943 |
$208K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,202 |
2,036 |
$189K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,902 |
2,624 |
$174K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,432 |
1,423 |
$174K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,495 |
16,005 |
$166K |
| 99442 |
|
2,326 |
2,239 |
$145K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,052 |
1,050 |
$131K |
| 99443 |
|
2,189 |
2,041 |
$128K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
897 |
897 |
$112K |
| D0330 |
Panoramic radiographic image |
3,170 |
3,162 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
979 |
933 |
$107K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,544 |
1,225 |
$94K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
515 |
513 |
$65K |
| D0274 |
Bitewings - four radiographic images |
2,325 |
2,319 |
$65K |
| D0272 |
Bitewings - two radiographic images |
3,916 |
3,907 |
$64K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,120 |
2,106 |
$62K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,366 |
4,364 |
$61K |
| D0140 |
Limited oral evaluation - problem focused |
4,529 |
4,400 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,420 |
4,381 |
$45K |
| D1206 |
Topical application of fluoride varnish |
1,595 |
1,591 |
$45K |
| 99441 |
|
545 |
534 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
294 |
270 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
194 |
194 |
$25K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
742 |
733 |
$25K |
| 90686 |
|
8,279 |
8,269 |
$23K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,922 |
2,697 |
$21K |
| D2330 |
|
343 |
296 |
$20K |
| D0220 |
Intraoral - periapical first radiographic image |
1,521 |
1,501 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
236 |
227 |
$20K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,359 |
1,336 |
$17K |
| 92552 |
|
2,339 |
2,336 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
107 |
$14K |
| D1351 |
Sealant - per tooth |
152 |
100 |
$13K |
| 99406 |
|
2,232 |
2,143 |
$12K |
| D9110 |
|
461 |
452 |
$11K |
| D2331 |
|
109 |
102 |
$10K |
| 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 |
697 |
323 |
$10K |
| 0001A |
|
221 |
221 |
$9K |
| 0002A |
|
219 |
219 |
$9K |
| 0012A |
|
255 |
255 |
$6K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
48 |
47 |
$5K |
| 95117 |
|
568 |
306 |
$4K |
| 88738 |
|
3,404 |
3,403 |
$4K |
| 0011A |
|
234 |
234 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,130 |
1,111 |
$3K |
| 99173 |
|
5,538 |
5,524 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
930 |
926 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
100 |
99 |
$2K |
| 90480 |
|
219 |
219 |
$2K |
| 0013A |
|
51 |
51 |
$2K |
| 93000 |
|
341 |
338 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
13 |
$2K |
| 90632 |
|
43 |
43 |
$1K |
| 81002 |
|
778 |
764 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
285 |
270 |
$1K |
| 99177 |
|
1,190 |
1,190 |
$913.56 |
| 90715 |
|
308 |
307 |
$873.21 |
| 92587 |
|
140 |
137 |
$553.78 |
| 91322 |
|
67 |
67 |
$532.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
141 |
$459.18 |
| 90656 |
|
453 |
453 |
$438.94 |
| 81025 |
|
162 |
159 |
$376.39 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
162 |
$239.84 |
| 90723 |
|
591 |
591 |
$226.40 |
| 0134A |
|
29 |
29 |
$200.00 |
| 90670 |
|
850 |
850 |
$160.22 |
| 90633 |
|
327 |
327 |
$133.05 |
| 99172 |
|
52 |
52 |
$120.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$87.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
76 |
$80.91 |
| 83655 |
|
38 |
38 |
$44.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$27.27 |
| 91301 |
|
470 |
470 |
$26.46 |
| 90677 |
|
331 |
331 |
$0.03 |
| D0191 |
|
665 |
664 |
$0.00 |
| 90648 |
|
37 |
37 |
$0.00 |
| 90681 |
|
221 |
221 |
$0.00 |
| 91300 |
|
445 |
444 |
$0.00 |
| 91313 |
|
28 |
28 |
$0.00 |
| D0180 |
|
211 |
210 |
$0.00 |
| 90734 |
|
315 |
315 |
$0.00 |
| 90685 |
|
63 |
63 |
$0.00 |
| 90661 |
|
156 |
156 |
$0.00 |
| 90710 |
|
65 |
65 |
$0.00 |
| 90707 |
|
65 |
65 |
$0.00 |
| 90461 |
|
418 |
417 |
$0.00 |
| 90836 |
|
56 |
53 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90647 |
|
544 |
544 |
$0.00 |
| D1310 |
|
142 |
142 |
$0.00 |
| D5899 |
|
94 |
78 |
$0.00 |
| 92558 |
|
83 |
83 |
$0.00 |
| 90651 |
|
209 |
209 |
$0.00 |
| D1330 |
|
168 |
168 |
$0.00 |
| 90620 |
|
73 |
73 |
$0.00 |
| 90696 |
|
35 |
34 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |