| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145,304 |
102,951 |
$13.15M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37,137 |
21,583 |
$3.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,740 |
15,435 |
$2.82M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17,335 |
12,661 |
$1.93M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
10,533 |
6,710 |
$1.48M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,924 |
4,657 |
$931K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,881 |
4,504 |
$717K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,868 |
1,745 |
$519K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,751 |
2,041 |
$349K |
| D1110 |
Prophylaxis - adult |
2,242 |
2,007 |
$339K |
| D0140 |
Limited oral evaluation - problem focused |
1,790 |
1,493 |
$256K |
| 99442 |
|
3,491 |
2,339 |
$217K |
| 99443 |
|
2,008 |
1,296 |
$190K |
| 90863 |
|
5,169 |
4,491 |
$148K |
| 11721 |
|
1,011 |
757 |
$133K |
| 99441 |
|
1,893 |
1,120 |
$133K |
| 90791 |
Psychiatric diagnostic evaluation |
796 |
767 |
$100K |
| 11720 |
|
745 |
510 |
$95K |
| D0210 |
Intraoral - complete series of radiographic images |
799 |
665 |
$90K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,576 |
1,347 |
$85K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,077 |
795 |
$77K |
| 92015 |
Determination of refractive state |
598 |
498 |
$68K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,553 |
8,907 |
$59K |
| D5110 |
|
237 |
180 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,085 |
963 |
$34K |
| 99386 |
|
319 |
244 |
$33K |
| 0002A |
|
598 |
597 |
$22K |
| 0001A |
|
573 |
571 |
$19K |
| 87390 |
|
2,776 |
2,762 |
$18K |
| 86480 |
|
1,578 |
1,567 |
$16K |
| 0012A |
|
571 |
571 |
$14K |
| 0011A |
|
675 |
675 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
78 |
61 |
$11K |
| 87391 |
|
2,753 |
2,734 |
$11K |
| 99385 |
|
96 |
77 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
25 |
24 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
60 |
39 |
$8K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
35 |
28 |
$7K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
47 |
37 |
$5K |
| 99402 |
|
333 |
318 |
$5K |
| 90658 |
|
905 |
877 |
$5K |
| 82274 |
|
1,158 |
1,148 |
$4K |
| 0003A |
|
97 |
97 |
$4K |
| 99406 |
|
2,242 |
1,763 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
143 |
141 |
$3K |
| 82962 |
|
2,697 |
2,421 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
266 |
148 |
$3K |
| V2020 |
Frames, purchases |
730 |
700 |
$3K |
| D7288 |
|
18 |
14 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
872 |
841 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$2K |
| 0064A |
|
54 |
54 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
880 |
850 |
$2K |
| 0013A |
|
41 |
41 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
184 |
172 |
$1K |
| 90750 |
|
13 |
13 |
$1K |
| 92002 |
|
102 |
100 |
$863.03 |
| 90694 |
|
89 |
89 |
$719.80 |
| 99401 |
|
142 |
141 |
$674.98 |
| 93268 |
|
14 |
14 |
$631.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
118 |
110 |
$540.11 |
| 99173 |
|
1,442 |
1,435 |
$322.35 |
| 93000 |
|
38 |
38 |
$163.09 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$100.53 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$37.67 |
| 90461 |
|
43 |
43 |
$30.59 |
| 94150 |
|
66 |
50 |
$30.00 |
| 92342 |
|
19 |
19 |
$20.20 |
| 91300 |
|
271 |
256 |
$0.34 |
| 91301 |
|
338 |
336 |
$0.04 |
| 97010 |
|
27 |
12 |
$0.00 |
| 87517 |
|
12 |
12 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
142 |
49 |
$0.00 |
| 99080 |
|
55 |
17 |
$0.00 |
| 81025 |
|
14 |
14 |
$0.00 |