| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,300 |
17,514 |
$1.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,430 |
14,972 |
$857K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,194 |
1,571 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,213 |
1,199 |
$94K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,253 |
803 |
$80K |
| 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 |
6,266 |
4,839 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
768 |
728 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
603 |
595 |
$47K |
| D1120 |
Prophylaxis - child |
1,574 |
1,568 |
$45K |
| D0140 |
Limited oral evaluation - problem focused |
2,152 |
2,028 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
2,403 |
2,382 |
$37K |
| D1110 |
Prophylaxis - adult |
1,098 |
1,089 |
$37K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
778 |
656 |
$35K |
| D9630 |
|
2,075 |
2,059 |
$33K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,943 |
1,932 |
$33K |
| D0330 |
Panoramic radiographic image |
623 |
606 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,011 |
976 |
$29K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
371 |
215 |
$28K |
| 90686 |
|
2,106 |
2,031 |
$26K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,000 |
962 |
$24K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
176 |
101 |
$22K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
183 |
135 |
$21K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
272 |
155 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
2,076 |
1,965 |
$18K |
| 3008F |
|
26,417 |
23,855 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
201 |
$17K |
| 92551 |
|
1,600 |
1,569 |
$16K |
| 90677 |
|
74 |
74 |
$13K |
| D7140 |
Extraction, erupted tooth or exposed root |
293 |
127 |
$13K |
| 99215 |
Prolong outpt/office vis |
109 |
91 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
863 |
829 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
467 |
274 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,353 |
2,285 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
106 |
65 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
643 |
620 |
$8K |
| D4910 |
|
203 |
202 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
94 |
$7K |
| 90670 |
|
295 |
287 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,893 |
1,846 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
40 |
$4K |
| 90649 |
|
34 |
32 |
$4K |
| 99173 |
|
1,633 |
1,600 |
$4K |
| 0012A |
|
109 |
109 |
$4K |
| 90688 |
|
359 |
339 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
286 |
207 |
$3K |
| D0274 |
Bitewings - four radiographic images |
241 |
241 |
$3K |
| 90836 |
|
48 |
43 |
$3K |
| D4342 |
|
49 |
25 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
30 |
28 |
$3K |
| 90461 |
|
897 |
881 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
216 |
211 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
41 |
$2K |
| 90656 |
|
112 |
112 |
$2K |
| 0011A |
|
88 |
86 |
$2K |
| 81002 |
|
553 |
517 |
$1K |
| 81025 |
|
169 |
169 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
140 |
136 |
$1K |
| 90648 |
|
90 |
90 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
46 |
41 |
$979.00 |
| 90723 |
|
12 |
12 |
$967.40 |
| 0064A |
|
33 |
33 |
$727.00 |
| D1206 |
Topical application of fluoride varnish |
33 |
33 |
$686.07 |
| 90734 |
|
17 |
16 |
$627.36 |
| 90480 |
|
14 |
14 |
$410.40 |
| 99000 |
|
477 |
459 |
$373.57 |
| 90633 |
|
25 |
25 |
$343.13 |
| 90658 |
|
17 |
17 |
$211.52 |
| 1036F |
|
47 |
35 |
$200.00 |
| 87807 |
|
16 |
12 |
$160.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
136 |
134 |
$133.16 |
| 90672 |
|
12 |
12 |
$132.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$121.58 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
105 |
105 |
$57.75 |
| 36416 |
|
270 |
262 |
$49.14 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
25 |
$35.08 |
| G0008 |
Administration of influenza virus vaccine |
160 |
126 |
$26.62 |
| 85018 |
|
13 |
13 |
$21.57 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
244 |
221 |
$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) |
292 |
279 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
169 |
154 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
60 |
58 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
46 |
35 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 3011F |
|
52 |
52 |
$0.00 |
| G9511 |
Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period |
343 |
303 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
41 |
30 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
15 |
14 |
$0.00 |