| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
201,676 |
179,381 |
$7.72M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69,191 |
63,891 |
$2.12M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,467 |
15,091 |
$1.12M |
| 99173 |
|
20,078 |
19,538 |
$1.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,098 |
12,611 |
$818K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53,432 |
51,346 |
$763K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,014 |
8,842 |
$652K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31,350 |
30,376 |
$576K |
| D0330 |
Panoramic radiographic image |
11,775 |
10,723 |
$405K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
10,565 |
9,626 |
$337K |
| 90791 |
Psychiatric diagnostic evaluation |
4,037 |
3,682 |
$323K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,841 |
4,514 |
$284K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,350 |
4,933 |
$267K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,855 |
2,789 |
$234K |
| D1110 |
Prophylaxis - adult |
5,566 |
5,100 |
$223K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
3,949 |
2,936 |
$217K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,931 |
2,850 |
$200K |
| 92552 |
|
18,094 |
17,608 |
$198K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,986 |
1,563 |
$196K |
| D0140 |
Limited oral evaluation - problem focused |
5,239 |
4,794 |
$182K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24,362 |
22,931 |
$176K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,083 |
1,214 |
$173K |
| D0274 |
Bitewings - four radiographic images |
8,725 |
7,955 |
$172K |
| 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 |
22,450 |
8,178 |
$170K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,060 |
2,879 |
$166K |
| 36415 |
Collection of venous blood by venipuncture |
98,845 |
87,430 |
$165K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,432 |
2,703 |
$139K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,426 |
1,080 |
$107K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,536 |
1,458 |
$106K |
| 90473 |
|
7,534 |
7,365 |
$106K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,771 |
11,940 |
$78K |
| D0220 |
Intraoral - periapical first radiographic image |
13,002 |
11,821 |
$75K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
885 |
850 |
$72K |
| 81025 |
|
9,998 |
9,269 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,401 |
4,228 |
$66K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,470 |
1,001 |
$65K |
| 90686 |
|
12,988 |
12,616 |
$64K |
| 90688 |
|
7,291 |
7,075 |
$56K |
| D1206 |
Topical application of fluoride varnish |
8,582 |
7,900 |
$54K |
| 86580 |
|
8,788 |
7,884 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
606 |
569 |
$46K |
| 82962 |
|
18,310 |
16,621 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,085 |
1,014 |
$40K |
| 87428 |
|
1,214 |
1,095 |
$40K |
| D1120 |
Prophylaxis - child |
850 |
789 |
$38K |
| D0230 |
Intraoral - periapical each additional radiographic image |
10,847 |
9,290 |
$36K |
| 90480 |
|
1,045 |
1,014 |
$33K |
| 99381 |
|
438 |
423 |
$32K |
| D0120 |
Periodic oral evaluation - established patient |
1,453 |
1,384 |
$32K |
| 87210 |
|
6,598 |
6,212 |
$31K |
| 90670 |
|
11,178 |
10,921 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,544 |
2,353 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
628 |
608 |
$29K |
| 0012A |
|
750 |
745 |
$28K |
| 81003 |
|
24,123 |
19,124 |
$28K |
| 91322 |
|
326 |
302 |
$27K |
| 0011A |
|
786 |
769 |
$27K |
| 90632 |
|
599 |
567 |
$26K |
| 85018 |
|
11,760 |
11,301 |
$26K |
| D4341 |
|
997 |
369 |
$25K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
405 |
318 |
$24K |
| 90674 |
|
5,641 |
5,344 |
$23K |
| 87430 |
|
1,407 |
1,285 |
$20K |
| 0031A |
|
609 |
551 |
$20K |
| 83986 |
|
6,090 |
5,743 |
$19K |
| 90648 |
|
13,217 |
12,881 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
169 |
164 |
$16K |
| 90633 |
|
7,235 |
7,063 |
$16K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,587 |
1,340 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
368 |
327 |
$14K |
| 90723 |
|
9,517 |
9,296 |
$13K |
| 90739 |
|
115 |
111 |
$12K |
| 0072A |
|
293 |
290 |
$12K |
| 90680 |
|
7,273 |
7,109 |
$11K |
| 90474 |
|
1,199 |
1,155 |
$10K |
| 90716 |
|
983 |
959 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
520 |
497 |
$10K |
| 90715 |
|
815 |
786 |
$9K |
| 0124A |
|
274 |
263 |
$9K |
| 90651 |
|
2,483 |
2,430 |
$8K |
| 94760 |
|
5,215 |
4,604 |
$8K |
| 90785 |
|
1,189 |
821 |
$8K |
| 0051A |
|
210 |
203 |
$8K |
| 90707 |
|
599 |
585 |
$8K |
| 0064A |
|
244 |
225 |
$8K |
| 85014 |
|
3,605 |
3,454 |
$7K |
| 0071A |
|
183 |
180 |
$7K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$7K |
| 0002A |
|
173 |
172 |
$7K |
| 90677 |
|
2,162 |
2,085 |
$7K |
| 36416 |
|
5,076 |
4,778 |
$6K |
| 90656 |
|
1,638 |
1,626 |
$6K |
| 0121A |
|
424 |
303 |
$6K |
| 81001 |
|
2,623 |
2,464 |
$6K |
| 0052A |
|
144 |
142 |
$6K |
| 90732 |
|
89 |
84 |
$5K |
| 0001A |
|
132 |
132 |
$5K |
| 90461 |
|
246 |
233 |
$4K |
| 0034A |
|
93 |
90 |
$4K |
| 99383 |
|
31 |
31 |
$2K |
| 99385 |
|
31 |
28 |
$2K |
| 90734 |
|
646 |
629 |
$2K |
| 0054A |
|
55 |
55 |
$2K |
| 0081A |
|
58 |
54 |
$2K |
| D2331 |
|
40 |
32 |
$2K |
| 91321 |
|
403 |
392 |
$2K |
| 90685 |
|
201 |
200 |
$1K |
| 0004A |
|
30 |
27 |
$988.24 |
| 99384 |
|
12 |
12 |
$911.04 |
| T1015 |
Clinic visit/encounter, all-inclusive |
113 |
99 |
$833.10 |
| 90710 |
|
735 |
703 |
$785.86 |
| 71046 |
Radiologic examination, chest; 2 views |
54 |
52 |
$706.75 |
| 1159F |
|
92,298 |
83,297 |
$620.96 |
| 82947 |
|
209 |
183 |
$583.18 |
| 80305 |
|
47 |
36 |
$457.40 |
| 90620 |
|
188 |
183 |
$423.22 |
| 90700 |
|
440 |
426 |
$331.29 |
| 82274 |
|
37 |
28 |
$325.08 |
| 82950 |
|
86 |
79 |
$280.47 |
| 99441 |
|
54 |
35 |
$193.96 |
| 94150 |
|
44 |
39 |
$183.87 |
| 90696 |
|
210 |
201 |
$165.65 |
| D0272 |
Bitewings - two radiographic images |
17 |
14 |
$115.69 |
| 90660 |
|
115 |
115 |
$110.61 |
| D3120 |
|
46 |
34 |
$88.38 |
| 90619 |
|
520 |
503 |
$82.00 |
| 0171A |
|
14 |
14 |
$80.00 |
| 1160F |
|
92,544 |
83,510 |
$49.92 |
| 3008F |
|
254,118 |
231,501 |
$47.18 |
| 90672 |
|
918 |
891 |
$27.23 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$23.05 |
| D9986 |
|
3,645 |
3,111 |
$1.61 |
| 2014F |
|
7,522 |
7,343 |
$1.49 |
| D9987 |
|
702 |
604 |
$0.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
235 |
234 |
$0.12 |
| 90381 |
|
28 |
27 |
$0.12 |
| 90687 |
|
244 |
243 |
$0.03 |
| 3352F |
|
35,461 |
32,099 |
$0.00 |
| D1330 |
|
516 |
468 |
$0.00 |
| D1310 |
|
491 |
446 |
$0.00 |
| D0603 |
|
55 |
53 |
$0.00 |
| 90744 |
|
29 |
27 |
$0.00 |
| D1320 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |
| 90713 |
|
196 |
190 |
$0.00 |