| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,151 |
25,494 |
$1.83M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,198 |
18,778 |
$909K |
| 90791 |
Psychiatric diagnostic evaluation |
5,915 |
5,627 |
$456K |
| D7140 |
Extraction, erupted tooth or exposed root |
8,179 |
5,397 |
$428K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,265 |
6,101 |
$397K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24,360 |
6,270 |
$371K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
39,849 |
35,689 |
$291K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,779 |
4,743 |
$254K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,880 |
3,713 |
$187K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,589 |
1,571 |
$152K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,092 |
1,089 |
$124K |
| D0140 |
Limited oral evaluation - problem focused |
9,101 |
9,027 |
$123K |
| D0330 |
Panoramic radiographic image |
3,686 |
3,682 |
$113K |
| D1110 |
Prophylaxis - adult |
2,001 |
2,001 |
$100K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,889 |
3,798 |
$95K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
655 |
571 |
$49K |
| D0220 |
Intraoral - periapical first radiographic image |
4,500 |
4,468 |
$47K |
| D0120 |
Periodic oral evaluation - established patient |
1,758 |
1,758 |
$45K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,304 |
1,303 |
$39K |
| D0274 |
Bitewings - four radiographic images |
1,537 |
1,537 |
$35K |
| 99221 |
|
945 |
924 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,060 |
938 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,693 |
6,570 |
$27K |
| 99442 |
|
758 |
741 |
$21K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
183 |
180 |
$16K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
288 |
239 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
171 |
171 |
$14K |
| D0210 |
Intraoral - complete series of radiographic images |
396 |
392 |
$8K |
| 99252 |
|
286 |
270 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
184 |
182 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
263 |
259 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
611 |
545 |
$5K |
| 91200 |
|
480 |
471 |
$4K |
| 99406 |
|
507 |
498 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
40 |
40 |
$4K |
| 93018 |
|
306 |
305 |
$4K |
| 99253 |
|
121 |
120 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
53 |
$3K |
| 95886 |
|
42 |
41 |
$3K |
| D0270 |
|
251 |
249 |
$3K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
28 |
26 |
$2K |
| 93000 |
|
184 |
183 |
$2K |
| 97803 |
|
65 |
62 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
82 |
82 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14 |
14 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
39 |
24 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$932.64 |
| 43235 |
|
13 |
12 |
$904.59 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
52 |
52 |
$646.64 |
| 95819 |
|
15 |
13 |
$260.35 |
| 99441 |
|
17 |
13 |
$242.54 |
| 11721 |
|
12 |
12 |
$237.12 |
| D9991 |
|
32 |
31 |
$99.00 |
| 3288F |
|
1,209 |
1,178 |
$0.00 |
| 3078F |
|
123 |
122 |
$0.00 |
| 1160F |
|
56 |
56 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 3074F |
|
192 |
190 |
$0.00 |
| 1101F |
|
676 |
660 |
$0.00 |
| 3008F |
|
78 |
77 |
$0.00 |
| 3079F |
|
27 |
26 |
$0.00 |