| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,971 |
43,957 |
$316K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,846 |
1,711 |
$271K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,542 |
9,766 |
$102K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,031 |
663 |
$57K |
| D0140 |
Limited oral evaluation - problem focused |
6,911 |
6,513 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,287 |
5,778 |
$33K |
| D1110 |
Prophylaxis - adult |
8,909 |
8,630 |
$32K |
| 98968 |
|
1,182 |
620 |
$32K |
| 99443 |
|
758 |
553 |
$29K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
455 |
440 |
$25K |
| D1120 |
Prophylaxis - child |
3,425 |
3,325 |
$25K |
| D7140 |
Extraction, erupted tooth or exposed root |
7,129 |
3,501 |
$24K |
| 90686 |
|
1,653 |
1,622 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,392 |
1,214 |
$17K |
| 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 |
5,158 |
4,424 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,626 |
3,496 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
552 |
508 |
$14K |
| 99215 |
Prolong outpt/office vis |
1,795 |
1,654 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
164 |
160 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,136 |
434 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
1,091 |
443 |
$8K |
| 0012A |
|
281 |
264 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
238 |
222 |
$7K |
| 99423 |
|
249 |
226 |
$7K |
| 0011A |
|
258 |
243 |
$6K |
| 99442 |
|
574 |
546 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,401 |
1,284 |
$6K |
| 99422 |
|
257 |
215 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
6,406 |
6,226 |
$5K |
| 90674 |
|
300 |
299 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,419 |
1,193 |
$4K |
| D1206 |
Topical application of fluoride varnish |
10,280 |
9,949 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
1,110 |
890 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,549 |
1,190 |
$3K |
| 0064A |
|
106 |
102 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
2,702 |
2,614 |
$3K |
| D4910 |
|
2,087 |
2,040 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,861 |
2,801 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
120 |
114 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
25 |
25 |
$2K |
| 0031A |
|
65 |
65 |
$2K |
| D2140 |
|
487 |
333 |
$2K |
| D0274 |
Bitewings - four radiographic images |
4,609 |
4,477 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
275 |
267 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
6,718 |
6,224 |
$2K |
| D4341 |
|
445 |
266 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
205 |
$2K |
| 81003 |
|
1,181 |
1,085 |
$1K |
| D2331 |
|
341 |
275 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
84 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
664 |
248 |
$938.81 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
179 |
148 |
$901.46 |
| D1354 |
|
838 |
303 |
$814.81 |
| 90715 |
|
42 |
40 |
$767.38 |
| D0272 |
Bitewings - two radiographic images |
1,896 |
1,848 |
$702.03 |
| 97602 |
|
56 |
26 |
$589.22 |
| 98925 |
|
15 |
14 |
$582.45 |
| 0002A |
|
17 |
16 |
$560.00 |
| 99441 |
|
230 |
215 |
$533.09 |
| D0330 |
Panoramic radiographic image |
606 |
589 |
$532.92 |
| 96160 |
|
161 |
159 |
$456.29 |
| D0270 |
|
2,375 |
2,269 |
$408.90 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
158 |
131 |
$400.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
172 |
161 |
$391.32 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
23 |
14 |
$323.95 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
58 |
55 |
$318.72 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$316.20 |
| 73630 |
|
13 |
12 |
$290.80 |
| 90651 |
|
17 |
17 |
$280.05 |
| 90734 |
|
12 |
12 |
$269.81 |
| 99222 |
Initial hospital care, per day, moderate complexity |
42 |
38 |
$266.35 |
| 81025 |
|
63 |
62 |
$256.50 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$252.00 |
| D2160 |
|
123 |
106 |
$219.00 |
| 90619 |
|
12 |
12 |
$186.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
76 |
70 |
$174.17 |
| 36415 |
Collection of venous blood by venipuncture |
13,193 |
12,217 |
$171.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$167.72 |
| D1351 |
Sealant - per tooth |
88 |
29 |
$146.31 |
| D2335 |
|
27 |
26 |
$95.10 |
| 90653 |
|
32 |
32 |
$85.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
64 |
57 |
$68.34 |
| D0230 |
Intraoral - periapical each additional radiographic image |
524 |
364 |
$55.60 |
| D2940 |
|
111 |
93 |
$33.00 |
| D2332 |
|
41 |
37 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
163 |
161 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$0.00 |
| D2330 |
|
176 |
132 |
$0.00 |
| 93000 |
|
26 |
25 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
151 |
98 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
56 |
55 |
$0.00 |
| D4342 |
|
76 |
50 |
$0.00 |
| D1330 |
|
156 |
156 |
$0.00 |
| D0603 |
|
21 |
21 |
$0.00 |