| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
40,658 |
36,978 |
$923K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,732 |
5,520 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68,829 |
58,109 |
$131K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,249 |
6,627 |
$125K |
| 0002A |
|
3,698 |
3,273 |
$112K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,559 |
11,507 |
$104K |
| 0001A |
|
3,308 |
2,996 |
$97K |
| 97802 |
|
949 |
748 |
$84K |
| 90651 |
|
2,723 |
2,146 |
$70K |
| 0003A |
|
1,467 |
1,446 |
$56K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,110 |
1,890 |
$55K |
| 90670 |
|
2,324 |
1,981 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
2,014 |
1,590 |
$42K |
| D1110 |
Prophylaxis - adult |
1,133 |
843 |
$30K |
| D1120 |
Prophylaxis - child |
1,621 |
1,284 |
$29K |
| 97803 |
|
677 |
487 |
$29K |
| 90734 |
|
1,832 |
1,514 |
$27K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,049 |
1,625 |
$27K |
| 90621 |
|
1,222 |
905 |
$27K |
| 72100 |
|
1,040 |
794 |
$25K |
| 90671 |
|
358 |
246 |
$25K |
| 90396 |
|
741 |
640 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
1,451 |
1,196 |
$21K |
| 90620 |
|
885 |
699 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
1,428 |
1,125 |
$19K |
| 90716 |
|
1,402 |
1,123 |
$19K |
| 96160 |
|
4,472 |
3,954 |
$19K |
| D1999 |
|
1,249 |
1,167 |
$18K |
| 90674 |
|
3,807 |
2,982 |
$17K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,375 |
3,316 |
$15K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,967 |
2,856 |
$14K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,329 |
594 |
$14K |
| 90707 |
|
1,685 |
1,374 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
636 |
473 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,823 |
1,637 |
$12K |
| D0272 |
Bitewings - two radiographic images |
790 |
580 |
$11K |
| 80061 |
Lipid panel |
2,257 |
2,031 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
981 |
863 |
$11K |
| 90713 |
|
1,054 |
863 |
$8K |
| 90633 |
|
1,703 |
1,317 |
$8K |
| 0124A |
|
191 |
152 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,457 |
2,147 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,609 |
1,808 |
$7K |
| 0004A |
|
167 |
166 |
$7K |
| 90700 |
|
1,942 |
1,550 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,956 |
2,786 |
$6K |
| 72040 |
|
271 |
200 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
163 |
144 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
773 |
740 |
$6K |
| 90715 |
|
1,294 |
967 |
$6K |
| D7140 |
Extraction, erupted tooth or exposed root |
214 |
82 |
$6K |
| D0330 |
Panoramic radiographic image |
190 |
128 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,265 |
10,807 |
$5K |
| 80053 |
Comprehensive metabolic panel |
1,404 |
1,265 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,391 |
2,018 |
$5K |
| 0072A |
|
142 |
141 |
$5K |
| 90680 |
|
240 |
167 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
692 |
539 |
$5K |
| 99442 |
|
1,773 |
1,625 |
$4K |
| 90723 |
|
506 |
409 |
$4K |
| 90677 |
|
443 |
285 |
$4K |
| 90647 |
|
1,134 |
892 |
$4K |
| 90744 |
|
901 |
712 |
$4K |
| 90461 |
|
1,751 |
1,212 |
$3K |
| 0071A |
|
87 |
87 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15,484 |
13,647 |
$3K |
| 90648 |
|
1,338 |
1,134 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,051 |
949 |
$3K |
| 73560 |
|
117 |
86 |
$3K |
| 90697 |
|
417 |
291 |
$3K |
| 81000 |
|
1,914 |
1,666 |
$3K |
| 90686 |
|
1,228 |
851 |
$3K |
| 90714 |
|
236 |
175 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
915 |
799 |
$2K |
| 99201 |
|
305 |
292 |
$2K |
| 91307 |
|
258 |
256 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
482 |
442 |
$2K |
| 86689 |
|
284 |
215 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
58 |
37 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,372 |
2,947 |
$2K |
| 86328 |
|
91 |
85 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
835 |
710 |
$2K |
| 73030 |
|
73 |
61 |
$2K |
| 90685 |
|
784 |
610 |
$2K |
| 99441 |
|
3,476 |
3,165 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
87 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$1K |
| 94375 |
|
45 |
31 |
$1K |
| 96127 |
|
28,211 |
25,552 |
$1K |
| 90698 |
|
347 |
275 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
84 |
51 |
$1K |
| 90696 |
|
217 |
184 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
80 |
49 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
530 |
487 |
$860.54 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
36 |
27 |
$856.80 |
| 96150 |
|
7,750 |
7,056 |
$826.85 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,746 |
3,339 |
$793.80 |
| 91320 |
|
49 |
34 |
$760.50 |
| 90480 |
|
65 |
45 |
$699.63 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,322 |
2,080 |
$690.00 |
| 82607 |
|
77 |
49 |
$465.38 |
| 82043 |
|
487 |
441 |
$447.06 |
| 77080 |
|
51 |
51 |
$421.68 |
| D2140 |
|
19 |
13 |
$410.40 |
| 90655 |
|
419 |
353 |
$354.00 |
| 84153 |
|
56 |
39 |
$349.41 |
| 70220 |
|
12 |
12 |
$257.99 |
| 82570 |
|
99 |
63 |
$207.20 |
| 82746 |
|
30 |
17 |
$191.10 |
| 87088 |
|
51 |
30 |
$177.98 |
| 76641 |
|
25 |
25 |
$165.42 |
| 93000 |
|
846 |
821 |
$154.85 |
| 87536 |
|
39 |
38 |
$147.08 |
| 82270 |
|
289 |
265 |
$144.81 |
| 84550 |
|
62 |
42 |
$138.02 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
91 |
$136.00 |
| 84439 |
|
41 |
29 |
$117.26 |
| 96156 |
|
402 |
386 |
$113.00 |
| 85730 |
|
38 |
21 |
$108.18 |
| 99406 |
|
1,597 |
1,443 |
$99.27 |
| 86592 |
|
64 |
41 |
$98.21 |
| 90688 |
|
132 |
132 |
$90.00 |
| 80069 |
|
25 |
14 |
$86.80 |
| 73565 |
|
73 |
65 |
$84.67 |
| 99050 |
|
766 |
730 |
$80.00 |
| 85610 |
|
38 |
21 |
$77.22 |
| 90681 |
|
413 |
303 |
$58.00 |
| 99173 |
|
2,412 |
2,223 |
$51.20 |
| 86361 |
|
27 |
26 |
$46.28 |
| 99383 |
|
12 |
12 |
$33.62 |
| 82272 |
|
18 |
12 |
$25.38 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,686 |
2,918 |
$18.73 |
| 83655 |
|
24 |
13 |
$12.11 |
| 96152 |
|
1,118 |
1,058 |
$8.60 |
| 81001 |
|
196 |
191 |
$8.28 |
| 90656 |
|
111 |
109 |
$4.00 |
| J0456 |
Injection, azithromycin, 500 mg |
36 |
24 |
$3.25 |
| 92551 |
|
1,783 |
1,753 |
$0.15 |
| 1220F |
|
1,004 |
965 |
$0.14 |
| 90750 |
|
42 |
31 |
$0.10 |
| 96161 |
|
502 |
485 |
$0.03 |
| 1000F |
|
31,479 |
28,567 |
$0.03 |
| 3045F |
|
128 |
113 |
$0.01 |
| 3078F |
|
22,235 |
19,461 |
$0.01 |
| 1159F |
|
26,956 |
24,271 |
$0.01 |
| 4004F |
|
1,823 |
1,650 |
$0.01 |
| 3351F |
|
24,030 |
22,055 |
$0.01 |
| 3288F |
|
2,402 |
2,224 |
$0.00 |
| 99408 |
|
12,029 |
10,609 |
$0.00 |
| 1003F |
|
1,699 |
1,668 |
$0.00 |
| 91300 |
|
8,707 |
7,343 |
$0.00 |
| 3725F |
|
8,740 |
8,151 |
$0.00 |
| 1160F |
|
26,353 |
23,705 |
$0.00 |
| 0518F |
|
2,395 |
2,218 |
$0.00 |
| 99409 |
|
397 |
375 |
$0.00 |
| 3077F |
|
2,470 |
1,964 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
136 |
133 |
$0.00 |
| 2028F |
|
81 |
79 |
$0.00 |
| 91312 |
|
174 |
138 |
$0.00 |
| 1158F |
|
13 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
20 |
20 |
$0.00 |
| 2022F |
|
14 |
14 |
$0.00 |
| 90746 |
|
13 |
12 |
$0.00 |
| 1100F |
|
36 |
34 |
$0.00 |
| 3044F |
|
5,820 |
5,473 |
$0.00 |
| 3074F |
|
24,751 |
21,463 |
$0.00 |
| 3352F |
|
6,970 |
6,322 |
$0.00 |
| 3061F |
|
2,912 |
2,713 |
$0.00 |
| 3079F |
|
10,160 |
9,104 |
$0.00 |
| 1126F |
|
18,809 |
17,459 |
$0.00 |
| 99368 |
|
768 |
746 |
$0.00 |
| 1125F |
|
11,661 |
9,896 |
$0.00 |
| 3075F |
|
12,077 |
9,840 |
$0.00 |
| 3008F |
|
27,828 |
25,265 |
$0.00 |
| 3353F |
|
1,057 |
1,002 |
$0.00 |
| 3014F |
|
1,691 |
1,573 |
$0.00 |
| 1170F |
|
1,642 |
1,534 |
$0.00 |
| 3066F |
|
599 |
579 |
$0.00 |
| 1034F |
|
761 |
720 |
$0.00 |
| 4010F |
|
589 |
569 |
$0.00 |
| 1101F |
|
2,415 |
2,232 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
325 |
314 |
$0.00 |
| 3060F |
|
480 |
420 |
$0.00 |
| 96151 |
|
332 |
324 |
$0.00 |
| 3017F |
|
477 |
458 |
$0.00 |
| 4000F |
|
766 |
653 |
$0.00 |
| 90619 |
|
273 |
184 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
281 |
242 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
40 |
40 |
$0.00 |
| 99349 |
|
18 |
17 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
110 |
108 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
239 |
199 |
$0.00 |
| 90381 |
|
136 |
71 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
116 |
88 |
$0.00 |
| 3080F |
|
38 |
34 |
$0.00 |
| G9659 |
Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits |
23 |
23 |
$0.00 |
| 90733 |
|
21 |
19 |
$0.00 |
| 3354F |
|
16 |
16 |
$0.00 |
| 90899 |
|
13 |
12 |
$0.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
15 |
$0.00 |
| 90732 |
|
14 |
13 |
$0.00 |
| 1036F |
|
19 |
19 |
$0.00 |