| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,508 |
2,922 |
$213K |
| 90396 |
|
206 |
130 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125,466 |
105,659 |
$170K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,902 |
13,489 |
$133K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,608 |
7,581 |
$110K |
| 90670 |
|
3,280 |
2,610 |
$90K |
| 76641 |
|
1,348 |
1,116 |
$86K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,231 |
1,116 |
$85K |
| 90649 |
|
4,653 |
3,353 |
$77K |
| 76830 |
Ultrasound, transvaginal |
1,020 |
917 |
$62K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,495 |
448 |
$61K |
| 97802 |
|
2,228 |
1,895 |
$59K |
| D1110 |
Prophylaxis - adult |
2,229 |
1,834 |
$56K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,971 |
4,938 |
$51K |
| D1999 |
|
3,775 |
3,034 |
$46K |
| 90734 |
|
2,850 |
2,177 |
$45K |
| 76770 |
|
643 |
564 |
$44K |
| 97803 |
|
2,392 |
2,039 |
$43K |
| 90677 |
|
1,323 |
711 |
$35K |
| 90621 |
|
2,392 |
1,730 |
$34K |
| 76536 |
|
506 |
472 |
$30K |
| D0120 |
Periodic oral evaluation - established patient |
2,449 |
1,961 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
823 |
677 |
$28K |
| 96160 |
|
5,557 |
4,843 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
1,001 |
882 |
$19K |
| 72100 |
|
690 |
528 |
$19K |
| 73560 |
|
835 |
582 |
$19K |
| 99442 |
|
10,244 |
8,856 |
$18K |
| 90707 |
|
2,984 |
2,141 |
$16K |
| 99441 |
|
9,409 |
7,891 |
$15K |
| 77066 |
Tomosynthesis, mammo |
137 |
137 |
$14K |
| D0272 |
Bitewings - two radiographic images |
1,082 |
879 |
$13K |
| 99443 |
|
1,087 |
838 |
$13K |
| 90715 |
|
2,410 |
1,758 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,039 |
12,511 |
$12K |
| 0001A |
|
734 |
643 |
$11K |
| 90698 |
|
823 |
561 |
$11K |
| 90680 |
|
793 |
502 |
$10K |
| 90697 |
|
870 |
511 |
$10K |
| 90716 |
|
2,577 |
1,847 |
$9K |
| 80061 |
Lipid panel |
1,326 |
1,162 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
196 |
180 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,850 |
1,617 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
638 |
526 |
$8K |
| 90633 |
|
2,817 |
2,014 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
805 |
744 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,571 |
1,959 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
699 |
650 |
$7K |
| 80053 |
Comprehensive metabolic panel |
1,125 |
1,022 |
$7K |
| 90656 |
|
2,750 |
1,995 |
$6K |
| 0011A |
|
314 |
224 |
$6K |
| 90723 |
|
1,134 |
907 |
$5K |
| 90696 |
|
966 |
705 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
993 |
865 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
393 |
328 |
$5K |
| 87276 |
|
586 |
456 |
$4K |
| 87275 |
|
599 |
470 |
$4K |
| 99401 |
|
6,048 |
5,223 |
$4K |
| 90461 |
|
2,328 |
1,262 |
$4K |
| 0002A |
|
168 |
157 |
$4K |
| 81000 |
|
1,606 |
1,363 |
$4K |
| 90658 |
|
1,075 |
846 |
$3K |
| 90647 |
|
621 |
406 |
$3K |
| D0330 |
Panoramic radiographic image |
88 |
77 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,187 |
677 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
217 |
183 |
$2K |
| 90620 |
|
478 |
246 |
$2K |
| 96127 |
|
5,558 |
4,999 |
$2K |
| 0124A |
|
75 |
74 |
$2K |
| 73030 |
|
163 |
144 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
53 |
40 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
136 |
111 |
$1K |
| 86738 |
|
172 |
140 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,153 |
3,661 |
$1K |
| D1120 |
Prophylaxis - child |
137 |
104 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
19 |
13 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
136 |
111 |
$1K |
| 0071A |
|
62 |
62 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,197 |
1,114 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
165 |
153 |
$1K |
| 0031A |
|
31 |
31 |
$1K |
| 72040 |
|
42 |
39 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
93 |
74 |
$1K |
| 90700 |
|
707 |
517 |
$1K |
| 80074 |
|
97 |
82 |
$993.60 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
61 |
60 |
$954.48 |
| 90648 |
|
1,339 |
1,136 |
$840.25 |
| 87400 |
|
88 |
87 |
$772.50 |
| 91307 |
|
73 |
72 |
$760.00 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
15 |
12 |
$704.14 |
| 0012A |
|
25 |
21 |
$593.56 |
| 73620 |
|
55 |
38 |
$590.01 |
| D2140 |
|
14 |
12 |
$533.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,662 |
1,365 |
$515.00 |
| 99368 |
|
112 |
109 |
$500.00 |
| 84153 |
|
79 |
58 |
$492.83 |
| 82274 |
|
115 |
94 |
$456.43 |
| 86703 |
|
54 |
54 |
$419.70 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,588 |
1,404 |
$370.44 |
| 86592 |
|
244 |
204 |
$365.66 |
| 87536 |
|
19 |
16 |
$340.40 |
| 82043 |
|
168 |
129 |
$337.34 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
151 |
129 |
$311.42 |
| 87088 |
|
118 |
90 |
$305.20 |
| 90655 |
|
150 |
106 |
$291.60 |
| 73562 |
|
14 |
12 |
$282.22 |
| G0421 |
Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour |
326 |
275 |
$279.45 |
| 82570 |
|
171 |
139 |
$270.94 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
906 |
826 |
$260.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
57 |
41 |
$248.56 |
| 84436 |
|
122 |
102 |
$228.78 |
| 84479 |
|
102 |
83 |
$214.88 |
| 86360 |
|
19 |
16 |
$187.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,144 |
4,369 |
$170.03 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
106 |
104 |
$160.55 |
| 84439 |
|
49 |
36 |
$156.54 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
431 |
395 |
$144.25 |
| 99215 |
Prolong outpt/office vis |
622 |
558 |
$141.60 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$116.28 |
| 90732 |
|
153 |
97 |
$112.00 |
| 85730 |
|
40 |
27 |
$90.15 |
| G0420 |
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour |
15 |
15 |
$77.20 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
70 |
40 |
$70.68 |
| 88141 |
|
23 |
17 |
$69.12 |
| 82044 |
|
58 |
50 |
$68.51 |
| 82728 |
|
16 |
13 |
$68.15 |
| 85610 |
|
40 |
27 |
$64.35 |
| 86480 |
|
13 |
12 |
$61.98 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
158 |
137 |
$59.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
324 |
300 |
$56.00 |
| 90681 |
|
457 |
375 |
$54.00 |
| 83655 |
|
16 |
12 |
$52.76 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
29 |
29 |
$50.00 |
| 90702 |
|
47 |
42 |
$46.00 |
| 99402 |
|
2,220 |
1,731 |
$43.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,763 |
1,543 |
$30.01 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
992 |
907 |
$30.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
179 |
169 |
$25.31 |
| 93000 |
|
626 |
597 |
$20.25 |
| 80305 |
|
70 |
53 |
$10.47 |
| 91301 |
|
755 |
617 |
$0.04 |
| 90619 |
|
1,198 |
706 |
$0.02 |
| 1000F |
|
20,416 |
17,600 |
$0.00 |
| 3079F |
|
7,052 |
6,412 |
$0.00 |
| 3061F |
|
760 |
693 |
$0.00 |
| 1126F |
|
33,389 |
27,920 |
$0.00 |
| 1111F |
|
2,104 |
1,817 |
$0.00 |
| 3351F |
|
2,979 |
2,807 |
$0.00 |
| 3049F |
|
470 |
415 |
$0.00 |
| 3074F |
|
38,780 |
32,740 |
$0.00 |
| 3008F |
|
47,043 |
39,595 |
$0.00 |
| 1036F |
|
12,329 |
9,961 |
$0.00 |
| 1125F |
|
7,515 |
6,505 |
$0.00 |
| 3048F |
|
2,440 |
2,204 |
$0.00 |
| 3075F |
|
1,231 |
1,116 |
$0.00 |
| 1220F |
|
1,532 |
1,416 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
106 |
105 |
$0.00 |
| 2000F |
|
548 |
397 |
$0.00 |
| 3044F |
|
4,403 |
3,980 |
$0.00 |
| 1034F |
|
605 |
423 |
$0.00 |
| 3014F |
|
549 |
492 |
$0.00 |
| 3017F |
|
782 |
681 |
$0.00 |
| 3352F |
|
723 |
683 |
$0.00 |
| 4037F |
|
722 |
638 |
$0.00 |
| 2010F |
|
1,717 |
1,289 |
$0.00 |
| 0509F |
|
61 |
48 |
$0.00 |
| 4010F |
|
425 |
394 |
$0.00 |
| 80050 |
General health panel |
245 |
180 |
$0.00 |
| 99384 |
|
102 |
96 |
$0.00 |
| 96150 |
|
285 |
276 |
$0.00 |
| 3080F |
|
199 |
186 |
$0.00 |
| 2001F |
|
562 |
404 |
$0.00 |
| 99383 |
|
67 |
67 |
$0.00 |
| 88142 |
|
28 |
24 |
$0.00 |
| 97804 |
|
69 |
56 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 3052F |
|
13 |
12 |
$0.00 |
| 91303 |
|
30 |
30 |
$0.00 |
| 99050 |
|
59 |
54 |
$0.00 |
| 73564 |
|
20 |
16 |
$0.00 |
| 3353F |
|
56 |
37 |
$0.00 |
| 1170F |
|
31 |
22 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 1160F |
|
33,610 |
28,384 |
$0.00 |
| 3078F |
|
34,685 |
29,096 |
$0.00 |
| 0521F |
|
1,016 |
934 |
$0.00 |
| 4040F |
|
145 |
120 |
$0.00 |
| 1159F |
|
35,645 |
30,146 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
847 |
816 |
$0.00 |
| 90623 |
|
83 |
48 |
$0.00 |
| 4013F |
|
2,144 |
1,925 |
$0.00 |
| 3077F |
|
920 |
787 |
$0.00 |
| 99409 |
|
147 |
108 |
$0.00 |
| 91300 |
|
607 |
515 |
$0.00 |
| 96152 |
|
213 |
188 |
$0.00 |
| 3015F |
|
333 |
311 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
55 |
$0.00 |
| 1033F |
|
97 |
77 |
$0.00 |
| 99173 |
|
278 |
258 |
$0.00 |
| 3050F |
|
150 |
118 |
$0.00 |
| 1039F |
|
537 |
447 |
$0.00 |
| 1090F |
|
237 |
220 |
$0.00 |
| 90836 |
|
271 |
261 |
$0.00 |
| 91312 |
|
75 |
74 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
56 |
56 |
$0.00 |
| 99348 |
|
142 |
112 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
148 |
126 |
$0.00 |
| 72110 |
|
32 |
30 |
$0.00 |
| 99347 |
|
54 |
54 |
$0.00 |
| 3288F |
|
49 |
39 |
$0.00 |
| 2028F |
|
49 |
41 |
$0.00 |
| 2014F |
|
30 |
23 |
$0.00 |
| 74018 |
|
27 |
27 |
$0.00 |
| 73610 |
|
16 |
12 |
$0.00 |