| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295,261 |
241,562 |
$9.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,343 |
38,709 |
$1.95M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,433 |
1,247 |
$1.05M |
| 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 |
112,774 |
48,652 |
$998K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13,742 |
12,689 |
$582K |
| 59025 |
Fetal non-stress test |
19,659 |
13,166 |
$491K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17,132 |
15,321 |
$414K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,063 |
5,429 |
$408K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23,783 |
21,455 |
$319K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,172 |
4,888 |
$310K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,415 |
3,182 |
$294K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,919 |
3,795 |
$263K |
| 99307 |
|
6,728 |
4,716 |
$252K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,727 |
4,413 |
$233K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,552 |
3,377 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,540 |
11,026 |
$230K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,090 |
6,929 |
$226K |
| 76830 |
Ultrasound, transvaginal |
3,281 |
2,920 |
$185K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,455 |
11,422 |
$169K |
| D0330 |
Panoramic radiographic image |
3,212 |
2,752 |
$167K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,312 |
2,176 |
$145K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,940 |
4,239 |
$143K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,653 |
2,335 |
$138K |
| 90461 |
|
8,001 |
7,616 |
$129K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,990 |
1,314 |
$128K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,633 |
2,556 |
$127K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,662 |
6,908 |
$126K |
| D1120 |
Prophylaxis - child |
2,787 |
2,191 |
$122K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,126 |
1,954 |
$119K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,539 |
1,339 |
$117K |
| 90791 |
Psychiatric diagnostic evaluation |
1,253 |
1,071 |
$100K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,279 |
2,837 |
$95K |
| 81025 |
|
13,779 |
12,595 |
$90K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,324 |
2,097 |
$82K |
| 76801 |
|
1,433 |
1,311 |
$80K |
| D0140 |
Limited oral evaluation - problem focused |
1,951 |
1,670 |
$80K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,248 |
1,189 |
$78K |
| D1110 |
Prophylaxis - adult |
1,589 |
1,362 |
$77K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,178 |
846 |
$68K |
| 80305 |
|
6,192 |
4,395 |
$63K |
| D7140 |
Extraction, erupted tooth or exposed root |
865 |
433 |
$59K |
| 59514 |
|
97 |
73 |
$57K |
| D1206 |
Topical application of fluoride varnish |
4,073 |
3,246 |
$57K |
| D0274 |
Bitewings - four radiographic images |
2,028 |
1,797 |
$49K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
767 |
562 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,982 |
2,786 |
$40K |
| D1351 |
Sealant - per tooth |
1,874 |
554 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
486 |
462 |
$35K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
608 |
493 |
$34K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
415 |
351 |
$34K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
610 |
400 |
$27K |
| 59410 |
|
43 |
29 |
$25K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
997 |
916 |
$24K |
| 99381 |
|
356 |
329 |
$21K |
| 99382 |
|
327 |
295 |
$18K |
| D0220 |
Intraoral - periapical first radiographic image |
1,885 |
1,670 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
670 |
588 |
$17K |
| 90632 |
|
377 |
363 |
$16K |
| 58571 |
|
71 |
24 |
$16K |
| 99383 |
|
263 |
236 |
$15K |
| 90686 |
|
1,637 |
1,546 |
$13K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
162 |
138 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
172 |
131 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
231 |
189 |
$11K |
| 87807 |
|
933 |
872 |
$10K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
691 |
254 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,853 |
1,652 |
$10K |
| 90688 |
|
680 |
638 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,258 |
842 |
$8K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
806 |
410 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
662 |
470 |
$7K |
| 99318 |
|
274 |
170 |
$5K |
| 99221 |
|
129 |
117 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
516 |
468 |
$5K |
| 81003 |
|
10,593 |
9,595 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
259 |
222 |
$3K |
| 54150 |
|
43 |
42 |
$3K |
| 90715 |
|
105 |
101 |
$3K |
| 83655 |
|
250 |
247 |
$3K |
| 99305 |
|
69 |
50 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
183 |
170 |
$2K |
| D4342 |
|
90 |
29 |
$2K |
| 90671 |
|
2,056 |
2,027 |
$2K |
| 88142 |
|
93 |
83 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
27 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
135 |
132 |
$2K |
| 90633 |
|
1,062 |
1,037 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
212 |
113 |
$1K |
| 90670 |
|
719 |
709 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,017 |
872 |
$1K |
| D1353 |
|
76 |
37 |
$1K |
| D2335 |
|
16 |
13 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
608 |
518 |
$1K |
| D0272 |
Bitewings - two radiographic images |
65 |
56 |
$1K |
| 85018 |
|
459 |
453 |
$962.61 |
| D4910 |
|
12 |
12 |
$871.92 |
| D2330 |
|
17 |
15 |
$814.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
105 |
99 |
$784.78 |
| 99218 |
|
14 |
13 |
$670.13 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$611.61 |
| 90677 |
|
445 |
440 |
$567.44 |
| 0072A |
|
15 |
13 |
$520.00 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
24 |
$500.87 |
| 90697 |
|
821 |
814 |
$398.31 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
41 |
37 |
$372.34 |
| 90651 |
|
61 |
61 |
$353.20 |
| 90656 |
|
184 |
184 |
$348.35 |
| 82044 |
|
93 |
84 |
$316.15 |
| 74018 |
|
15 |
15 |
$312.72 |
| 90680 |
|
1,386 |
1,369 |
$282.02 |
| 93000 |
|
19 |
16 |
$217.90 |
| 90619 |
|
47 |
45 |
$164.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
270 |
102 |
$110.26 |
| 90648 |
|
113 |
110 |
$104.85 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
12 |
$83.57 |
| 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 |
122 |
86 |
$70.72 |
| 90700 |
|
25 |
25 |
$70.41 |
| 82465 |
|
12 |
12 |
$48.93 |
| 82270 |
|
13 |
12 |
$35.60 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
66 |
26 |
$35.00 |
| 3044F |
|
40 |
38 |
$0.22 |
| 90698 |
|
313 |
308 |
$0.03 |
| 91307 |
|
23 |
15 |
$0.02 |
| 1159F |
|
12,578 |
11,605 |
$0.00 |
| 1160F |
|
12,578 |
11,605 |
$0.00 |
| 3078F |
|
7,740 |
7,231 |
$0.00 |
| 4274F |
|
995 |
939 |
$0.00 |
| 4004F |
|
4,062 |
3,816 |
$0.00 |
| 90473 |
|
85 |
85 |
$0.00 |
| 4040F |
|
1,870 |
1,736 |
$0.00 |
| 90710 |
|
52 |
52 |
$0.00 |
| 3077F |
|
227 |
216 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
182 |
137 |
$0.00 |
| 90707 |
|
82 |
81 |
$0.00 |
| 90836 |
|
23 |
18 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 2028F |
|
47 |
45 |
$0.00 |
| 3008F |
|
14,731 |
13,562 |
$0.00 |
| 3079F |
|
3,015 |
2,833 |
$0.00 |
| 3351F |
|
8,102 |
7,446 |
$0.00 |
| 1034F |
|
1,950 |
1,724 |
$0.00 |
| 2000F |
|
13,017 |
11,999 |
$0.00 |
| 1036F |
|
14,003 |
12,712 |
$0.00 |
| 2010F |
|
16,800 |
15,389 |
$0.00 |
| 2001F |
|
16,024 |
14,689 |
$0.00 |
| 1125F |
|
1,399 |
1,328 |
$0.00 |
| 4037F |
|
189 |
189 |
$0.00 |
| 1126F |
|
1,942 |
1,825 |
$0.00 |
| D1310 |
|
207 |
205 |
$0.00 |
| 3074F |
|
9,288 |
8,637 |
$0.00 |
| 90716 |
|
70 |
69 |
$0.00 |
| 4010F |
|
286 |
257 |
$0.00 |
| 3075F |
|
1,203 |
1,139 |
$0.00 |
| 3353F |
|
14 |
14 |
$0.00 |
| 99024 |
|
178 |
163 |
$0.00 |
| 3352F |
|
119 |
116 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| D0601 |
|
71 |
71 |
$0.00 |
| 3080F |
|
70 |
66 |
$0.00 |
| 99496 |
|
92 |
69 |
$0.00 |
| 90744 |
|
53 |
52 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| D1330 |
|
79 |
47 |
$0.00 |
| D0603 |
|
27 |
14 |
$0.00 |
| D0602 |
|
31 |
31 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |