| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170,236 |
151,261 |
$12.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82,688 |
77,736 |
$6.33M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28,419 |
27,772 |
$2.23M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24,480 |
21,851 |
$1.88M |
| 90834 |
Psychotherapy, 45 minutes with patient |
18,443 |
12,925 |
$1.29M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,071 |
9,392 |
$966K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,695 |
9,684 |
$835K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,748 |
8,737 |
$742K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,587 |
8,579 |
$740K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,241 |
7,031 |
$655K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19,717 |
16,469 |
$559K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
6,541 |
6,432 |
$550K |
| D9450 |
|
49,062 |
31,804 |
$547K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,283 |
6,228 |
$499K |
| D1110 |
Prophylaxis - adult |
13,597 |
10,257 |
$376K |
| 90651 |
|
4,238 |
4,195 |
$331K |
| 90686 |
|
19,705 |
19,265 |
$318K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,571 |
3,540 |
$317K |
| D0210 |
Intraoral - complete series of radiographic images |
8,278 |
6,228 |
$298K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,053 |
5,424 |
$298K |
| D1120 |
Prophylaxis - child |
5,105 |
5,032 |
$255K |
| D0120 |
Periodic oral evaluation - established patient |
14,942 |
12,079 |
$237K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,566 |
5,161 |
$233K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20,065 |
19,981 |
$205K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
10,174 |
9,093 |
$204K |
| D7140 |
Extraction, erupted tooth or exposed root |
4,182 |
1,583 |
$189K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
5,873 |
3,543 |
$177K |
| 92015 |
Determination of refractive state |
14,188 |
13,993 |
$173K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,626 |
1,108 |
$166K |
| D1206 |
Topical application of fluoride varnish |
6,299 |
6,158 |
$162K |
| 99050 |
|
9,800 |
9,448 |
$159K |
| 97802 |
|
2,561 |
2,515 |
$139K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
3,771 |
2,617 |
$133K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,139 |
1,118 |
$127K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19,979 |
19,520 |
$125K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,391 |
4,118 |
$125K |
| 99215 |
Prolong outpt/office vis |
1,447 |
1,387 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,163 |
20,637 |
$118K |
| 90715 |
|
5,790 |
5,725 |
$115K |
| D0140 |
Limited oral evaluation - problem focused |
4,597 |
2,825 |
$114K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,532 |
1,511 |
$113K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,281 |
16,770 |
$106K |
| D0274 |
Bitewings - four radiographic images |
4,762 |
3,771 |
$104K |
| 0001A |
|
2,874 |
2,332 |
$103K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,344 |
4,155 |
$99K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,349 |
4,158 |
$99K |
| 0002A |
|
2,688 |
2,220 |
$99K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,910 |
1,380 |
$90K |
| 99381 |
|
765 |
757 |
$89K |
| V2020 |
Frames, purchases |
950 |
901 |
$76K |
| 86703 |
|
8,650 |
8,360 |
$76K |
| 90670 |
|
3,605 |
3,566 |
$72K |
| 80061 |
Lipid panel |
18,378 |
17,880 |
$72K |
| 90480 |
|
1,883 |
1,847 |
$69K |
| 92341 |
|
2,056 |
1,984 |
$68K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,587 |
1,567 |
$65K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,182 |
5,027 |
$63K |
| 86780 |
|
5,845 |
5,672 |
$62K |
| T1015 |
Clinic visit/encounter, all-inclusive |
655 |
625 |
$57K |
| 99173 |
|
2,756 |
2,755 |
$57K |
| D0220 |
Intraoral - periapical first radiographic image |
5,096 |
3,447 |
$56K |
| D1351 |
Sealant - per tooth |
1,458 |
392 |
$56K |
| 86803 |
|
6,169 |
5,959 |
$55K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
320 |
289 |
$54K |
| 82274 |
|
4,788 |
4,734 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
462 |
445 |
$52K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
839 |
780 |
$50K |
| 90791 |
Psychiatric diagnostic evaluation |
375 |
374 |
$50K |
| 97803 |
|
1,023 |
1,007 |
$49K |
| 90734 |
|
1,969 |
1,960 |
$46K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
611 |
576 |
$43K |
| 90677 |
|
1,252 |
1,235 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,169 |
6,916 |
$41K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
382 |
371 |
$41K |
| 80053 |
Comprehensive metabolic panel |
8,255 |
7,976 |
$40K |
| 90716 |
|
1,704 |
1,683 |
$38K |
| 99051 |
|
6,071 |
5,498 |
$37K |
| 0012A |
|
991 |
794 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
342 |
339 |
$35K |
| 0004A |
|
781 |
780 |
$35K |
| 90633 |
|
3,569 |
3,544 |
$31K |
| 85027 |
|
5,869 |
5,753 |
$31K |
| 86706 |
|
4,546 |
4,378 |
$30K |
| 0011A |
|
900 |
773 |
$27K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,327 |
7,067 |
$27K |
| D2331 |
|
646 |
430 |
$26K |
| D0272 |
Bitewings - two radiographic images |
879 |
852 |
$25K |
| D2740 |
Crown - porcelain/ceramic |
80 |
64 |
$24K |
| 90691 |
|
1,076 |
1,074 |
$23K |
| 84703 |
|
4,415 |
4,145 |
$23K |
| 0134A |
|
689 |
668 |
$23K |
| D0330 |
Panoramic radiographic image |
396 |
315 |
$22K |
| 99385 |
|
345 |
329 |
$21K |
| D0180 |
|
1,299 |
791 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,998 |
3,769 |
$19K |
| 0064A |
|
551 |
551 |
$18K |
| 90739 |
|
867 |
859 |
$18K |
| 99188 |
|
655 |
654 |
$18K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,606 |
400 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,754 |
1,018 |
$17K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
251 |
239 |
$17K |
| 0054A |
|
411 |
409 |
$17K |
| 90707 |
|
1,740 |
1,723 |
$16K |
| 90656 |
|
901 |
887 |
$15K |
| 0071A |
|
318 |
318 |
$14K |
| D2330 |
|
421 |
226 |
$14K |
| 0031A |
|
473 |
267 |
$14K |
| 90680 |
|
995 |
989 |
$13K |
| 92133 |
|
737 |
729 |
$13K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
119 |
96 |
$12K |
| 81025 |
|
2,371 |
2,173 |
$12K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
183 |
148 |
$12K |
| 99442 |
|
630 |
604 |
$12K |
| 82043 |
|
2,790 |
2,744 |
$12K |
| 87210 |
|
2,961 |
2,813 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
423 |
403 |
$11K |
| 90887 |
|
359 |
335 |
$11K |
| 87430 |
|
1,080 |
1,015 |
$11K |
| 0072A |
|
245 |
245 |
$11K |
| 0124A |
|
467 |
447 |
$11K |
| D4341 |
|
351 |
113 |
$11K |
| 99441 |
|
483 |
461 |
$11K |
| 82570 |
|
2,734 |
2,693 |
$10K |
| 81003 |
|
5,493 |
5,282 |
$9K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
120 |
53 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
84 |
84 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
729 |
687 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
280 |
272 |
$7K |
| 99443 |
|
662 |
634 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
233 |
231 |
$7K |
| 87340 |
|
728 |
716 |
$6K |
| 80076 |
|
940 |
929 |
$6K |
| G0008 |
Administration of influenza virus vaccine |
1,005 |
844 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,781 |
2,717 |
$6K |
| ATP14 |
|
531 |
500 |
$5K |
| 97810 |
|
377 |
260 |
$5K |
| 90696 |
|
826 |
820 |
$5K |
| 86580 |
|
584 |
559 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
12,272 |
11,257 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
147 |
146 |
$4K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
148 |
111 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
52 |
51 |
$4K |
| 99386 |
|
93 |
83 |
$4K |
| 90733 |
|
684 |
675 |
$4K |
| 99383 |
|
39 |
39 |
$3K |
| 90648 |
|
1,556 |
1,547 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
52 |
49 |
$3K |
| 0013A |
|
73 |
73 |
$3K |
| 90710 |
|
985 |
979 |
$3K |
| 85018 |
|
1,323 |
1,322 |
$3K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
29 |
26 |
$3K |
| 80050 |
General health panel |
154 |
154 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
3,158 |
3,105 |
$2K |
| 90732 |
|
117 |
117 |
$2K |
| 11721 |
|
153 |
151 |
$2K |
| 0052A |
|
50 |
50 |
$2K |
| H0046 |
Mental health services, not otherwise specified |
92 |
78 |
$2K |
| 83014 |
|
329 |
318 |
$2K |
| 90713 |
|
311 |
310 |
$2K |
| 69210 |
|
12 |
12 |
$2K |
| ATP08 |
|
209 |
202 |
$2K |
| 81001 |
|
658 |
614 |
$2K |
| D2950 |
|
30 |
24 |
$2K |
| 92083 |
|
70 |
69 |
$2K |
| 0051A |
|
32 |
32 |
$1K |
| 90714 |
|
43 |
43 |
$1K |
| 90678 |
|
13 |
13 |
$1K |
| 83721 |
|
228 |
221 |
$1K |
| 0111A |
|
40 |
40 |
$1K |
| 0144A |
|
29 |
28 |
$1K |
| 90632 |
|
37 |
37 |
$1K |
| 99397 |
|
92 |
92 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
28 |
$945.58 |
| 84460 |
|
287 |
286 |
$859.16 |
| 82947 |
|
166 |
166 |
$819.42 |
| 0154A |
|
17 |
17 |
$779.79 |
| 92134 |
|
42 |
42 |
$766.23 |
| 84702 |
|
55 |
49 |
$735.49 |
| 0074A |
|
33 |
33 |
$652.98 |
| 90744 |
|
1,454 |
1,441 |
$578.69 |
| ATP17 |
|
54 |
52 |
$576.74 |
| 90723 |
|
462 |
460 |
$566.64 |
| 0112A |
|
12 |
12 |
$550.56 |
| ATP03 |
|
107 |
86 |
$508.00 |
| 90698 |
|
1,451 |
1,432 |
$478.06 |
| 92551 |
|
43 |
42 |
$409.67 |
| 85610 |
|
113 |
94 |
$405.48 |
| 91301 |
|
1,662 |
1,315 |
$361.74 |
| 90700 |
|
933 |
926 |
$293.91 |
| 90461 |
|
369 |
350 |
$291.51 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
79 |
79 |
$279.95 |
| 90661 |
|
534 |
534 |
$169.38 |
| 93000 |
|
12 |
12 |
$154.13 |
| 91306 |
|
422 |
408 |
$120.02 |
| 90473 |
|
915 |
911 |
$119.01 |
| ATP11 |
|
13 |
13 |
$118.43 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
12 |
12 |
$106.30 |
| 84450 |
|
38 |
38 |
$101.86 |
| 90746 |
|
12 |
12 |
$70.90 |
| 85014 |
|
26 |
26 |
$63.44 |
| 90474 |
|
76 |
75 |
$57.12 |
| 2022F |
|
1,440 |
1,428 |
$43.02 |
| 99000 |
|
44 |
42 |
$40.60 |
| 99406 |
|
17 |
16 |
$10.98 |
| 81015 |
|
29 |
29 |
$5.38 |
| D1330 |
|
90 |
56 |
$2.80 |
| 91322 |
|
1,528 |
1,471 |
$0.20 |
| 91305 |
|
593 |
576 |
$0.03 |
| 90681 |
|
382 |
375 |
$0.00 |
| 91300 |
|
6,269 |
4,683 |
$0.00 |
| 91313 |
|
698 |
676 |
$0.00 |
| 91312 |
|
462 |
443 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
29 |
28 |
$0.00 |
| 91321 |
|
312 |
307 |
$0.00 |
| 90685 |
|
130 |
130 |
$0.00 |
| 91311 |
|
84 |
80 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 2020F |
|
65 |
65 |
$0.00 |
| 91303 |
|
482 |
276 |
$0.00 |
| 90619 |
|
44 |
44 |
$0.00 |
| 90697 |
|
640 |
629 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
70 |
67 |
$0.00 |
| 91307 |
|
269 |
255 |
$0.00 |
| 91314 |
|
31 |
30 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 91315 |
|
19 |
19 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
27 |
27 |
$0.00 |
| 36416 |
|
28 |
28 |
$0.00 |