| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
13,637 |
2,235 |
$6.09M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,702 |
2,498 |
$2.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,344 |
3,040 |
$1.74M |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,745 |
1,846 |
$1.21M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,253 |
1,112 |
$535K |
| D0191 |
|
1,002 |
988 |
$505K |
| 99411 |
|
1,359 |
1,042 |
$478K |
| D1110 |
Prophylaxis - adult |
659 |
656 |
$265K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
481 |
471 |
$256K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
511 |
471 |
$229K |
| 0012A |
|
251 |
242 |
$215K |
| 0011A |
|
263 |
242 |
$192K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
410 |
404 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
255 |
$170K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
333 |
328 |
$167K |
| 90834 |
Psychotherapy, 45 minutes with patient |
298 |
191 |
$111K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
225 |
36 |
$107K |
| 96160 |
|
316 |
274 |
$106K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,507 |
1,341 |
$90K |
| D0140 |
Limited oral evaluation - problem focused |
144 |
136 |
$63K |
| 92002 |
|
129 |
124 |
$49K |
| 90832 |
Psychotherapy, 30 minutes with patient |
116 |
101 |
$41K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
142 |
80 |
$38K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
110 |
77 |
$24K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,067 |
884 |
$23K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,069 |
884 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38 |
38 |
$22K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
215 |
151 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
50 |
48 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
1,919 |
1,855 |
$19K |
| H0032 |
Mental health service plan development by non-physician |
45 |
43 |
$17K |
| 99215 |
Prolong outpt/office vis |
55 |
51 |
$17K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
919 |
740 |
$13K |
| 0064A |
|
30 |
30 |
$13K |
| D0274 |
Bitewings - four radiographic images |
912 |
891 |
$12K |
| 0004A |
|
16 |
16 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
37 |
27 |
$10K |
| 0001A |
|
41 |
37 |
$10K |
| D0330 |
Panoramic radiographic image |
398 |
393 |
$8K |
| 0072A |
|
14 |
14 |
$7K |
| 0071A |
|
16 |
14 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,192 |
1,081 |
$7K |
| 80061 |
Lipid panel |
827 |
664 |
$7K |
| H2032 |
Activity therapy, per 15 minutes |
40 |
29 |
$6K |
| 97802 |
|
17 |
12 |
$6K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
12 |
12 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
102 |
94 |
$5K |
| 0124A |
|
21 |
21 |
$4K |
| 81025 |
|
874 |
684 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
628 |
576 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
75 |
70 |
$3K |
| D2140 |
|
17 |
13 |
$3K |
| 80053 |
Comprehensive metabolic panel |
426 |
387 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
433 |
361 |
$828.79 |
| 90686 |
|
1,006 |
976 |
$655.76 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
97 |
87 |
$653.54 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
269 |
205 |
$652.50 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
87 |
73 |
$293.67 |
| D1206 |
Topical application of fluoride varnish |
209 |
208 |
$241.10 |
| 82728 |
|
59 |
54 |
$181.26 |
| 80076 |
|
18 |
14 |
$127.08 |
| 92552 |
|
819 |
614 |
$68.43 |
| 83550 |
|
47 |
42 |
$55.08 |
| 92134 |
|
13 |
12 |
$36.53 |
| 83540 |
|
47 |
42 |
$36.24 |
| 86592 |
|
415 |
330 |
$0.00 |
| 90651 |
|
46 |
34 |
$0.00 |
| 92551 |
|
285 |
253 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$0.00 |
| 94010 |
|
15 |
14 |
$0.00 |
| 90656 |
|
30 |
30 |
$0.00 |
| 90620 |
|
55 |
36 |
$0.00 |
| 90863 |
|
60 |
52 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
101 |
75 |
$0.00 |
| 90734 |
|
92 |
71 |
$0.00 |