| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,369 |
20,487 |
$2.70M |
| 36415 |
Collection of venous blood by venipuncture |
28,940 |
8,171 |
$934K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,422 |
5,546 |
$658K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,971 |
1,991 |
$395K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,361 |
3,031 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,843 |
1,451 |
$190K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,184 |
1,566 |
$174K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,594 |
938 |
$116K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,013 |
895 |
$112K |
| 11721 |
|
1,379 |
576 |
$71K |
| D0120 |
Periodic oral evaluation - established patient |
1,839 |
450 |
$55K |
| 90656 |
|
1,229 |
420 |
$42K |
| D0140 |
Limited oral evaluation - problem focused |
726 |
250 |
$34K |
| D1110 |
Prophylaxis - adult |
349 |
288 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
992 |
250 |
$27K |
| 92551 |
|
654 |
216 |
$25K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
385 |
182 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
163 |
161 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
540 |
149 |
$18K |
| D0220 |
Intraoral - periapical first radiographic image |
310 |
112 |
$14K |
| 99173 |
|
130 |
59 |
$9K |
| 97802 |
|
109 |
40 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
32 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
42 |
42 |
$6K |
| 81025 |
|
135 |
56 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$4K |
| 86580 |
|
138 |
28 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
16 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
32 |
25 |
$2K |
| 99201 |
|
13 |
13 |
$2K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
45 |
14 |
$2K |
| 99441 |
|
13 |
13 |
$0.00 |
| 92015 |
Determination of refractive state |
727 |
721 |
$0.00 |