| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
13,852 |
3,012 |
$1.50M |
| 99199 |
Unlisted special service, procedure or report |
1,919 |
913 |
$253K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,061 |
6,171 |
$221K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,625 |
2,118 |
$148K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,452 |
2,206 |
$51K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,771 |
909 |
$41K |
| D1206 |
Topical application of fluoride varnish |
2,484 |
2,391 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,658 |
2,351 |
$29K |
| 80305 |
|
2,570 |
1,728 |
$27K |
| D0140 |
Limited oral evaluation - problem focused |
1,194 |
1,096 |
$26K |
| D1110 |
Prophylaxis - adult |
703 |
687 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
788 |
760 |
$14K |
| 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 |
141 |
132 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
349 |
343 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
427 |
404 |
$8K |
| D1120 |
Prophylaxis - child |
327 |
317 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
798 |
764 |
$7K |
| 0002A |
|
192 |
191 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
260 |
249 |
$6K |
| 0001A |
|
166 |
166 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
74 |
56 |
$5K |
| 99215 |
Prolong outpt/office vis |
62 |
59 |
$5K |
| D0330 |
Panoramic radiographic image |
137 |
134 |
$4K |
| D0274 |
Bitewings - four radiographic images |
223 |
216 |
$4K |
| D1351 |
Sealant - per tooth |
265 |
95 |
$4K |
| 80053 |
Comprehensive metabolic panel |
415 |
402 |
$4K |
| 0012A |
|
117 |
117 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,112 |
963 |
$3K |
| 99000 |
|
1,281 |
1,109 |
$3K |
| 98940 |
|
200 |
108 |
$3K |
| 80061 |
Lipid panel |
247 |
243 |
$3K |
| 92015 |
Determination of refractive state |
396 |
388 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
273 |
267 |
$2K |
| 0071A |
|
57 |
57 |
$2K |
| 0011A |
|
126 |
122 |
$2K |
| 0004A |
|
51 |
51 |
$2K |
| 90686 |
|
110 |
109 |
$2K |
| 0064A |
|
46 |
46 |
$2K |
| 0072A |
|
38 |
38 |
$1K |
| 99242 |
|
22 |
22 |
$836.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$767.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
86 |
77 |
$634.67 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
16 |
$561.44 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
16 |
16 |
$561.44 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
16 |
$473.60 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
16 |
16 |
$385.28 |
| 86318 |
|
106 |
103 |
$273.38 |
| 83655 |
|
44 |
41 |
$242.20 |
| 86803 |
|
16 |
16 |
$228.32 |
| 90688 |
|
19 |
19 |
$202.43 |
| 86780 |
|
16 |
16 |
$172.32 |
| 87340 |
|
16 |
16 |
$165.28 |
| D0270 |
|
12 |
12 |
$123.33 |
| 85018 |
|
44 |
41 |
$54.51 |
| 36416 |
|
43 |
43 |
$42.42 |
| 81003 |
|
47 |
42 |
$40.50 |
| 91300 |
|
181 |
178 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
100 |
97 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
77 |
58 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
24 |
15 |
$0.00 |
| D1330 |
|
2,971 |
2,817 |
$0.00 |
| D1310 |
|
1,422 |
1,355 |
$0.00 |
| D9215 |
|
1,778 |
1,535 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
174 |
162 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
94 |
26 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$0.00 |
| 91307 |
|
42 |
41 |
$0.00 |
| 91301 |
|
105 |
101 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
15 |
14 |
$0.00 |