| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,487 |
25,123 |
$6.62M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,592 |
8,545 |
$2.13M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,765 |
7,720 |
$1.96M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,221 |
6,191 |
$1.55M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,451 |
5,344 |
$1.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,874 |
4,645 |
$1.04M |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,006 |
1,919 |
$442K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,571 |
1,508 |
$331K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,233 |
779 |
$302K |
| D1120 |
Prophylaxis - child |
1,568 |
1,521 |
$280K |
| 99381 |
|
1,024 |
1,009 |
$256K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,112 |
1,015 |
$240K |
| D1206 |
Topical application of fluoride varnish |
2,579 |
2,511 |
$147K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
472 |
464 |
$114K |
| 99383 |
|
469 |
467 |
$109K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26,637 |
26,270 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26,762 |
26,412 |
$60K |
| 99384 |
|
267 |
265 |
$60K |
| D1110 |
Prophylaxis - adult |
201 |
195 |
$53K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
223 |
170 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
169 |
162 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
193 |
191 |
$43K |
| 99382 |
|
174 |
174 |
$42K |
| 90791 |
Psychiatric diagnostic evaluation |
265 |
244 |
$42K |
| D0274 |
Bitewings - four radiographic images |
468 |
460 |
$23K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
111 |
81 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
694 |
682 |
$14K |
| D1351 |
Sealant - per tooth |
736 |
192 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,938 |
12,739 |
$11K |
| D0330 |
Panoramic radiographic image |
234 |
232 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
34 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
26 |
24 |
$6K |
| 90651 |
|
3,045 |
3,031 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
24 |
14 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$2K |
| 90620 |
|
1,653 |
1,645 |
$2K |
| 90756 |
|
439 |
435 |
$2K |
| 91300 |
|
503 |
468 |
$2K |
| 81002 |
|
1,241 |
1,003 |
$2K |
| 90661 |
|
41 |
41 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$929.68 |
| 96127 |
|
60 |
56 |
$716.94 |
| 99000 |
|
691 |
672 |
$711.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,047 |
1,989 |
$536.61 |
| D0272 |
Bitewings - two radiographic images |
44 |
43 |
$240.63 |
| 99173 |
|
13 |
13 |
$235.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,072 |
2,032 |
$234.54 |
| 91320 |
|
20 |
20 |
$230.00 |
| 99188 |
|
389 |
381 |
$202.71 |
| 90686 |
|
9,595 |
9,536 |
$192.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,608 |
1,563 |
$174.13 |
| 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 |
203 |
177 |
$171.47 |
| 0071A |
|
422 |
414 |
$120.00 |
| 0001A |
|
350 |
343 |
$80.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,494 |
2,441 |
$43.61 |
| 90474 |
|
1,039 |
1,029 |
$18.23 |
| 81025 |
|
930 |
902 |
$13.00 |
| 81003 |
|
1,251 |
1,207 |
$3.00 |
| 90633 |
|
3,142 |
3,112 |
$0.09 |
| 90649 |
|
390 |
382 |
$0.06 |
| 90715 |
|
1,850 |
1,833 |
$0.05 |
| 90744 |
|
1,599 |
1,585 |
$0.05 |
| 90680 |
|
2,779 |
2,758 |
$0.05 |
| 90698 |
|
2,137 |
2,119 |
$0.05 |
| 90734 |
|
2,374 |
2,355 |
$0.04 |
| 90696 |
|
1,437 |
1,427 |
$0.03 |
| 90710 |
|
1,535 |
1,529 |
$0.02 |
| 90670 |
|
3,247 |
3,224 |
$0.02 |
| 90688 |
|
1,827 |
1,812 |
$0.01 |
| 90716 |
|
1,314 |
1,308 |
$0.01 |
| 90671 |
|
1,290 |
1,275 |
$0.00 |
| 90700 |
|
1,047 |
1,043 |
$0.00 |
| 90707 |
|
1,191 |
1,186 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
1,386 |
1,364 |
$0.00 |
| 90648 |
|
1,450 |
1,446 |
$0.00 |
| 90473 |
|
88 |
86 |
$0.00 |
| 86703 |
|
79 |
79 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
84 |
79 |
$0.00 |
| 0124A |
|
33 |
33 |
$0.00 |
| 3725F |
|
79 |
79 |
$0.00 |
| G9920 |
Screening performed and negative |
1,078 |
1,064 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 83655 |
|
48 |
47 |
$0.00 |
| 0004A |
|
35 |
33 |
$0.00 |
| 0002A |
|
189 |
183 |
$0.00 |
| 90658 |
|
31 |
30 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
13 |
$0.00 |
| 90656 |
|
1,709 |
1,695 |
$0.00 |
| 90723 |
|
1,642 |
1,636 |
$0.00 |
| D0603 |
|
864 |
847 |
$0.00 |
| D0602 |
|
285 |
277 |
$0.00 |
| 36416 |
|
300 |
296 |
$0.00 |
| 97802 |
|
1,448 |
1,441 |
$0.00 |
| D0601 |
|
175 |
169 |
$0.00 |
| 90674 |
|
77 |
77 |
$0.00 |
| 90619 |
|
475 |
472 |
$0.00 |
| 82950 |
|
42 |
39 |
$0.00 |
| 90647 |
|
818 |
815 |
$0.00 |
| 0072A |
|
260 |
259 |
$0.00 |
| 91307 |
|
252 |
243 |
$0.00 |
| 90677 |
|
187 |
187 |
$0.00 |
| 90480 |
|
109 |
109 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
71 |
70 |
$0.00 |
| 0012A |
|
47 |
46 |
$0.00 |
| 87807 |
|
91 |
91 |
$0.00 |
| 90660 |
|
126 |
126 |
$0.00 |
| 85027 |
|
43 |
42 |
$0.00 |
| V5008 |
Hearing screening |
13 |
13 |
$0.00 |
| 91318 |
|
18 |
18 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 91319 |
|
35 |
35 |
$0.00 |