| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186,058 |
152,524 |
$253K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,624 |
12,469 |
$167K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23,001 |
19,669 |
$124K |
| 97802 |
|
9,173 |
6,049 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157,309 |
128,386 |
$96K |
| D1110 |
Prophylaxis - adult |
2,883 |
2,155 |
$87K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,422 |
5,461 |
$85K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,529 |
4,808 |
$84K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,715 |
975 |
$74K |
| 80061 |
Lipid panel |
8,046 |
5,220 |
$74K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,686 |
953 |
$73K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,669 |
928 |
$72K |
| 96160 |
|
4,224 |
2,955 |
$62K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,385 |
7,178 |
$60K |
| 80053 |
Comprehensive metabolic panel |
7,645 |
4,920 |
$54K |
| 90686 |
|
6,582 |
5,686 |
$41K |
| 86703 |
|
3,614 |
2,139 |
$38K |
| 90656 |
|
3,305 |
2,238 |
$36K |
| 99441 |
|
47,743 |
40,219 |
$34K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,954 |
1,211 |
$33K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,598 |
2,990 |
$32K |
| 82274 |
|
2,115 |
1,303 |
$31K |
| 0002A |
|
1,175 |
1,014 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
1,882 |
1,332 |
$26K |
| 90715 |
|
2,283 |
1,829 |
$24K |
| D0272 |
Bitewings - two radiographic images |
1,610 |
1,183 |
$24K |
| 86803 |
|
1,762 |
1,048 |
$22K |
| 0001A |
|
1,190 |
1,045 |
$20K |
| 81001 |
|
8,637 |
5,545 |
$19K |
| 87536 |
|
240 |
147 |
$18K |
| 91320 |
|
173 |
104 |
$18K |
| 90688 |
|
967 |
661 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,019 |
773 |
$17K |
| 87400 |
|
1,981 |
607 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,270 |
1,511 |
$16K |
| 90651 |
|
3,085 |
2,511 |
$15K |
| 86738 |
|
1,350 |
755 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
2,056 |
1,559 |
$14K |
| D7140 |
Extraction, erupted tooth or exposed root |
232 |
141 |
$12K |
| 84153 |
|
1,020 |
633 |
$12K |
| 97803 |
|
810 |
639 |
$12K |
| 86592 |
|
2,896 |
1,779 |
$11K |
| 0012A |
|
576 |
523 |
$11K |
| 82607 |
|
1,076 |
668 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
760 |
527 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,054 |
320 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,600 |
1,036 |
$10K |
| 90674 |
|
521 |
508 |
$10K |
| 90480 |
|
276 |
170 |
$10K |
| 0004A |
|
377 |
336 |
$9K |
| 90677 |
|
752 |
406 |
$8K |
| 90670 |
|
1,625 |
1,442 |
$8K |
| 82043 |
|
1,953 |
1,319 |
$8K |
| 84439 |
|
1,153 |
730 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,556 |
1,351 |
$8K |
| 90671 |
|
66 |
55 |
$8K |
| 0011A |
|
578 |
473 |
$6K |
| 86235 |
|
135 |
87 |
$6K |
| 86361 |
|
233 |
142 |
$6K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,945 |
1,069 |
$6K |
| 82570 |
|
1,511 |
966 |
$5K |
| 99442 |
|
10,243 |
9,047 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
319 |
259 |
$5K |
| 90734 |
|
1,903 |
1,485 |
$5K |
| 82728 |
|
462 |
289 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,870 |
7,515 |
$4K |
| D1999 |
|
349 |
310 |
$4K |
| 0124A |
|
190 |
140 |
$4K |
| 87340 |
|
425 |
257 |
$4K |
| 0003A |
|
142 |
96 |
$4K |
| 82746 |
|
325 |
205 |
$4K |
| 86376 |
|
342 |
214 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,995 |
2,812 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,476 |
1,344 |
$3K |
| 90621 |
|
549 |
367 |
$3K |
| 90620 |
|
924 |
748 |
$3K |
| 83970 |
|
114 |
76 |
$3K |
| D1120 |
Prophylaxis - child |
158 |
98 |
$3K |
| 0072A |
|
127 |
121 |
$3K |
| 90750 |
|
28 |
25 |
$3K |
| 86704 |
|
273 |
158 |
$3K |
| 90716 |
|
1,787 |
1,477 |
$3K |
| 90473 |
|
210 |
122 |
$3K |
| 86706 |
|
301 |
177 |
$3K |
| 84146 |
|
190 |
121 |
$3K |
| 83550 |
|
441 |
282 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
397 |
252 |
$2K |
| 85651 |
|
895 |
584 |
$2K |
| 84403 |
|
135 |
81 |
$2K |
| 80069 |
|
386 |
253 |
$2K |
| 82670 |
|
110 |
65 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,295 |
2,544 |
$2K |
| 83001 |
|
157 |
92 |
$2K |
| 87088 |
|
368 |
240 |
$2K |
| 86160 |
|
138 |
82 |
$2K |
| 86300 |
|
73 |
30 |
$2K |
| 90707 |
|
1,546 |
1,256 |
$2K |
| 86708 |
|
186 |
111 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
1,058 |
1,038 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
8,950 |
6,745 |
$2K |
| 86800 |
|
185 |
124 |
$2K |
| 86140 |
|
503 |
316 |
$2K |
| 85730 |
|
545 |
355 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
57 |
47 |
$2K |
| 86694 |
|
190 |
118 |
$2K |
| 86709 |
|
176 |
105 |
$2K |
| 90648 |
|
1,041 |
839 |
$2K |
| 0071A |
|
84 |
81 |
$2K |
| 86304 |
|
103 |
67 |
$1K |
| 80076 |
|
277 |
179 |
$1K |
| 84402 |
|
83 |
52 |
$1K |
| 86308 |
|
348 |
200 |
$1K |
| 90634 |
|
1,291 |
1,076 |
$1K |
| 90474 |
|
169 |
94 |
$1K |
| 82378 |
|
109 |
68 |
$1K |
| 85610 |
|
561 |
368 |
$1K |
| 83002 |
|
104 |
66 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,483 |
2,693 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,431 |
2,369 |
$1K |
| 86580 |
|
1,766 |
1,486 |
$1K |
| 82565 |
|
260 |
160 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
37 |
24 |
$1K |
| 90697 |
|
317 |
186 |
$1K |
| 86038 |
|
149 |
93 |
$1K |
| 86039 |
|
155 |
103 |
$983.96 |
| 86225 |
|
137 |
88 |
$958.08 |
| 82951 |
|
108 |
71 |
$953.36 |
| 84460 |
|
281 |
180 |
$936.33 |
| 86431 |
|
218 |
135 |
$889.92 |
| 84450 |
|
269 |
173 |
$879.58 |
| 84703 |
|
150 |
94 |
$815.76 |
| 84478 |
|
163 |
102 |
$808.27 |
| 84520 |
|
251 |
156 |
$785.68 |
| 84480 |
|
58 |
35 |
$772.50 |
| 0031A |
|
45 |
45 |
$760.00 |
| 82652 |
|
52 |
31 |
$755.10 |
| 84144 |
|
52 |
32 |
$750.42 |
| 87177 |
|
152 |
113 |
$738.70 |
| 83525 |
|
49 |
27 |
$710.22 |
| D2160 |
|
12 |
12 |
$700.20 |
| 87338 |
|
68 |
41 |
$658.14 |
| 83721 |
|
60 |
31 |
$598.50 |
| 90633 |
|
530 |
372 |
$541.70 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
3,497 |
3,277 |
$536.91 |
| 86701 |
|
70 |
62 |
$530.14 |
| 86695 |
|
42 |
26 |
$517.68 |
| 83690 |
|
94 |
55 |
$517.50 |
| 82947 |
|
194 |
126 |
$508.49 |
| 87070 |
|
92 |
58 |
$497.67 |
| 82150 |
|
95 |
56 |
$487.14 |
| 84481 |
|
52 |
37 |
$461.50 |
| D2140 |
|
22 |
17 |
$441.36 |
| 82105 |
|
46 |
31 |
$438.72 |
| 84156 |
|
149 |
95 |
$427.50 |
| 82672 |
|
21 |
12 |
$425.70 |
| 86301 |
|
23 |
14 |
$416.86 |
| 86430 |
|
98 |
59 |
$407.84 |
| 83540 |
|
99 |
63 |
$407.72 |
| 84479 |
|
107 |
72 |
$386.59 |
| 80074 |
|
26 |
17 |
$373.70 |
| 82950 |
|
89 |
53 |
$367.78 |
| 93000 |
|
2,075 |
1,859 |
$351.62 |
| 84550 |
|
102 |
64 |
$336.69 |
| 90698 |
|
97 |
79 |
$325.00 |
| 84436 |
|
75 |
48 |
$319.81 |
| 86696 |
|
19 |
12 |
$316.50 |
| 86702 |
|
30 |
29 |
$303.66 |
| 90681 |
|
171 |
111 |
$283.92 |
| 76536 |
|
64 |
62 |
$281.67 |
| 90700 |
|
332 |
237 |
$246.96 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,243 |
1,132 |
$233.07 |
| 71046 |
Radiologic examination, chest; 2 views |
129 |
129 |
$230.98 |
| 90746 |
|
180 |
171 |
$229.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
64 |
$208.00 |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$201.21 |
| 86900 |
|
75 |
45 |
$198.81 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
74 |
74 |
$196.60 |
| 99386 |
|
265 |
236 |
$196.56 |
| 90732 |
|
90 |
81 |
$195.21 |
| 86901 |
|
70 |
43 |
$186.12 |
| 76641 |
|
32 |
32 |
$182.34 |
| 90696 |
|
323 |
229 |
$172.05 |
| 90714 |
|
148 |
132 |
$147.93 |
| 90723 |
|
146 |
135 |
$141.01 |
| 81000 |
|
55 |
54 |
$135.94 |
| 84100 |
|
32 |
19 |
$128.07 |
| 82977 |
|
22 |
14 |
$113.56 |
| 99385 |
|
258 |
215 |
$112.32 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
796 |
695 |
$111.57 |
| 96127 |
|
4,497 |
4,099 |
$105.82 |
| 86256 |
|
13 |
12 |
$90.83 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
568 |
545 |
$80.20 |
| 90461 |
|
41 |
32 |
$76.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,536 |
1,325 |
$71.07 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
2,247 |
1,967 |
$60.00 |
| 99201 |
|
94 |
90 |
$57.77 |
| 72040 |
|
60 |
60 |
$54.55 |
| 90744 |
|
27 |
25 |
$52.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,658 |
1,368 |
$47.38 |
| 82785 |
|
16 |
12 |
$46.64 |
| 72100 |
|
83 |
83 |
$43.98 |
| 76770 |
|
31 |
31 |
$35.24 |
| 73030 |
|
39 |
38 |
$28.69 |
| 90680 |
|
161 |
102 |
$20.10 |
| 3078F |
|
70,215 |
58,490 |
$19.60 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
14 |
13 |
$17.54 |
| 73630 |
|
18 |
17 |
$16.26 |
| 83655 |
|
23 |
19 |
$13.19 |
| 72070 |
|
21 |
21 |
$9.83 |
| 3044F |
|
10,350 |
8,737 |
$9.80 |
| 90658 |
|
30 |
19 |
$0.02 |
| 3512F |
|
4,250 |
3,574 |
$0.01 |
| 90657 |
|
43 |
41 |
$0.01 |
| 1160F |
|
134,571 |
108,188 |
$0.00 |
| 1159F |
|
138,955 |
111,879 |
$0.00 |
| 3077F |
|
18,786 |
16,161 |
$0.00 |
| 0518F |
|
2,012 |
1,800 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
920 |
837 |
$0.00 |
| 1158F |
|
20,646 |
17,740 |
$0.00 |
| 3725F |
|
31,779 |
28,399 |
$0.00 |
| 0521F |
|
1,753 |
1,577 |
$0.00 |
| 3050F |
|
4,006 |
3,502 |
$0.00 |
| 1039F |
|
968 |
788 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
239 |
211 |
$0.00 |
| 99408 |
|
1,950 |
1,642 |
$0.00 |
| 3046F |
|
785 |
730 |
$0.00 |
| 3511F |
|
3,761 |
3,070 |
$0.00 |
| 3015F |
|
3,218 |
2,390 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$0.00 |
| 3280F |
|
345 |
215 |
$0.00 |
| 2028F |
|
799 |
715 |
$0.00 |
| 4013F |
|
2,989 |
2,778 |
$0.00 |
| 2014F |
|
235 |
157 |
$0.00 |
| 99401 |
|
155 |
122 |
$0.00 |
| 3051F |
|
663 |
613 |
$0.00 |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
851 |
738 |
$0.00 |
| 3045F |
|
120 |
108 |
$0.00 |
| 90736 |
|
15 |
12 |
$0.00 |
| 3095F |
|
100 |
96 |
$0.00 |
| 3342F |
|
26 |
20 |
$0.00 |
| 99421 |
|
36 |
30 |
$0.00 |
| 99173 |
|
373 |
245 |
$0.00 |
| 4035F |
|
102 |
97 |
$0.00 |
| 90655 |
|
27 |
27 |
$0.00 |
| 2050F |
|
20 |
12 |
$0.00 |
| 99348 |
|
36 |
34 |
$0.00 |
| 2029F |
|
307 |
211 |
$0.00 |
| 99423 |
|
33 |
32 |
$0.00 |
| 90623 |
|
23 |
13 |
$0.00 |
| 86003 |
|
14 |
12 |
$0.00 |
| 2000F |
|
165,179 |
135,934 |
$0.00 |
| 3079F |
|
31,522 |
26,433 |
$0.00 |
| 3080F |
|
2,358 |
2,117 |
$0.00 |
| 3061F |
|
4,439 |
3,981 |
$0.00 |
| 3008F |
|
249,352 |
201,741 |
$0.00 |
| 2010F |
|
2,007 |
1,481 |
$0.00 |
| 3074F |
|
62,774 |
52,242 |
$0.00 |
| 1036F |
|
44,324 |
37,462 |
$0.00 |
| 1126F |
|
74,883 |
61,767 |
$0.00 |
| 1125F |
|
52,113 |
43,934 |
$0.00 |
| 3075F |
|
19,699 |
16,329 |
$0.00 |
| 1000F |
|
6,601 |
5,419 |
$0.00 |
| 3014F |
|
2,007 |
1,787 |
$0.00 |
| 1170F |
|
7,309 |
6,256 |
$0.00 |
| 3048F |
|
14,320 |
12,209 |
$0.00 |
| 3279F |
|
900 |
586 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
10,827 |
9,767 |
$0.00 |
| 3011F |
|
11,176 |
9,184 |
$0.00 |
| 3049F |
|
6,583 |
5,721 |
$0.00 |
| 4010F |
|
2,843 |
2,189 |
$0.00 |
| 3017F |
|
13,596 |
11,937 |
$0.00 |
| 1111F |
|
2,884 |
2,588 |
$0.00 |
| 4015F |
|
2,081 |
1,830 |
$0.00 |
| 1034F |
|
2,690 |
2,143 |
$0.00 |
| 4000F |
|
6,422 |
5,258 |
$0.00 |
| 1101F |
|
2,004 |
1,777 |
$0.00 |
| 99050 |
|
2,329 |
2,062 |
$0.00 |
| 97804 |
|
329 |
279 |
$0.00 |
| 3292F |
|
388 |
300 |
$0.00 |
| 4050F |
|
529 |
359 |
$0.00 |
| 1157F |
|
4,950 |
4,230 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
390 |
365 |
$0.00 |
| 92551 |
|
77 |
52 |
$0.00 |
| 3060F |
|
634 |
560 |
$0.00 |
| 1038F |
|
1,297 |
1,102 |
$0.00 |
| 1030F |
|
574 |
490 |
$0.00 |
| 99383 |
|
101 |
80 |
$0.00 |
| 99443 |
|
1,004 |
885 |
$0.00 |
| 1005F |
|
221 |
197 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
376 |
282 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
326 |
276 |
$0.00 |
| 99384 |
|
120 |
105 |
$0.00 |
| 99406 |
|
1,021 |
710 |
$0.00 |
| 2016F |
|
240 |
216 |
$0.00 |
| 99368 |
|
210 |
207 |
$0.00 |
| 3052F |
|
205 |
185 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
494 |
445 |
$0.00 |
| 90619 |
|
127 |
75 |
$0.00 |
| 2001F |
|
290 |
254 |
$0.00 |
| 86769 |
|
13 |
13 |
$0.00 |
| 3754F |
|
77 |
68 |
$0.00 |
| 73560 |
|
61 |
59 |
$0.00 |
| 4086F |
|
244 |
154 |
$0.00 |
| 0509F |
|
34 |
31 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
215 |
179 |
$0.00 |
| 96161 |
|
28 |
26 |
$0.00 |
| 3514F |
|
40 |
40 |
$0.00 |
| 11106 |
|
13 |
13 |
$0.00 |
| 1136F |
|
33 |
29 |
$0.00 |