| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,425 |
40,864 |
$2.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,588 |
29,440 |
$2.30M |
| 90832 |
Psychotherapy, 30 minutes with patient |
14,375 |
11,033 |
$648K |
| D7140 |
Extraction, erupted tooth or exposed root |
6,984 |
2,937 |
$409K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,547 |
3,392 |
$265K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,974 |
2,746 |
$208K |
| D1110 |
Prophylaxis - adult |
5,495 |
5,394 |
$170K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,023 |
977 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,063 |
1,990 |
$155K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,448 |
4,138 |
$150K |
| D0330 |
Panoramic radiographic image |
3,518 |
3,390 |
$129K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,949 |
1,518 |
$107K |
| 90677 |
|
491 |
485 |
$101K |
| 90791 |
Psychiatric diagnostic evaluation |
813 |
792 |
$91K |
| 99215 |
Prolong outpt/office vis |
792 |
757 |
$88K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
897 |
809 |
$83K |
| D0120 |
Periodic oral evaluation - established patient |
5,855 |
5,766 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,646 |
5,267 |
$72K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,110 |
3,984 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
822 |
790 |
$67K |
| 3008F |
|
92,452 |
78,892 |
$66K |
| 90686 |
|
4,906 |
4,757 |
$61K |
| 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 |
3,612 |
3,223 |
$59K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,218 |
916 |
$58K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
442 |
431 |
$51K |
| 0001F |
|
95,639 |
84,551 |
$46K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,466 |
7,160 |
$44K |
| 90834 |
Psychotherapy, 45 minutes with patient |
750 |
619 |
$41K |
| D0274 |
Bitewings - four radiographic images |
2,028 |
1,995 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,401 |
9,983 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,377 |
1,321 |
$39K |
| T1015 |
Clinic visit/encounter, all-inclusive |
417 |
328 |
$37K |
| 76830 |
Ultrasound, transvaginal |
351 |
339 |
$36K |
| 90670 |
|
1,512 |
1,447 |
$34K |
| 96127 |
|
6,967 |
4,600 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,267 |
2,128 |
$28K |
| D1120 |
Prophylaxis - child |
1,547 |
1,534 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
328 |
305 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,957 |
1,744 |
$22K |
| 90651 |
|
410 |
400 |
$20K |
| 99199 |
Unlisted special service, procedure or report |
7,008 |
6,861 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
289 |
275 |
$20K |
| 90837 |
Psychotherapy, 53 minutes with patient |
262 |
203 |
$20K |
| 90680 |
|
755 |
730 |
$19K |
| 90734 |
|
393 |
376 |
$19K |
| 90697 |
|
298 |
292 |
$19K |
| D0210 |
Intraoral - complete series of radiographic images |
3,736 |
1,886 |
$18K |
| D0220 |
Intraoral - periapical first radiographic image |
2,482 |
2,384 |
$18K |
| 81025 |
|
2,608 |
2,447 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,659 |
1,645 |
$16K |
| 90785 |
|
1,440 |
920 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
8,142 |
7,568 |
$15K |
| D1206 |
Topical application of fluoride varnish |
810 |
805 |
$15K |
| 99000 |
|
13,027 |
12,191 |
$14K |
| 90633 |
|
977 |
940 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,520 |
4,287 |
$14K |
| 85018 |
|
5,646 |
5,401 |
$13K |
| 90671 |
|
61 |
61 |
$12K |
| D5110 |
|
14 |
14 |
$11K |
| 90698 |
|
355 |
349 |
$11K |
| D4341 |
|
293 |
189 |
$11K |
| 99173 |
|
5,017 |
4,750 |
$11K |
| D5120 |
|
12 |
12 |
$10K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
95 |
75 |
$9K |
| 76801 |
|
84 |
80 |
$8K |
| 0012A |
|
232 |
229 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
577 |
545 |
$7K |
| 81003 |
|
3,754 |
3,480 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,148 |
2,002 |
$7K |
| 99443 |
|
104 |
93 |
$6K |
| D0170 |
|
295 |
265 |
$6K |
| 0031A |
|
193 |
192 |
$6K |
| 0011A |
|
301 |
296 |
$6K |
| 90716 |
|
110 |
108 |
$6K |
| 92551 |
|
597 |
573 |
$6K |
| 0502F |
|
5,795 |
4,470 |
$5K |
| 59025 |
Fetal non-stress test |
145 |
96 |
$5K |
| 80305 |
|
371 |
218 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
59 |
38 |
$4K |
| D2331 |
|
65 |
39 |
$4K |
| 90707 |
|
118 |
116 |
$4K |
| 99188 |
|
169 |
166 |
$3K |
| 87807 |
|
305 |
287 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
68 |
67 |
$3K |
| 82947 |
|
1,163 |
1,105 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
451 |
252 |
$3K |
| 36416 |
|
8,868 |
8,360 |
$3K |
| 90710 |
|
126 |
119 |
$3K |
| 99177 |
|
647 |
622 |
$2K |
| 93000 |
|
191 |
187 |
$2K |
| 90723 |
|
166 |
162 |
$2K |
| 90647 |
|
230 |
218 |
$2K |
| 99381 |
|
31 |
29 |
$2K |
| 90715 |
|
116 |
111 |
$2K |
| 0071A |
|
57 |
52 |
$2K |
| 90648 |
|
181 |
176 |
$2K |
| 90461 |
|
833 |
780 |
$2K |
| D2330 |
|
85 |
63 |
$2K |
| 0072A |
|
41 |
41 |
$2K |
| 0064A |
|
39 |
39 |
$1K |
| 90696 |
|
102 |
95 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 99442 |
|
52 |
47 |
$1K |
| 0002A |
|
33 |
33 |
$1K |
| 90674 |
|
38 |
38 |
$1K |
| 90656 |
|
65 |
65 |
$899.20 |
| 96161 |
|
603 |
577 |
$886.64 |
| 99441 |
|
77 |
73 |
$736.14 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
15 |
$658.65 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
79 |
75 |
$640.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$635.99 |
| G9001 |
Coordinated care fee, initial rate |
26 |
25 |
$625.00 |
| 0001A |
|
20 |
20 |
$580.00 |
| D0272 |
Bitewings - two radiographic images |
92 |
92 |
$556.20 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
13 |
$539.26 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
44 |
37 |
$510.32 |
| 90744 |
|
40 |
40 |
$447.54 |
| 99406 |
|
44 |
40 |
$205.02 |
| 96160 |
|
115 |
110 |
$149.82 |
| 90700 |
|
12 |
12 |
$135.25 |
| 86780 |
|
15 |
13 |
$133.26 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$104.94 |
| 92015 |
Determination of refractive state |
14 |
14 |
$81.45 |
| 94760 |
|
451 |
417 |
$61.96 |
| 3078F |
|
257 |
244 |
$0.01 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
237 |
211 |
$0.00 |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
23 |
13 |
$0.00 |
| 3077F |
|
83 |
73 |
$0.00 |
| D2332 |
|
14 |
12 |
$0.00 |
| 3085F |
|
31 |
29 |
$0.00 |
| D0270 |
|
28 |
26 |
$0.00 |
| 3074F |
|
333 |
311 |
$0.00 |
| 3079F |
|
134 |
122 |
$0.00 |
| 91307 |
|
81 |
47 |
$0.00 |
| D3120 |
|
68 |
43 |
$0.00 |
| D1351 |
Sealant - per tooth |
215 |
79 |
$0.00 |
| V5008 |
Hearing screening |
29 |
28 |
$0.00 |