| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214,418 |
196,189 |
$14.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151,898 |
138,450 |
$13.11M |
| D0140 |
Limited oral evaluation - problem focused |
49,220 |
46,869 |
$2.85M |
| D0120 |
Periodic oral evaluation - established patient |
67,217 |
65,514 |
$2.66M |
| D7140 |
Extraction, erupted tooth or exposed root |
17,091 |
10,005 |
$2.40M |
| D1206 |
Topical application of fluoride varnish |
118,419 |
114,313 |
$2.37M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32,305 |
31,246 |
$2.09M |
| D1120 |
Prophylaxis - child |
40,050 |
39,251 |
$1.82M |
| D0230 |
Intraoral - periapical each additional radiographic image |
169,091 |
45,159 |
$1.45M |
| D1110 |
Prophylaxis - adult |
23,207 |
22,724 |
$1.45M |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18,197 |
14,331 |
$1.28M |
| D0220 |
Intraoral - periapical first radiographic image |
81,046 |
77,221 |
$1.18M |
| D1351 |
Sealant - per tooth |
44,078 |
15,265 |
$1.12M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,903 |
18,696 |
$1.12M |
| D4341 |
|
9,758 |
7,838 |
$983K |
| D0274 |
Bitewings - four radiographic images |
41,655 |
40,464 |
$868K |
| D0210 |
Intraoral - complete series of radiographic images |
17,743 |
17,019 |
$770K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
13,489 |
10,390 |
$768K |
| D4342 |
|
10,106 |
7,431 |
$760K |
| D4355 |
|
9,246 |
9,060 |
$730K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89,950 |
86,564 |
$721K |
| 98968 |
|
12,130 |
9,235 |
$679K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,254 |
6,093 |
$663K |
| 99402 |
|
11,140 |
9,065 |
$631K |
| 99215 |
Prolong outpt/office vis |
4,683 |
4,407 |
$567K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,580 |
5,487 |
$562K |
| D4910 |
|
9,926 |
9,712 |
$497K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,548 |
4,467 |
$453K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
5,435 |
4,660 |
$403K |
| 90688 |
|
20,536 |
20,102 |
$348K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,750 |
2,503 |
$294K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,773 |
1,641 |
$226K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,565 |
2,490 |
$225K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,939 |
1,329 |
$203K |
| 90686 |
|
9,445 |
9,260 |
$193K |
| D1320 |
|
10,796 |
10,321 |
$167K |
| H2010 |
Comprehensive medication services, per 15 minutes |
370 |
304 |
$157K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,414 |
2,975 |
$150K |
| 0012A |
|
2,782 |
2,661 |
$146K |
| 0011A |
|
2,649 |
2,524 |
$135K |
| 90716 |
|
2,221 |
2,042 |
$122K |
| D0270 |
|
12,653 |
12,080 |
$104K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,117 |
918 |
$104K |
| 99403 |
|
1,205 |
989 |
$103K |
| 97810 |
|
5,387 |
2,884 |
$101K |
| 96127 |
|
20,176 |
18,206 |
$96K |
| 90715 |
|
3,911 |
3,617 |
$95K |
| 99441 |
|
2,520 |
2,233 |
$93K |
| D0191 |
|
10,058 |
9,745 |
$91K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,492 |
2,464 |
$91K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28,638 |
27,209 |
$87K |
| D0272 |
Bitewings - two radiographic images |
4,989 |
4,875 |
$86K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
6,297 |
5,667 |
$85K |
| 0001A |
|
1,350 |
1,266 |
$81K |
| 86360 |
|
2,671 |
2,563 |
$80K |
| 0002A |
|
1,234 |
1,148 |
$77K |
| 97811 |
|
5,244 |
2,813 |
$74K |
| D2140 |
|
1,159 |
923 |
$72K |
| D9995 |
|
2,200 |
2,126 |
$71K |
| 91322 |
|
823 |
794 |
$70K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,098 |
13,228 |
$68K |
| 99484 |
|
2,086 |
1,965 |
$68K |
| 90651 |
|
2,869 |
2,782 |
$66K |
| 99442 |
|
2,208 |
1,910 |
$64K |
| D3320 |
|
229 |
224 |
$56K |
| 90746 |
|
1,218 |
1,140 |
$53K |
| D0330 |
Panoramic radiographic image |
2,592 |
2,498 |
$50K |
| 99401 |
|
1,370 |
1,279 |
$48K |
| D9310 |
|
1,098 |
1,050 |
$46K |
| 36415 |
Collection of venous blood by venipuncture |
23,114 |
22,256 |
$46K |
| 90671 |
|
539 |
519 |
$46K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
723 |
692 |
$44K |
| 90670 |
|
1,717 |
1,683 |
$41K |
| 90633 |
|
2,288 |
2,216 |
$41K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
360 |
223 |
$40K |
| 0071A |
|
783 |
758 |
$37K |
| 98967 |
|
759 |
634 |
$36K |
| 0124A |
|
1,052 |
1,034 |
$35K |
| 0072A |
|
658 |
641 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,666 |
1,099 |
$31K |
| 90734 |
|
1,295 |
1,252 |
$30K |
| 96160 |
|
13,629 |
12,976 |
$30K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
327 |
311 |
$28K |
| D0240 |
|
3,683 |
1,922 |
$26K |
| D3310 |
|
122 |
112 |
$26K |
| 90480 |
|
1,360 |
1,322 |
$25K |
| 90677 |
|
112 |
105 |
$23K |
| 99606 |
|
1,175 |
994 |
$22K |
| 81003 |
|
19,396 |
17,109 |
$22K |
| 90707 |
|
508 |
481 |
$21K |
| 0054A |
|
505 |
498 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,180 |
3,877 |
$21K |
| 99385 |
|
178 |
176 |
$20K |
| 0004A |
|
589 |
549 |
$20K |
| 87428 |
|
1,445 |
1,421 |
$19K |
| 90713 |
|
1,105 |
976 |
$19K |
| 90658 |
|
907 |
906 |
$19K |
| 90723 |
|
826 |
807 |
$17K |
| 81025 |
|
2,959 |
2,759 |
$16K |
| 99607 |
|
832 |
723 |
$16K |
| D2394 |
|
159 |
154 |
$16K |
| 90647 |
|
753 |
736 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
149 |
$15K |
| 99173 |
|
5,749 |
5,629 |
$14K |
| D2940 |
|
302 |
259 |
$14K |
| 99384 |
|
162 |
156 |
$14K |
| D2331 |
|
166 |
128 |
$14K |
| 86592 |
|
5,440 |
5,228 |
$14K |
| D4346 |
|
188 |
185 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,842 |
1,790 |
$12K |
| 96150 |
|
175 |
146 |
$11K |
| 36416 |
|
9,085 |
8,524 |
$11K |
| 90656 |
|
862 |
860 |
$11K |
| 0031A |
|
181 |
177 |
$10K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
62 |
41 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
81 |
$9K |
| 99188 |
|
843 |
813 |
$9K |
| H2023 |
Supported employment, per 15 minutes |
19 |
12 |
$8K |
| D2160 |
|
87 |
85 |
$8K |
| G9012 |
Other specified case management service not elsewhere classified |
30 |
23 |
$8K |
| 96152 |
|
106 |
84 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
107 |
50 |
$7K |
| 90685 |
|
349 |
340 |
$7K |
| 0064A |
|
132 |
130 |
$7K |
| 99443 |
|
137 |
116 |
$6K |
| D2332 |
|
62 |
54 |
$6K |
| 90744 |
|
302 |
277 |
$5K |
| 90680 |
|
256 |
254 |
$5K |
| 90619 |
|
257 |
233 |
$5K |
| D1354 |
|
819 |
226 |
$5K |
| 0052A |
|
109 |
107 |
$5K |
| D2330 |
|
89 |
69 |
$5K |
| 87177 |
|
993 |
554 |
$5K |
| 82274 |
|
479 |
442 |
$4K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
25 |
24 |
$4K |
| 90687 |
|
173 |
167 |
$4K |
| 96158 |
|
72 |
58 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
290 |
285 |
$3K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
32 |
25 |
$3K |
| 87088 |
|
759 |
714 |
$3K |
| 98966 |
|
93 |
78 |
$3K |
| 20610 |
|
70 |
41 |
$3K |
| 90697 |
|
140 |
137 |
$3K |
| 99383 |
|
28 |
28 |
$2K |
| 0051A |
|
61 |
57 |
$2K |
| 85018 |
|
1,280 |
1,245 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13 |
12 |
$2K |
| D2335 |
|
18 |
16 |
$2K |
| 90710 |
|
98 |
93 |
$2K |
| 91321 |
|
94 |
93 |
$2K |
| 99386 |
|
14 |
14 |
$2K |
| D0603 |
|
34,425 |
33,405 |
$2K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
47 |
47 |
$2K |
| 87210 |
|
503 |
482 |
$2K |
| 88314 |
|
46 |
46 |
$2K |
| 99381 |
|
16 |
13 |
$2K |
| D0602 |
|
28,127 |
27,392 |
$2K |
| 90714 |
|
62 |
61 |
$1K |
| D0190 |
|
98 |
98 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
166 |
157 |
$1K |
| 90696 |
|
50 |
49 |
$966.24 |
| 0121A |
|
20 |
20 |
$740.00 |
| H0006 |
Alcohol and/or drug services; case management |
21 |
12 |
$698.40 |
| 0013A |
|
18 |
18 |
$640.00 |
| 83655 |
|
61 |
61 |
$636.32 |
| D0601 |
|
14,789 |
14,416 |
$566.00 |
| 87081 |
|
105 |
102 |
$540.55 |
| 92551 |
|
43 |
43 |
$472.80 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
12 |
12 |
$469.17 |
| 99408 |
|
13 |
13 |
$450.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
65 |
56 |
$326.19 |
| 82948 |
|
94 |
91 |
$279.42 |
| 90700 |
|
12 |
12 |
$263.52 |
| 87806 |
|
12 |
12 |
$220.00 |
| 93000 |
|
19 |
15 |
$171.99 |
| 80053 |
Comprehensive metabolic panel |
37 |
32 |
$152.46 |
| 94760 |
|
63 |
52 |
$134.59 |
| G0008 |
Administration of influenza virus vaccine |
139 |
137 |
$97.84 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
169 |
112 |
$97.61 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
135 |
132 |
$72.55 |
| T1016 |
Case management, each 15 minutes |
1,107 |
485 |
$66.00 |
| 85610 |
|
20 |
12 |
$47.60 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
313 |
247 |
$32.50 |
| 81002 |
|
17 |
13 |
$31.72 |
| 81015 |
|
28 |
27 |
$11.72 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
15 |
12 |
$10.00 |
| 99078 |
|
17 |
13 |
$7.70 |
| 91307 |
|
1,723 |
1,633 |
$0.63 |
| 91305 |
|
677 |
670 |
$0.11 |
| 91306 |
|
131 |
130 |
$0.08 |
| 91312 |
|
1,155 |
1,138 |
$0.05 |
| 90473 |
|
274 |
269 |
$0.01 |
| 90611 |
|
106 |
102 |
$0.00 |
| 91300 |
|
162 |
137 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
13 |
13 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
13 |
13 |
$0.00 |
| D1330 |
|
219,410 |
204,919 |
$0.00 |
| D1310 |
|
179,043 |
169,890 |
$0.00 |
| 89240 |
|
31 |
30 |
$0.00 |
| 91301 |
|
502 |
436 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
197 |
78 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
34 |
32 |
$0.00 |