| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885,540 |
517,403 |
$34.93M |
| D0999 |
Unspecified diagnostic procedure, by report |
236,681 |
153,954 |
$15.63M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
3,625 |
3,625 |
$15.25M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79,130 |
46,262 |
$3.33M |
| 59426 |
|
82,429 |
48,513 |
$2.84M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25,598 |
16,964 |
$2.27M |
| 59425 |
|
87,351 |
58,497 |
$2.17M |
| 90834 |
Psychotherapy, 45 minutes with patient |
21,977 |
7,236 |
$2.06M |
| D0120 |
Periodic oral evaluation - established patient |
170,107 |
50,490 |
$1.74M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,122 |
16,423 |
$1.57M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36,334 |
34,336 |
$1.47M |
| V2020 |
Frames, purchases |
91,396 |
88,119 |
$1.33M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
19,838 |
5,447 |
$1.25M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
21,945 |
14,163 |
$1.25M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,463 |
9,533 |
$1.18M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12,138 |
11,558 |
$1.17M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54,332 |
21,875 |
$1.11M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28,861 |
12,852 |
$1.06M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
52,462 |
29,316 |
$1.05M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
52,057 |
28,269 |
$1.05M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
7,325 |
7,295 |
$1.03M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48,666 |
48,337 |
$984K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33,938 |
14,865 |
$859K |
| 99058 |
|
8,868 |
6,186 |
$756K |
| 92002 |
|
13,734 |
9,009 |
$754K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12,983 |
6,662 |
$748K |
| D8670 |
Periodic orthodontic treatment visit |
3,796 |
2,715 |
$718K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,121 |
8,071 |
$663K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27,259 |
12,871 |
$609K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
7,533 |
1,709 |
$607K |
| D0140 |
Limited oral evaluation - problem focused |
27,323 |
12,405 |
$553K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
6,242 |
4,966 |
$540K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,931 |
1,582 |
$500K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16,749 |
8,291 |
$488K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
37,877 |
23,633 |
$485K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,995 |
2,707 |
$466K |
| 99441 |
|
23,469 |
18,456 |
$437K |
| 17110 |
|
4,254 |
3,342 |
$413K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,208 |
5,390 |
$403K |
| D0220 |
Intraoral - periapical first radiographic image |
79,384 |
65,530 |
$378K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
16,435 |
9,876 |
$329K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15,426 |
13,483 |
$322K |
| 92065 |
|
4,528 |
1,302 |
$314K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,752 |
3,293 |
$311K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
11,424 |
5,827 |
$289K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
113,245 |
110,631 |
$278K |
| 10060 |
|
2,368 |
1,975 |
$276K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,052 |
3,882 |
$271K |
| 11721 |
|
5,724 |
4,869 |
$246K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
9,886 |
5,233 |
$243K |
| 71046 |
Radiologic examination, chest; 2 views |
6,987 |
6,844 |
$214K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
10,723 |
6,517 |
$212K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,184 |
1,183 |
$211K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106,494 |
104,374 |
$207K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,129 |
1,083 |
$201K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,415 |
1,013 |
$199K |
| 90791 |
Psychiatric diagnostic evaluation |
1,590 |
899 |
$190K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
149,465 |
72,654 |
$186K |
| D8660 |
|
4,470 |
2,744 |
$184K |
| 76830 |
Ultrasound, transvaginal |
1,543 |
1,357 |
$183K |
| 87081 |
|
51,596 |
50,638 |
$178K |
| 99442 |
|
3,574 |
2,201 |
$169K |
| 76801 |
|
1,398 |
1,395 |
$165K |
| 59430 |
|
6,451 |
4,757 |
$156K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
8,054 |
7,857 |
$134K |
| D0330 |
Panoramic radiographic image |
4,592 |
2,689 |
$130K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
8,241 |
2,060 |
$130K |
| 0001A |
|
3,335 |
3,330 |
$127K |
| 92551 |
|
22,976 |
22,967 |
$122K |
| 0002A |
|
3,080 |
3,075 |
$119K |
| 93976 |
|
719 |
697 |
$113K |
| 59025 |
Fetal non-stress test |
1,459 |
1,261 |
$113K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
15,637 |
11,832 |
$111K |
| 99381 |
|
2,910 |
2,283 |
$109K |
| 31231 |
|
503 |
487 |
$107K |
| D1110 |
Prophylaxis - adult |
41,651 |
36,137 |
$99K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
676 |
604 |
$94K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
4,653 |
2,804 |
$94K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,730 |
6,655 |
$87K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
3,531 |
1,979 |
$87K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,293 |
660 |
$83K |
| 73630 |
|
2,196 |
2,106 |
$79K |
| 69210 |
|
1,633 |
1,617 |
$78K |
| 76820 |
|
1,620 |
1,167 |
$77K |
| 99215 |
Prolong outpt/office vis |
738 |
594 |
$77K |
| 31575 |
|
625 |
600 |
$75K |
| 90837 |
Psychotherapy, 53 minutes with patient |
547 |
256 |
$66K |
| 90686 |
|
10,828 |
10,774 |
$65K |
| 76857 |
|
1,360 |
592 |
$65K |
| D0340 |
|
1,424 |
1,312 |
$60K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,034 |
1,873 |
$60K |
| D9310 |
|
4,449 |
3,789 |
$56K |
| 92015 |
Determination of refractive state |
22,182 |
21,809 |
$48K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
2,298 |
1,484 |
$47K |
| 99443 |
|
740 |
482 |
$43K |
| 11056 |
|
665 |
305 |
$42K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
4,684 |
3,090 |
$40K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,409 |
977 |
$40K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
3,229 |
2,376 |
$40K |
| 0012A |
|
1,351 |
1,350 |
$39K |
| 11730 |
|
347 |
344 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,736 |
6,587 |
$36K |
| D2740 |
Crown - porcelain/ceramic |
3,402 |
2,300 |
$33K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
541 |
361 |
$33K |
| 11720 |
|
851 |
747 |
$33K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
607 |
438 |
$32K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,213 |
2,283 |
$32K |
| 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 |
1,696 |
789 |
$32K |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
1,256 |
714 |
$31K |
| 90715 |
|
2,072 |
2,071 |
$30K |
| 10061 |
|
139 |
128 |
$29K |
| D0270 |
|
6,227 |
5,412 |
$28K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
2,556 |
1,614 |
$28K |
| 99385 |
|
449 |
219 |
$27K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
550 |
548 |
$27K |
| 97162 |
|
293 |
176 |
$25K |
| 92526 |
|
250 |
61 |
$24K |
| D9110 |
|
2,398 |
2,069 |
$22K |
| 0011A |
|
1,423 |
1,422 |
$21K |
| 92511 |
|
178 |
176 |
$20K |
| 99386 |
|
145 |
118 |
$20K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
830 |
225 |
$19K |
| 76821 |
|
191 |
154 |
$18K |
| 0003A |
|
445 |
444 |
$18K |
| 97161 |
|
294 |
240 |
$17K |
| D0350 |
|
1,448 |
1,445 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$17K |
| 30903 |
|
71 |
68 |
$16K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
157 |
84 |
$16K |
| D2954 |
|
915 |
596 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
11,657 |
11,580 |
$15K |
| 58300 |
|
165 |
133 |
$15K |
| V2211 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
568 |
318 |
$15K |
| D2331 |
|
1,540 |
1,071 |
$14K |
| 97166 |
|
180 |
118 |
$14K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
893 |
583 |
$14K |
| D1120 |
Prophylaxis - child |
17,539 |
16,867 |
$14K |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
49 |
49 |
$14K |
| 73610 |
|
309 |
306 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
50,391 |
49,643 |
$12K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,126 |
992 |
$12K |
| D4341 |
|
428 |
150 |
$11K |
| 94760 |
|
58,707 |
57,041 |
$10K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
285 |
98 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
961 |
957 |
$10K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
36 |
36 |
$9K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
29 |
29 |
$9K |
| D1510 |
|
402 |
273 |
$8K |
| 97167 |
|
83 |
82 |
$8K |
| 11750 |
|
59 |
37 |
$8K |
| 0013A |
|
180 |
180 |
$7K |
| D9991 |
|
324 |
131 |
$7K |
| 99201 |
|
159 |
101 |
$7K |
| 93325 |
|
265 |
259 |
$7K |
| 93000 |
|
429 |
428 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
10,952 |
10,835 |
$6K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
287 |
155 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
584 |
429 |
$6K |
| 85018 |
|
8,229 |
8,226 |
$5K |
| D1351 |
Sealant - per tooth |
400 |
208 |
$5K |
| D2140 |
|
246 |
103 |
$5K |
| D3320 |
|
197 |
37 |
$5K |
| 90707 |
|
1,821 |
1,781 |
$5K |
| 76825 |
|
17 |
16 |
$5K |
| V2199 |
Not otherwise classified, single vision lens |
214 |
106 |
$4K |
| D0272 |
Bitewings - two radiographic images |
13,096 |
12,947 |
$4K |
| D0274 |
Bitewings - four radiographic images |
31,404 |
31,320 |
$4K |
| 90677 |
|
2,210 |
2,209 |
$4K |
| 93015 |
|
59 |
59 |
$4K |
| 73140 |
|
101 |
101 |
$4K |
| 0071A |
|
91 |
91 |
$4K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
57 |
56 |
$3K |
| 90656 |
|
678 |
677 |
$3K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
272 |
158 |
$3K |
| 81002 |
|
1,723 |
1,654 |
$3K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
423 |
325 |
$3K |
| 0072A |
|
79 |
79 |
$3K |
| 90697 |
|
3,826 |
3,824 |
$3K |
| 58301 |
|
25 |
25 |
$3K |
| 92504 |
|
83 |
80 |
$3K |
| D2394 |
|
244 |
171 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$2K |
| 73562 |
|
51 |
51 |
$2K |
| 72100 |
|
49 |
49 |
$2K |
| 73110 |
|
46 |
46 |
$2K |
| 73130 |
|
42 |
42 |
$2K |
| D2332 |
|
586 |
466 |
$1K |
| 76827 |
|
17 |
16 |
$1K |
| 77072 |
|
44 |
44 |
$1K |
| D2160 |
|
35 |
13 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
66 |
63 |
$1K |
| J2790 |
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) |
13 |
13 |
$857.09 |
| 73090 |
|
28 |
28 |
$802.96 |
| 92610 |
|
12 |
12 |
$780.60 |
| D0210 |
Intraoral - complete series of radiographic images |
446 |
430 |
$713.83 |
| S9083 |
Global fee urgent care centers |
17 |
15 |
$612.00 |
| 83655 |
|
3,148 |
3,143 |
$610.29 |
| 99024 |
|
3,623 |
3,347 |
$537.55 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,493 |
1,464 |
$496.60 |
| 73030 |
|
13 |
13 |
$483.56 |
| 88720 |
|
1,706 |
1,216 |
$436.08 |
| 90785 |
|
34 |
13 |
$433.28 |
| 90619 |
|
1,097 |
1,097 |
$410.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
30 |
$347.61 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
82 |
78 |
$263.17 |
| V2781 |
Progressive lens, per lens |
1,662 |
829 |
$230.00 |
| 97010 |
|
5,858 |
2,253 |
$208.37 |
| D1206 |
Topical application of fluoride varnish |
2,554 |
2,553 |
$202.23 |
| V2750 |
Anti-reflective coating, per lens |
72 |
35 |
$200.00 |
| 88150 |
|
1,770 |
1,767 |
$180.56 |
| 99173 |
|
24,045 |
24,024 |
$118.07 |
| 87634 |
|
224 |
223 |
$70.20 |
| 87070 |
|
966 |
947 |
$70.00 |
| 87276 |
|
34 |
34 |
$24.90 |
| 36415 |
Collection of venous blood by venipuncture |
979 |
961 |
$20.92 |
| 87275 |
|
34 |
34 |
$20.82 |
| 90461 |
|
50 |
50 |
$19.62 |
| 91301 |
|
2,572 |
2,509 |
$1.05 |
| 91300 |
|
6,402 |
5,902 |
$0.32 |
| 90670 |
|
7,869 |
7,862 |
$0.00 |
| 90685 |
|
287 |
275 |
$0.00 |
| S9443 |
Lactation classes, non-physician provider, per session |
49 |
40 |
$0.00 |
| 90633 |
|
3,242 |
3,241 |
$0.00 |
| 90710 |
|
2,963 |
2,960 |
$0.00 |
| 90648 |
|
292 |
292 |
$0.00 |
| 97803 |
|
1,713 |
1,707 |
$0.00 |
| 90734 |
|
1,428 |
1,427 |
$0.00 |
| D2751 |
Crown - porcelain fused to predominantly base metal |
160 |
132 |
$0.00 |
| 90700 |
|
119 |
119 |
$0.00 |
| 90681 |
|
152 |
152 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
27 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| Q0239 |
Injection, bamlanivimab-xxxx, 700 mg |
40 |
40 |
$0.00 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
16 |
16 |
$0.00 |
| 90723 |
|
3,365 |
3,364 |
$0.00 |
| 99000 |
|
1,091 |
1,063 |
$0.00 |
| 36416 |
|
981 |
970 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
53 |
50 |
$0.00 |
| 90696 |
|
804 |
804 |
$0.00 |
| 90647 |
|
1,594 |
1,594 |
$0.00 |
| D0602 |
|
690 |
690 |
$0.00 |
| V2715 |
Prism, per lens |
5,636 |
2,248 |
$0.00 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
804 |
397 |
$0.00 |
| 90698 |
|
1,410 |
1,408 |
$0.00 |
| 90744 |
|
557 |
555 |
$0.00 |
| 91307 |
|
239 |
203 |
$0.00 |
| D0603 |
|
502 |
502 |
$0.00 |
| 90716 |
|
67 |
67 |
$0.00 |
| 87807 |
|
24 |
24 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
77 |
75 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| D2335 |
|
14 |
12 |
$0.00 |
| D2330 |
|
12 |
12 |
$0.00 |
| 86804 |
|
24 |
24 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
39 |
13 |
$0.00 |
| 90651 |
|
18 |
18 |
$0.00 |