| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,930 |
28,367 |
$4.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,798 |
12,644 |
$1.54M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,537 |
10,619 |
$662K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,905 |
2,805 |
$415K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,686 |
2,461 |
$368K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,572 |
2,479 |
$365K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,131 |
2,019 |
$288K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,016 |
1,839 |
$258K |
| W0037 |
|
15,587 |
15,587 |
$230K |
| D1110 |
Prophylaxis - adult |
1,805 |
1,789 |
$226K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,339 |
1,328 |
$143K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,528 |
6,125 |
$120K |
| 90837 |
Psychotherapy, 53 minutes with patient |
906 |
568 |
$119K |
| 82962 |
|
3,056 |
2,487 |
$101K |
| 99215 |
Prolong outpt/office vis |
936 |
835 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,788 |
1,699 |
$97K |
| 99000 |
|
4,488 |
3,936 |
$93K |
| D0140 |
Limited oral evaluation - problem focused |
763 |
739 |
$84K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,221 |
1,087 |
$78K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
863 |
681 |
$71K |
| D0120 |
Periodic oral evaluation - established patient |
671 |
671 |
$67K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
551 |
495 |
$66K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,916 |
1,451 |
$65K |
| 36415 |
Collection of venous blood by venipuncture |
8,442 |
7,383 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
427 |
387 |
$50K |
| 81025 |
|
1,229 |
1,067 |
$48K |
| 99381 |
|
356 |
307 |
$48K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
668 |
463 |
$43K |
| 90474 |
|
558 |
535 |
$43K |
| 90688 |
|
283 |
273 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
382 |
325 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
299 |
255 |
$32K |
| 99383 |
|
192 |
185 |
$27K |
| 90473 |
|
369 |
348 |
$24K |
| D1120 |
Prophylaxis - child |
384 |
384 |
$22K |
| D0220 |
Intraoral - periapical first radiographic image |
1,928 |
1,871 |
$20K |
| D1206 |
Topical application of fluoride varnish |
1,763 |
1,731 |
$20K |
| 81002 |
|
583 |
502 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
121 |
103 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
98 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
120 |
101 |
$14K |
| 93000 |
|
277 |
209 |
$13K |
| 90686 |
|
2,595 |
2,206 |
$9K |
| 17110 |
|
81 |
65 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,750 |
894 |
$7K |
| D0274 |
Bitewings - four radiographic images |
914 |
907 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
39 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
451 |
451 |
$5K |
| 36416 |
|
3,034 |
2,524 |
$5K |
| D7140 |
Extraction, erupted tooth or exposed root |
178 |
96 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,428 |
2,137 |
$4K |
| 99384 |
|
27 |
27 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 99382 |
|
12 |
12 |
$2K |
| 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 |
97 |
78 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
894 |
849 |
$1K |
| D0272 |
Bitewings - two radiographic images |
176 |
176 |
$1K |
| 85018 |
|
525 |
490 |
$766.60 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,017 |
1,634 |
$714.31 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,181 |
2,909 |
$613.28 |
| 80061 |
Lipid panel |
2,574 |
2,381 |
$459.96 |
| 90672 |
|
134 |
117 |
$459.96 |
| 83655 |
|
674 |
632 |
$459.96 |
| 99188 |
|
49 |
45 |
$353.72 |
| D0330 |
Panoramic radiographic image |
149 |
149 |
$320.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
552 |
500 |
$306.64 |
| 90715 |
|
795 |
735 |
$219.53 |
| 84439 |
|
1,193 |
1,087 |
$153.32 |
| 90670 |
|
1,326 |
1,219 |
$153.32 |
| 87081 |
|
214 |
205 |
$153.32 |
| 80053 |
Comprehensive metabolic panel |
2,485 |
2,219 |
$153.32 |
| 90734 |
|
1,043 |
977 |
$0.00 |
| 80074 |
|
956 |
829 |
$0.00 |
| 81003 |
|
805 |
708 |
$0.00 |
| 90633 |
|
925 |
870 |
$0.00 |
| 90710 |
|
444 |
423 |
$0.00 |
| 91320 |
|
239 |
214 |
$0.00 |
| D0270 |
|
26 |
26 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
892 |
754 |
$0.00 |
| 87210 |
|
425 |
359 |
$0.00 |
| 90681 |
|
411 |
377 |
$0.00 |
| 91308 |
|
14 |
14 |
$0.00 |
| 90700 |
|
72 |
66 |
$0.00 |
| 90707 |
|
42 |
39 |
$0.00 |
| 0071A |
|
65 |
44 |
$0.00 |
| 0124A |
|
120 |
107 |
$0.00 |
| 91300 |
|
275 |
184 |
$0.00 |
| 91312 |
|
111 |
99 |
$0.00 |
| 82570 |
|
17 |
16 |
$0.00 |
| 0004A |
|
18 |
13 |
$0.00 |
| 86703 |
|
14 |
13 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
894 |
753 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
780 |
716 |
$0.00 |
| 90620 |
|
646 |
560 |
$0.00 |
| 87590 |
|
647 |
556 |
$0.00 |
| 90480 |
|
354 |
322 |
$0.00 |
| 87490 |
|
650 |
556 |
$0.00 |
| 90677 |
|
372 |
343 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
612 |
561 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
373 |
331 |
$0.00 |
| 86592 |
|
1,443 |
1,267 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,554 |
1,383 |
$0.00 |
| 90723 |
|
451 |
407 |
$0.00 |
| 0072A |
|
70 |
40 |
$0.00 |
| 80050 |
General health panel |
1,966 |
1,802 |
$0.00 |
| 90656 |
|
261 |
257 |
$0.00 |
| 90697 |
|
609 |
578 |
$0.00 |
| 81001 |
|
170 |
147 |
$0.00 |
| 90651 |
|
1,491 |
1,361 |
$0.00 |
| 91319 |
|
54 |
50 |
$0.00 |
| 90647 |
|
471 |
428 |
$0.00 |
| 90696 |
|
288 |
278 |
$0.00 |
| 82607 |
|
34 |
32 |
$0.00 |
| 91307 |
|
180 |
107 |
$0.00 |
| 82043 |
|
31 |
28 |
$0.00 |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
14 |
12 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
17 |
15 |
$0.00 |
| 99402 |
|
27 |
27 |
$0.00 |
| 90716 |
|
60 |
54 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
44 |
40 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 0001A |
|
16 |
12 |
$0.00 |
| 86780 |
|
14 |
12 |
$0.00 |