| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
226,905 |
169,597 |
$16.29M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
79,886 |
21,122 |
$12.81M |
| 90832 |
Psychotherapy, 30 minutes with patient |
59,518 |
39,179 |
$6.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,854 |
44,767 |
$4.60M |
| S9083 |
Global fee urgent care centers |
40,030 |
35,862 |
$4.54M |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
17,530 |
5,596 |
$4.01M |
| 90834 |
Psychotherapy, 45 minutes with patient |
12,271 |
5,610 |
$1.58M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,333 |
16,058 |
$1.52M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,321 |
10,371 |
$1.06M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21,070 |
10,287 |
$1.05M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16,374 |
9,589 |
$958K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
7,223 |
875 |
$945K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
9,070 |
1,435 |
$812K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,607 |
6,451 |
$683K |
| D1110 |
Prophylaxis - adult |
9,483 |
7,747 |
$602K |
| D0120 |
Periodic oral evaluation - established patient |
14,794 |
12,756 |
$584K |
| 90791 |
Psychiatric diagnostic evaluation |
4,182 |
3,794 |
$571K |
| 99441 |
|
6,641 |
4,700 |
$468K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,329 |
2,702 |
$437K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30,835 |
29,739 |
$437K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,392 |
3,422 |
$419K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
4,216 |
2,694 |
$320K |
| D1120 |
Prophylaxis - child |
6,676 |
5,887 |
$307K |
| D0140 |
Limited oral evaluation - problem focused |
6,230 |
4,910 |
$290K |
| 92552 |
|
18,440 |
17,474 |
$288K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,005 |
1,750 |
$279K |
| 99215 |
Prolong outpt/office vis |
2,280 |
1,959 |
$275K |
| 99442 |
|
3,670 |
2,960 |
$262K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,398 |
4,326 |
$241K |
| 90899 |
|
1,436 |
171 |
$237K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
3,119 |
2,112 |
$226K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,302 |
2,417 |
$212K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,968 |
1,565 |
$208K |
| G2078 |
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
5,403 |
2,126 |
$207K |
| D0220 |
Intraoral - periapical first radiographic image |
12,181 |
11,452 |
$189K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,864 |
1,272 |
$170K |
| 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 |
7,020 |
2,940 |
$168K |
| D0210 |
Intraoral - complete series of radiographic images |
2,854 |
2,166 |
$154K |
| H2001 |
Rehabilitation program, per 1/2 day |
890 |
365 |
$135K |
| H0033 |
Oral medication administration, direct observation |
730 |
242 |
$134K |
| 81003 |
|
27,775 |
23,134 |
$133K |
| 92567 |
|
3,907 |
3,547 |
$112K |
| D0274 |
Bitewings - four radiographic images |
3,827 |
3,571 |
$107K |
| 83655 |
|
8,331 |
8,208 |
$107K |
| 92557 |
|
1,703 |
1,150 |
$101K |
| 11721 |
|
1,608 |
1,564 |
$96K |
| D1208 |
Topical application of fluoride, excluding varnish |
5,908 |
5,603 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,901 |
7,718 |
$76K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,914 |
4,150 |
$65K |
| 80305 |
|
5,443 |
4,093 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,915 |
2,871 |
$56K |
| 90837 |
Psychotherapy, 53 minutes with patient |
317 |
271 |
$56K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,316 |
4,675 |
$51K |
| 90656 |
|
6,146 |
5,644 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
450 |
365 |
$43K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
391 |
345 |
$40K |
| 90686 |
|
7,034 |
6,970 |
$36K |
| 99173 |
|
10,811 |
10,722 |
$35K |
| 81025 |
|
13,147 |
12,651 |
$31K |
| 36416 |
|
14,286 |
13,117 |
$30K |
| D0270 |
|
1,947 |
1,869 |
$29K |
| D1206 |
Topical application of fluoride varnish |
990 |
955 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,627 |
7,301 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
352 |
258 |
$28K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
28 |
28 |
$27K |
| 99221 |
|
378 |
341 |
$27K |
| D0272 |
Bitewings - two radiographic images |
1,565 |
1,509 |
$26K |
| T1015 |
Clinic visit/encounter, all-inclusive |
214 |
138 |
$26K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,041 |
294 |
$26K |
| 92015 |
Determination of refractive state |
2,097 |
1,960 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
191 |
191 |
$24K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
321 |
309 |
$24K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
913 |
444 |
$21K |
| 0011A |
|
681 |
680 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
2,712 |
2,469 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
853 |
841 |
$17K |
| 0012A |
|
489 |
488 |
$16K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
813 |
399 |
$16K |
| 99177 |
|
7,088 |
7,011 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
314 |
232 |
$14K |
| 59025 |
Fetal non-stress test |
357 |
253 |
$14K |
| 92250 |
|
343 |
343 |
$13K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
141 |
70 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
93 |
92 |
$12K |
| 92060 |
|
237 |
237 |
$11K |
| 90698 |
|
2,913 |
2,415 |
$9K |
| 90670 |
|
3,037 |
2,984 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
110 |
99 |
$9K |
| 76801 |
|
67 |
64 |
$8K |
| 92579 |
|
237 |
223 |
$8K |
| 99381 |
|
57 |
38 |
$7K |
| 90461 |
|
5,620 |
4,348 |
$7K |
| 90677 |
|
1,460 |
1,460 |
$6K |
| 90715 |
|
550 |
548 |
$5K |
| 92553 |
|
177 |
164 |
$5K |
| 73630 |
|
187 |
138 |
$5K |
| V5264 |
Ear mold/insert, not disposable, any type |
166 |
162 |
$5K |
| D1351 |
Sealant - per tooth |
97 |
42 |
$5K |
| D2330 |
|
62 |
26 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
401 |
359 |
$4K |
| 92588 |
|
69 |
69 |
$4K |
| 0072A |
|
129 |
129 |
$4K |
| 0002A |
|
103 |
102 |
$4K |
| 94760 |
|
2,482 |
2,373 |
$3K |
| 0071A |
|
94 |
94 |
$3K |
| 0001A |
|
97 |
97 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,275 |
1,261 |
$3K |
| V5257 |
Hearing aid, digital, monaural, bte |
12 |
12 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
289 |
276 |
$3K |
| 90744 |
|
381 |
304 |
$3K |
| 76820 |
|
85 |
71 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
130 |
129 |
$3K |
| 99443 |
|
45 |
44 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
77 |
77 |
$3K |
| 92555 |
|
194 |
192 |
$3K |
| 90697 |
|
566 |
566 |
$2K |
| 97162 |
|
41 |
41 |
$2K |
| 99406 |
|
323 |
285 |
$2K |
| 90685 |
|
245 |
211 |
$2K |
| 92593 |
|
139 |
136 |
$1K |
| 97802 |
|
94 |
93 |
$1K |
| 81000 |
|
452 |
412 |
$1K |
| 90651 |
|
1,612 |
1,608 |
$1K |
| 97799 |
|
24 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$1K |
| 90633 |
|
1,318 |
1,297 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$855.27 |
| V5266 |
Battery for use in hearing device |
189 |
187 |
$763.95 |
| 73620 |
|
27 |
26 |
$662.35 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
42 |
26 |
$661.15 |
| 90473 |
|
580 |
579 |
$559.09 |
| 99407 |
|
27 |
26 |
$489.80 |
| 99000 |
|
2,105 |
2,023 |
$484.15 |
| 90707 |
|
109 |
109 |
$380.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
19 |
19 |
$365.98 |
| 93000 |
|
25 |
25 |
$355.49 |
| 86580 |
|
50 |
50 |
$322.37 |
| D0145 |
Oral evaluation for a patient under three years of age |
14 |
14 |
$308.75 |
| 90734 |
|
438 |
430 |
$289.58 |
| D1330 |
|
3,961 |
3,915 |
$198.89 |
| 90619 |
|
291 |
291 |
$190.22 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
31 |
30 |
$188.05 |
| 97535 |
Self-care/home management training, each 15 minutes |
14 |
13 |
$165.82 |
| 90620 |
|
65 |
65 |
$163.84 |
| 90716 |
|
229 |
229 |
$96.00 |
| 81002 |
|
36 |
33 |
$70.33 |
| 90655 |
|
13 |
13 |
$67.23 |
| 82948 |
|
40 |
38 |
$56.70 |
| 90723 |
|
16 |
16 |
$25.00 |
| 90647 |
|
40 |
39 |
$25.00 |
| 92558 |
|
13 |
13 |
$3.67 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$2.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
30 |
$1.69 |
| 90681 |
|
1,101 |
1,098 |
$0.00 |
| 4124F |
|
89 |
89 |
$0.00 |
| 90710 |
|
52 |
51 |
$0.00 |
| 99080 |
|
238 |
116 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 91300 |
|
24 |
23 |
$0.00 |
| 1220F |
|
355 |
340 |
$0.00 |
| 1000F |
|
394 |
358 |
$0.00 |
| V5299 |
Hearing service, miscellaneous |
57 |
57 |
$0.00 |
| 1036F |
|
28 |
13 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90381 |
|
40 |
40 |
$0.00 |
| 90696 |
|
38 |
38 |
$0.00 |