| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,653 |
27,971 |
$5.70M |
| D0999 |
Unspecified diagnostic procedure, by report |
11,040 |
5,897 |
$3.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,075 |
7,929 |
$1.29M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,477 |
2,168 |
$439K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,120 |
500 |
$225K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,013 |
927 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
894 |
838 |
$165K |
| 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 |
6,625 |
5,369 |
$164K |
| D1110 |
Prophylaxis - adult |
1,667 |
1,118 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
684 |
608 |
$118K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,171 |
662 |
$116K |
| D0140 |
Limited oral evaluation - problem focused |
1,980 |
1,250 |
$107K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
864 |
441 |
$100K |
| D0120 |
Periodic oral evaluation - established patient |
2,547 |
1,656 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
573 |
501 |
$97K |
| D7140 |
Extraction, erupted tooth or exposed root |
568 |
282 |
$77K |
| D0274 |
Bitewings - four radiographic images |
1,344 |
863 |
$71K |
| D1120 |
Prophylaxis - child |
1,295 |
836 |
$68K |
| 99215 |
Prolong outpt/office vis |
518 |
418 |
$61K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,980 |
1,251 |
$50K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
266 |
222 |
$49K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
847 |
526 |
$44K |
| D0220 |
Intraoral - periapical first radiographic image |
1,691 |
1,069 |
$44K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,426 |
1,243 |
$41K |
| D1206 |
Topical application of fluoride varnish |
1,434 |
976 |
$40K |
| 90837 |
Psychotherapy, 53 minutes with patient |
407 |
190 |
$35K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
216 |
185 |
$32K |
| 90832 |
Psychotherapy, 30 minutes with patient |
334 |
178 |
$32K |
| D0330 |
Panoramic radiographic image |
326 |
223 |
$27K |
| D0210 |
Intraoral - complete series of radiographic images |
240 |
161 |
$24K |
| 90791 |
Psychiatric diagnostic evaluation |
192 |
178 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
83 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
79 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,459 |
1,214 |
$11K |
| 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 |
972 |
838 |
$11K |
| D1351 |
Sealant - per tooth |
252 |
50 |
$11K |
| D0145 |
Oral evaluation for a patient under three years of age |
153 |
104 |
$8K |
| 99381 |
|
27 |
26 |
$5K |
| 95012 |
|
417 |
262 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
83 |
53 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
14 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,675 |
4,130 |
$2K |
| 99460 |
|
27 |
25 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
794 |
683 |
$2K |
| 90670 |
|
687 |
640 |
$2K |
| 90686 |
|
1,158 |
1,026 |
$2K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
33 |
13 |
$2K |
| 0012A |
|
39 |
39 |
$2K |
| 0011A |
|
40 |
40 |
$1K |
| 90651 |
|
74 |
70 |
$1K |
| 0002A |
|
20 |
19 |
$941.18 |
| 90723 |
|
496 |
463 |
$867.82 |
| 99173 |
|
928 |
798 |
$807.92 |
| 90680 |
|
478 |
448 |
$703.12 |
| 92551 |
|
869 |
738 |
$605.94 |
| 36416 |
|
1,433 |
1,292 |
$473.22 |
| 90734 |
|
70 |
63 |
$458.79 |
| 90633 |
|
180 |
169 |
$409.37 |
| 88720 |
|
94 |
69 |
$403.98 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
539 |
478 |
$347.81 |
| 90647 |
|
464 |
430 |
$250.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
782 |
712 |
$127.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,524 |
1,393 |
$115.70 |
| 99441 |
|
20 |
13 |
$94.62 |
| 90687 |
|
349 |
331 |
$91.44 |
| 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 |
82 |
59 |
$81.26 |
| 83655 |
|
166 |
150 |
$61.61 |
| 90688 |
|
465 |
422 |
$56.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
393 |
322 |
$38.73 |
| 81002 |
|
1,839 |
1,597 |
$37.64 |
| 94010 |
|
591 |
405 |
$30.08 |
| 90685 |
|
116 |
112 |
$23.41 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
235 |
210 |
$10.02 |
| 85018 |
|
82 |
70 |
$4.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,606 |
1,487 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
147 |
120 |
$0.00 |
| 92587 |
|
122 |
107 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
148 |
134 |
$0.00 |
| 0240U |
|
13 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$0.00 |
| 92567 |
|
42 |
42 |
$0.00 |
| 90696 |
|
28 |
25 |
$0.00 |
| 96127 |
|
17 |
16 |
$0.00 |
| 94760 |
|
15 |
12 |
$0.00 |
| 82947 |
|
506 |
422 |
$0.00 |
| 99177 |
|
667 |
616 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 90710 |
|
31 |
28 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
42 |
31 |
$0.00 |