| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,649 |
37,188 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,242 |
11,236 |
$662K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,623 |
6,996 |
$603K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,336 |
6,055 |
$521K |
| T1015 |
Clinic visit/encounter, all-inclusive |
21,890 |
14,684 |
$371K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,311 |
4,105 |
$355K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,904 |
12,033 |
$271K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24,046 |
21,713 |
$232K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,631 |
2,502 |
$215K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,047 |
5,357 |
$169K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,935 |
2,080 |
$141K |
| 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 |
3,486 |
2,694 |
$82K |
| 83655 |
|
7,292 |
6,928 |
$81K |
| D1110 |
Prophylaxis - adult |
1,911 |
1,598 |
$78K |
| 80061 |
Lipid panel |
13,285 |
11,903 |
$76K |
| D0120 |
Periodic oral evaluation - established patient |
2,620 |
2,185 |
$49K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,109 |
8,955 |
$49K |
| D0140 |
Limited oral evaluation - problem focused |
1,319 |
1,008 |
$49K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,276 |
1,910 |
$42K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,586 |
1,072 |
$42K |
| 90474 |
|
3,695 |
3,536 |
$38K |
| 99381 |
|
551 |
518 |
$38K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,214 |
1,026 |
$37K |
| 85018 |
|
15,751 |
14,708 |
$37K |
| 90837 |
Psychotherapy, 53 minutes with patient |
416 |
324 |
$35K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
336 |
302 |
$33K |
| D0210 |
Intraoral - complete series of radiographic images |
525 |
449 |
$30K |
| D1120 |
Prophylaxis - child |
1,033 |
880 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,816 |
1,711 |
$26K |
| 98940 |
|
1,542 |
506 |
$26K |
| D0274 |
Bitewings - four radiographic images |
1,074 |
877 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
445 |
402 |
$21K |
| 90836 |
|
722 |
506 |
$16K |
| D0330 |
Panoramic radiographic image |
466 |
392 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
860 |
680 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
337 |
317 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,591 |
3,932 |
$9K |
| 90686 |
|
5,179 |
4,746 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
590 |
547 |
$8K |
| D1351 |
Sealant - per tooth |
619 |
100 |
$8K |
| 99173 |
|
13,000 |
12,131 |
$7K |
| 99383 |
|
72 |
68 |
$7K |
| 96127 |
|
4,480 |
2,729 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
190 |
177 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
59 |
36 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
121 |
102 |
$4K |
| 87807 |
|
345 |
323 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
138 |
130 |
$4K |
| 90670 |
|
5,837 |
5,605 |
$3K |
| 90688 |
|
1,421 |
1,304 |
$3K |
| D0272 |
Bitewings - two radiographic images |
134 |
123 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
14 |
$3K |
| 99215 |
Prolong outpt/office vis |
34 |
27 |
$3K |
| 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 |
4,342 |
3,256 |
$3K |
| 90651 |
|
777 |
748 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
483 |
473 |
$2K |
| 0011A |
|
119 |
86 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
103 |
79 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
75 |
41 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
43 |
12 |
$1K |
| 36416 |
|
421 |
361 |
$1K |
| 81002 |
|
627 |
502 |
$981.62 |
| 59425 |
|
13 |
13 |
$960.30 |
| 90716 |
|
2,284 |
2,180 |
$894.50 |
| 81025 |
|
214 |
195 |
$742.08 |
| 0001A |
|
67 |
38 |
$595.36 |
| D1206 |
Topical application of fluoride varnish |
76 |
71 |
$591.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
12 |
$581.37 |
| 90707 |
|
2,225 |
2,114 |
$541.24 |
| 90723 |
|
4,705 |
4,510 |
$477.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$437.31 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$389.69 |
| 90680 |
|
3,693 |
3,556 |
$366.49 |
| 96150 |
|
18 |
12 |
$284.40 |
| 90633 |
|
3,089 |
2,946 |
$237.82 |
| 90715 |
|
89 |
88 |
$205.09 |
| 99000 |
|
1,050 |
989 |
$198.44 |
| 90648 |
|
6,173 |
5,918 |
$141.85 |
| 3044F |
|
262 |
190 |
$120.00 |
| 90734 |
|
578 |
550 |
$102.50 |
| 90658 |
|
16 |
16 |
$49.86 |
| 90687 |
|
1,048 |
1,011 |
$41.07 |
| 0002A |
|
32 |
18 |
$37.21 |
| 82962 |
|
16 |
12 |
$32.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$13.21 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32 |
29 |
$11.04 |
| 90620 |
|
95 |
93 |
$0.00 |
| 3008F |
|
647 |
474 |
$0.00 |
| 3074F |
|
338 |
229 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
2,046 |
1,589 |
$0.00 |
| 1036F |
|
410 |
309 |
$0.00 |
| 90480 |
|
39 |
36 |
$0.00 |
| 90677 |
|
40 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |
| 90696 |
|
73 |
67 |
$0.00 |
| 90697 |
|
40 |
31 |
$0.00 |
| 1034F |
|
56 |
40 |
$0.00 |
| 0072A |
|
23 |
13 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 3079F |
|
18 |
13 |
$0.00 |
| 3725F |
|
172 |
133 |
$0.00 |
| 90700 |
|
259 |
256 |
$0.00 |
| 1159F |
|
93 |
60 |
$0.00 |
| 1160F |
|
67 |
44 |
$0.00 |
| 3078F |
|
302 |
197 |
$0.00 |
| 90681 |
|
18 |
12 |
$0.00 |
| 90671 |
|
74 |
72 |
$0.00 |
| 0071A |
|
19 |
12 |
$0.00 |