| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,773 |
59,959 |
$3.70M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
54,490 |
52,931 |
$2.46M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24,112 |
22,174 |
$1.95M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21,941 |
21,411 |
$1.93M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,665 |
14,592 |
$1.33M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,320 |
12,021 |
$1.08M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37,945 |
37,038 |
$653K |
| D0190 |
|
28,343 |
27,486 |
$425K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
3,006 |
2,504 |
$343K |
| D0145 |
Oral evaluation for a patient under three years of age |
10,531 |
10,266 |
$317K |
| 96127 |
|
25,816 |
25,086 |
$274K |
| 99173 |
|
25,583 |
24,814 |
$237K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,286 |
2,212 |
$223K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19,794 |
19,238 |
$197K |
| 99460 |
|
1,537 |
1,003 |
$89K |
| D1206 |
Topical application of fluoride varnish |
5,557 |
5,436 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,225 |
2,121 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,434 |
4,351 |
$79K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,617 |
1,045 |
$61K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
579 |
544 |
$59K |
| 90670 |
|
14,813 |
14,402 |
$58K |
| 99174 |
|
3,567 |
3,492 |
$56K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
424 |
402 |
$44K |
| 94760 |
|
22,418 |
20,954 |
$44K |
| 99000 |
|
19,729 |
17,857 |
$34K |
| 83655 |
|
2,430 |
2,381 |
$32K |
| 36416 |
|
16,617 |
15,083 |
$30K |
| D1120 |
Prophylaxis - child |
733 |
732 |
$23K |
| H0031 |
Mental health assessment, by non-physician |
207 |
159 |
$22K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
169 |
153 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,497 |
1,422 |
$21K |
| 0071A |
|
333 |
321 |
$19K |
| 90461 |
|
29,729 |
28,923 |
$18K |
| 0072A |
|
350 |
342 |
$18K |
| 90680 |
|
7,794 |
7,554 |
$15K |
| 85018 |
|
5,837 |
5,655 |
$15K |
| 90698 |
|
6,326 |
6,183 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
503 |
503 |
$12K |
| 90651 |
|
815 |
792 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
215 |
197 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
259 |
128 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
234 |
229 |
$7K |
| 0001A |
|
167 |
162 |
$7K |
| 0002A |
|
144 |
142 |
$6K |
| 90686 |
|
5,875 |
5,651 |
$6K |
| 0240U |
|
36 |
32 |
$6K |
| 90677 |
|
779 |
752 |
$6K |
| 99462 |
|
215 |
108 |
$5K |
| 90633 |
|
3,402 |
3,318 |
$4K |
| 99050 |
|
618 |
560 |
$4K |
| 0081A |
|
63 |
62 |
$4K |
| 99384 |
|
32 |
30 |
$3K |
| 0082A |
|
68 |
67 |
$3K |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$3K |
| 90688 |
|
10,995 |
10,817 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
997 |
948 |
$3K |
| 90480 |
|
38 |
38 |
$2K |
| 90734 |
|
293 |
283 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
48 |
36 |
$2K |
| 90723 |
|
1,800 |
1,732 |
$2K |
| 90716 |
|
294 |
286 |
$2K |
| 90700 |
|
1,691 |
1,637 |
$2K |
| 0124A |
|
33 |
32 |
$2K |
| 90710 |
|
115 |
113 |
$2K |
| 90744 |
|
2,624 |
2,552 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
54 |
$2K |
| 94761 |
|
322 |
294 |
$1K |
| 0054A |
|
33 |
32 |
$1K |
| D0272 |
Bitewings - two radiographic images |
64 |
64 |
$1K |
| 90707 |
|
317 |
304 |
$1K |
| 97802 |
|
28 |
28 |
$1K |
| 90648 |
|
3,375 |
3,220 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
44 |
44 |
$891.71 |
| 99070 |
|
55 |
53 |
$889.24 |
| 0074A |
|
17 |
17 |
$850.00 |
| 0052A |
|
18 |
17 |
$850.00 |
| 0154A |
|
13 |
13 |
$803.01 |
| 94664 |
|
46 |
41 |
$510.87 |
| 90837 |
Psychotherapy, 53 minutes with patient |
12 |
12 |
$397.12 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$333.64 |
| 97803 |
|
12 |
12 |
$320.76 |
| 90685 |
|
2,231 |
2,214 |
$314.39 |
| 90715 |
|
55 |
53 |
$249.10 |
| 90687 |
|
2,214 |
2,184 |
$176.21 |
| 90656 |
|
380 |
375 |
$168.42 |
| 90713 |
|
116 |
114 |
$168.38 |
| H0049 |
Alcohol and/or drug screening |
40 |
30 |
$108.43 |
| 81002 |
|
27 |
26 |
$90.54 |
| 91307 |
|
810 |
770 |
$35.00 |
| 91300 |
|
407 |
377 |
$0.10 |
| 91308 |
|
187 |
181 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
38 |
38 |
$0.00 |
| 91312 |
|
33 |
32 |
$0.00 |
| 91305 |
|
103 |
99 |
$0.00 |
| 91315 |
|
13 |
13 |
$0.00 |