| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,548 |
46,643 |
$8.73M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59,832 |
39,145 |
$8.26M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51,910 |
29,836 |
$6.89M |
| 90834 |
Psychotherapy, 45 minutes with patient |
27,719 |
8,818 |
$4.52M |
| D0120 |
Periodic oral evaluation - established patient |
62,772 |
19,342 |
$3.54M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,462 |
18,572 |
$3.54M |
| 36415 |
Collection of venous blood by venipuncture |
35,371 |
21,744 |
$1.80M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15,084 |
9,818 |
$1.80M |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14,791 |
6,976 |
$1.75M |
| D0140 |
Limited oral evaluation - problem focused |
11,396 |
5,892 |
$1.30M |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
10,107 |
5,164 |
$1.19M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19,890 |
6,052 |
$1.15M |
| D1120 |
Prophylaxis - child |
19,233 |
14,546 |
$1.03M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,718 |
5,490 |
$975K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
6,244 |
3,319 |
$780K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,457 |
5,177 |
$772K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,216 |
2,101 |
$551K |
| D1110 |
Prophylaxis - adult |
12,711 |
7,146 |
$523K |
| 90791 |
Psychiatric diagnostic evaluation |
2,530 |
1,681 |
$464K |
| 99385 |
|
4,246 |
3,189 |
$443K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,583 |
2,927 |
$435K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,748 |
2,638 |
$429K |
| D0272 |
Bitewings - two radiographic images |
14,879 |
12,477 |
$363K |
| D1206 |
Topical application of fluoride varnish |
7,394 |
4,298 |
$302K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,521 |
1,699 |
$281K |
| D0210 |
Intraoral - complete series of radiographic images |
4,959 |
3,175 |
$268K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,852 |
1,698 |
$265K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,570 |
1,157 |
$224K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,899 |
1,008 |
$214K |
| D0220 |
Intraoral - periapical first radiographic image |
7,780 |
2,637 |
$199K |
| 99215 |
Prolong outpt/office vis |
1,298 |
956 |
$190K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,093 |
1,145 |
$183K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
2,310 |
1,379 |
$177K |
| 99442 |
|
1,467 |
852 |
$170K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33,178 |
30,787 |
$166K |
| D0230 |
Intraoral - periapical each additional radiographic image |
8,261 |
2,930 |
$156K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,779 |
905 |
$123K |
| 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 |
2,404 |
1,374 |
$116K |
| 0002A |
|
2,530 |
2,457 |
$111K |
| 81025 |
|
2,494 |
1,759 |
$108K |
| 90740 |
|
411 |
405 |
$108K |
| D5899 |
|
478 |
362 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
710 |
524 |
$88K |
| 0001A |
|
2,174 |
2,127 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,125 |
3,875 |
$81K |
| D9430 |
|
286 |
206 |
$62K |
| D0274 |
Bitewings - four radiographic images |
3,245 |
3,092 |
$62K |
| 90651 |
|
498 |
495 |
$58K |
| 99397 |
|
2,391 |
321 |
$55K |
| 92015 |
Determination of refractive state |
3,041 |
2,940 |
$54K |
| 99441 |
|
428 |
257 |
$50K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
579 |
377 |
$49K |
| D0170 |
|
343 |
168 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
421 |
289 |
$47K |
| 90686 |
|
1,477 |
1,143 |
$45K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,231 |
1,224 |
$43K |
| 99386 |
|
444 |
439 |
$43K |
| D1351 |
Sealant - per tooth |
669 |
162 |
$41K |
| 99443 |
|
398 |
309 |
$40K |
| 90461 |
|
1,933 |
1,855 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,870 |
1,813 |
$25K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
159 |
83 |
$21K |
| 99383 |
|
183 |
103 |
$17K |
| 0011A |
|
387 |
323 |
$16K |
| 3008F |
|
27,160 |
22,641 |
$15K |
| 0012A |
|
275 |
257 |
$14K |
| 90619 |
|
128 |
127 |
$13K |
| 99382 |
|
161 |
74 |
$12K |
| S0612 |
Annual gynecological examination, established patient |
158 |
158 |
$12K |
| 0004A |
|
235 |
235 |
$9K |
| 99205 |
Prolong outpt/office vis |
44 |
41 |
$7K |
| 90677 |
|
63 |
63 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,057 |
1,037 |
$7K |
| 90715 |
|
364 |
363 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
203 |
197 |
$6K |
| D1320 |
|
909 |
908 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
343 |
290 |
$6K |
| D0240 |
|
161 |
70 |
$6K |
| D3120 |
|
68 |
24 |
$5K |
| 99384 |
|
83 |
24 |
$5K |
| 99381 |
|
52 |
32 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
59 |
16 |
$4K |
| 0003A |
|
110 |
107 |
$4K |
| 93000 |
|
205 |
187 |
$4K |
| 90658 |
|
97 |
67 |
$3K |
| 36416 |
|
31 |
18 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
259 |
226 |
$3K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
69 |
40 |
$3K |
| 11900 |
|
58 |
56 |
$3K |
| 90633 |
|
338 |
311 |
$3K |
| 93931 |
|
52 |
52 |
$3K |
| 90670 |
|
455 |
451 |
$3K |
| 90697 |
|
53 |
52 |
$3K |
| D0270 |
|
178 |
174 |
$2K |
| 90707 |
|
53 |
52 |
$2K |
| 0064A |
|
38 |
38 |
$1K |
| 90710 |
|
171 |
170 |
$971.88 |
| 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 |
123 |
123 |
$957.94 |
| 90743 |
|
14 |
14 |
$883.46 |
| 90682 |
|
12 |
12 |
$839.40 |
| 90716 |
|
59 |
58 |
$810.20 |
| 0071A |
|
16 |
15 |
$618.01 |
| 90656 |
|
60 |
60 |
$571.80 |
| 90634 |
|
50 |
50 |
$504.03 |
| 90688 |
|
22 |
22 |
$447.45 |
| 90746 |
|
13 |
13 |
$398.05 |
| 99173 |
|
34 |
34 |
$322.67 |
| 90680 |
|
38 |
38 |
$292.15 |
| 11721 |
|
12 |
12 |
$257.12 |
| D1330 |
|
2,156 |
2,152 |
$253.80 |
| S0610 |
Annual gynecological examination, new patient |
24 |
24 |
$243.01 |
| 90744 |
|
30 |
30 |
$114.89 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$113.88 |
| 90647 |
|
27 |
27 |
$89.56 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$60.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
26 |
$16.41 |
| 90713 |
|
16 |
16 |
$14.49 |
| 3074F |
|
6,490 |
5,963 |
$14.05 |
| 3080F |
|
759 |
689 |
$9.50 |
| 3079F |
|
2,666 |
2,462 |
$9.07 |
| 3078F |
|
5,587 |
5,207 |
$5.72 |
| 3077F |
|
1,350 |
1,213 |
$3.73 |
| 3044F |
|
1,217 |
1,176 |
$0.04 |
| 3048F |
|
589 |
571 |
$0.02 |
| 3075F |
|
1,345 |
1,277 |
$0.02 |
| 3049F |
|
199 |
195 |
$0.00 |
| D1310 |
|
143 |
143 |
$0.00 |
| D0602 |
|
33 |
33 |
$0.00 |
| 3050F |
|
129 |
127 |
$0.00 |
| 91300 |
|
66 |
65 |
$0.00 |
| 1159F |
|
25 |
25 |
$0.00 |
| 2022F |
|
31 |
31 |
$0.00 |