| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,500 |
50,583 |
$7.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,943 |
30,587 |
$4.41M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,276 |
15,301 |
$2.42M |
| D0120 |
Periodic oral evaluation - established patient |
36,270 |
12,684 |
$2.20M |
| D0190 |
|
8,458 |
3,238 |
$603K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24,293 |
3,876 |
$579K |
| 11719 |
|
3,811 |
3,579 |
$491K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
8,887 |
2,088 |
$331K |
| D4341 |
|
1,846 |
836 |
$262K |
| G0127 |
Trimming of dystrophic nails, any number |
1,829 |
1,758 |
$231K |
| 90791 |
Psychiatric diagnostic evaluation |
1,114 |
636 |
$132K |
| D1110 |
Prophylaxis - adult |
2,643 |
1,649 |
$127K |
| 97763 |
|
911 |
898 |
$121K |
| 36415 |
Collection of venous blood by venipuncture |
5,085 |
3,405 |
$108K |
| D0140 |
Limited oral evaluation - problem focused |
1,673 |
928 |
$88K |
| 11720 |
|
621 |
603 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
537 |
374 |
$66K |
| D9997 |
|
888 |
294 |
$64K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
372 |
324 |
$64K |
| 90756 |
|
2,459 |
1,275 |
$59K |
| 95812 |
|
176 |
174 |
$49K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
310 |
301 |
$42K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
320 |
98 |
$36K |
| 11721 |
|
308 |
282 |
$33K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
940 |
904 |
$23K |
| 92550 |
|
323 |
108 |
$23K |
| D0230 |
Intraoral - periapical each additional radiographic image |
771 |
316 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
268 |
95 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
449 |
244 |
$21K |
| 0012A |
|
711 |
711 |
$20K |
| D9995 |
|
423 |
203 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
525 |
307 |
$14K |
| 95700 |
|
93 |
51 |
$14K |
| 0064A |
|
376 |
373 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
559 |
426 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,225 |
834 |
$13K |
| 99442 |
|
243 |
232 |
$12K |
| 92015 |
Determination of refractive state |
92 |
46 |
$12K |
| 0011A |
|
647 |
646 |
$11K |
| D4910 |
|
153 |
112 |
$10K |
| 99443 |
|
117 |
107 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
562 |
399 |
$8K |
| D0274 |
Bitewings - four radiographic images |
365 |
362 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
191 |
163 |
$7K |
| D9945 |
|
66 |
58 |
$7K |
| 97760 |
|
88 |
88 |
$7K |
| 99215 |
Prolong outpt/office vis |
71 |
49 |
$5K |
| 95719 |
|
24 |
24 |
$5K |
| D2140 |
|
28 |
24 |
$4K |
| 99201 |
|
48 |
23 |
$4K |
| 95708 |
|
12 |
12 |
$4K |
| 0134A |
|
156 |
156 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
23 |
15 |
$3K |
| 90688 |
|
112 |
112 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
17 |
16 |
$3K |
| 90661 |
|
126 |
110 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 86769 |
|
50 |
13 |
$1K |
| 91322 |
|
12 |
12 |
$906.50 |
| G0008 |
Administration of influenza virus vaccine |
186 |
124 |
$700.56 |
| 0004A |
|
14 |
14 |
$498.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
38 |
37 |
$468.43 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$359.29 |
| 90480 |
|
12 |
12 |
$280.00 |
| 99051 |
|
14 |
14 |
$192.42 |