| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
216,841 |
187,026 |
$7.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,634 |
29,435 |
$1.52M |
| D0140 |
Limited oral evaluation - problem focused |
19,769 |
19,199 |
$739K |
| D7140 |
Extraction, erupted tooth or exposed root |
14,285 |
7,058 |
$657K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,213 |
18,699 |
$593K |
| D1110 |
Prophylaxis - adult |
13,160 |
12,938 |
$565K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
9,985 |
6,938 |
$560K |
| D0330 |
Panoramic radiographic image |
12,489 |
12,244 |
$533K |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,660 |
6,492 |
$433K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,524 |
7,927 |
$409K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,222 |
5,118 |
$381K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,684 |
4,573 |
$343K |
| D0120 |
Periodic oral evaluation - established patient |
11,910 |
11,714 |
$293K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20,088 |
19,089 |
$276K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
9,010 |
8,839 |
$270K |
| 90461 |
|
8,089 |
7,892 |
$251K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,827 |
8,681 |
$240K |
| D0274 |
Bitewings - four radiographic images |
9,800 |
9,644 |
$230K |
| 90791 |
Psychiatric diagnostic evaluation |
2,681 |
2,551 |
$222K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,039 |
2,182 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,234 |
3,114 |
$208K |
| D0220 |
Intraoral - periapical first radiographic image |
20,987 |
20,367 |
$178K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
4,141 |
2,867 |
$178K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,059 |
2,003 |
$172K |
| 36415 |
Collection of venous blood by venipuncture |
45,346 |
41,060 |
$153K |
| D1120 |
Prophylaxis - child |
3,181 |
3,135 |
$151K |
| 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 |
13,530 |
7,161 |
$134K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,469 |
8,926 |
$128K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
2,058 |
1,598 |
$128K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,306 |
8,871 |
$122K |
| D1206 |
Topical application of fluoride varnish |
7,069 |
6,947 |
$103K |
| 80305 |
|
8,937 |
5,681 |
$88K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,333 |
4,101 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,285 |
1,177 |
$76K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,160 |
819 |
$66K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,486 |
3,916 |
$60K |
| D9110 |
|
2,119 |
2,018 |
$52K |
| 0012A |
|
932 |
902 |
$34K |
| 90686 |
|
11,010 |
10,631 |
$33K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
434 |
401 |
$31K |
| 0011A |
|
938 |
848 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
546 |
503 |
$25K |
| 81025 |
|
3,333 |
2,757 |
$23K |
| D0272 |
Bitewings - two radiographic images |
1,405 |
1,389 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,271 |
3,012 |
$20K |
| 0001A |
|
538 |
518 |
$20K |
| 0002A |
|
497 |
484 |
$19K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
586 |
538 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
961 |
851 |
$16K |
| 90688 |
|
2,514 |
2,411 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
153 |
$13K |
| 0064A |
|
415 |
350 |
$12K |
| 90632 |
|
257 |
252 |
$12K |
| 0071A |
|
277 |
253 |
$10K |
| 90670 |
|
2,329 |
2,262 |
$10K |
| 95117 |
|
613 |
249 |
$8K |
| D2331 |
|
134 |
101 |
$7K |
| 36416 |
|
5,582 |
5,185 |
$6K |
| 90651 |
|
482 |
471 |
$6K |
| 90656 |
|
756 |
748 |
$5K |
| 96127 |
|
1,999 |
1,863 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
165 |
$5K |
| 83655 |
|
510 |
501 |
$5K |
| D2332 |
|
67 |
54 |
$5K |
| 0134A |
|
152 |
141 |
$4K |
| 99383 |
|
60 |
56 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
621 |
516 |
$4K |
| 98967 |
|
224 |
156 |
$4K |
| D1351 |
Sealant - per tooth |
167 |
48 |
$4K |
| 0124A |
|
80 |
70 |
$3K |
| 87807 |
|
217 |
201 |
$3K |
| 0072A |
|
64 |
62 |
$2K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
16 |
13 |
$2K |
| 90734 |
|
292 |
284 |
$2K |
| 81002 |
|
2,519 |
2,314 |
$2K |
| 91322 |
|
14 |
14 |
$2K |
| 85018 |
|
957 |
933 |
$2K |
| 90698 |
|
734 |
719 |
$2K |
| D2335 |
|
16 |
12 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
518 |
436 |
$1K |
| 90680 |
|
694 |
674 |
$1K |
| 99173 |
|
51 |
50 |
$1K |
| 0054A |
|
44 |
29 |
$1K |
| 90633 |
|
1,207 |
1,164 |
$995.60 |
| 90715 |
|
131 |
125 |
$986.46 |
| 99381 |
|
13 |
12 |
$942.96 |
| D2394 |
|
13 |
12 |
$924.84 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$897.11 |
| 99442 |
|
22 |
17 |
$862.74 |
| 82962 |
|
357 |
323 |
$834.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
75 |
65 |
$772.08 |
| 90710 |
|
36 |
36 |
$630.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
75 |
$628.49 |
| 0004A |
|
17 |
17 |
$600.00 |
| 99051 |
|
258 |
244 |
$576.00 |
| 92551 |
|
51 |
50 |
$563.04 |
| 82948 |
|
170 |
152 |
$561.96 |
| 98968 |
|
18 |
12 |
$483.58 |
| 90480 |
|
13 |
13 |
$470.00 |
| 90620 |
|
47 |
46 |
$419.94 |
| 85027 |
|
64 |
58 |
$414.93 |
| 90707 |
|
12 |
12 |
$336.84 |
| 93000 |
|
16 |
14 |
$308.24 |
| 80074 |
|
53 |
51 |
$300.24 |
| 81000 |
|
231 |
218 |
$263.68 |
| 90671 |
|
129 |
128 |
$246.27 |
| 90648 |
|
442 |
428 |
$235.93 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,140 |
1,078 |
$230.05 |
| 80053 |
Comprehensive metabolic panel |
1,698 |
1,608 |
$212.09 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
96 |
91 |
$193.72 |
| 90696 |
|
12 |
12 |
$192.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
707 |
670 |
$185.48 |
| 87140 |
|
33 |
33 |
$180.60 |
| 99441 |
|
18 |
16 |
$176.80 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
19 |
17 |
$131.41 |
| A9150 |
Non-prescription drugs |
751 |
709 |
$116.00 |
| 80061 |
Lipid panel |
812 |
783 |
$112.53 |
| 90785 |
|
16 |
13 |
$102.98 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
13 |
$101.81 |
| 90744 |
|
227 |
220 |
$96.88 |
| 90619 |
|
73 |
73 |
$94.53 |
| 90723 |
|
155 |
153 |
$70.72 |
| 82746 |
|
119 |
116 |
$57.08 |
| 90685 |
|
296 |
281 |
$55.56 |
| 82607 |
|
121 |
118 |
$55.53 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
26 |
$52.98 |
| 86701 |
|
124 |
117 |
$32.41 |
| 94760 |
|
31 |
27 |
$21.56 |
| 86592 |
|
17 |
17 |
$10.54 |
| G0008 |
Administration of influenza virus vaccine |
39 |
36 |
$8.97 |
| 87081 |
|
182 |
177 |
$8.18 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
17 |
14 |
$0.53 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.36 |
| 82043 |
|
15 |
12 |
$0.00 |
| 82550 |
|
29 |
27 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
56 |
54 |
$0.00 |
| 87070 |
|
79 |
78 |
$0.00 |
| 87480 |
|
52 |
52 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
13 |
$0.00 |
| 82570 |
|
13 |
13 |
$0.00 |