| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
431,942 |
347,727 |
$21.41M |
| T1015 |
Clinic visit/encounter, all-inclusive |
581,631 |
434,679 |
$10.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,217 |
45,757 |
$4.12M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46,851 |
41,953 |
$3.82M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45,200 |
38,407 |
$3.38M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42,739 |
37,738 |
$3.34M |
| 90832 |
Psychotherapy, 30 minutes with patient |
85,617 |
57,414 |
$3.22M |
| 59426 |
|
42,647 |
26,288 |
$3.13M |
| 59425 |
|
30,010 |
23,209 |
$2.08M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24,632 |
21,097 |
$1.93M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54,215 |
44,398 |
$1.66M |
| 90791 |
Psychiatric diagnostic evaluation |
12,850 |
9,998 |
$994K |
| D0120 |
Periodic oral evaluation - established patient |
46,396 |
39,864 |
$751K |
| D1110 |
Prophylaxis - adult |
21,857 |
18,598 |
$723K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,442 |
1,248 |
$696K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
10,050 |
8,466 |
$683K |
| D1120 |
Prophylaxis - child |
24,992 |
21,378 |
$629K |
| D1206 |
Topical application of fluoride varnish |
37,677 |
32,061 |
$613K |
| D0330 |
Panoramic radiographic image |
16,245 |
13,556 |
$575K |
| D1351 |
Sealant - per tooth |
29,981 |
6,397 |
$570K |
| D9999 |
Unspecified adjunctive procedure, by report |
81,637 |
51,724 |
$544K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
11,491 |
8,295 |
$517K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,048 |
3,968 |
$432K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
15,926 |
4,822 |
$431K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
12,319 |
8,352 |
$427K |
| 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 |
22,302 |
15,489 |
$401K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
8,002 |
7,015 |
$368K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15,447 |
13,022 |
$360K |
| D7140 |
Extraction, erupted tooth or exposed root |
7,086 |
3,887 |
$337K |
| 59025 |
Fetal non-stress test |
15,753 |
10,334 |
$336K |
| D0274 |
Bitewings - four radiographic images |
16,538 |
14,085 |
$289K |
| 99460 |
|
4,606 |
4,052 |
$289K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
6,755 |
5,818 |
$265K |
| 59430 |
|
2,890 |
1,939 |
$251K |
| 99235 |
|
2,784 |
2,279 |
$244K |
| D0272 |
Bitewings - two radiographic images |
11,413 |
9,748 |
$171K |
| D0210 |
Intraoral - complete series of radiographic images |
15,225 |
8,221 |
$167K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,934 |
2,479 |
$157K |
| 90686 |
|
63,433 |
55,178 |
$153K |
| 87210 |
|
37,119 |
14,670 |
$144K |
| D0140 |
Limited oral evaluation - problem focused |
5,758 |
4,656 |
$138K |
| 81025 |
|
23,621 |
19,205 |
$135K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
2,455 |
2,002 |
$126K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,322 |
1,862 |
$113K |
| 99205 |
Prolong outpt/office vis |
807 |
626 |
$108K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17,059 |
14,232 |
$107K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,372 |
1,204 |
$95K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,674 |
7,991 |
$95K |
| D4341 |
|
1,691 |
743 |
$92K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,558 |
1,185 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
839 |
713 |
$85K |
| D2331 |
|
1,532 |
1,100 |
$82K |
| 99385 |
|
1,489 |
1,330 |
$81K |
| D4346 |
|
1,121 |
925 |
$76K |
| D4910 |
|
4,357 |
3,728 |
$76K |
| 92015 |
Determination of refractive state |
7,051 |
5,499 |
$73K |
| D2330 |
|
1,608 |
1,135 |
$72K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,484 |
1,269 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,876 |
4,979 |
$69K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,763 |
2,272 |
$65K |
| 81002 |
|
24,868 |
18,023 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,322 |
7,760 |
$55K |
| D0220 |
Intraoral - periapical first radiographic image |
9,894 |
7,999 |
$54K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
983 |
795 |
$53K |
| D1354 |
|
1,299 |
324 |
$52K |
| 99462 |
|
1,746 |
1,369 |
$50K |
| D0240 |
|
4,830 |
2,053 |
$49K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
2,640 |
2,267 |
$48K |
| D2332 |
|
675 |
489 |
$43K |
| 99386 |
|
624 |
574 |
$32K |
| 98943 |
|
1,640 |
478 |
$30K |
| 83986 |
|
9,835 |
7,834 |
$27K |
| 99384 |
|
384 |
267 |
$27K |
| D0230 |
Intraoral - periapical each additional radiographic image |
11,076 |
3,639 |
$26K |
| D2335 |
|
298 |
221 |
$24K |
| 76830 |
Ultrasound, transvaginal |
453 |
420 |
$22K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,085 |
1,134 |
$21K |
| 59514 |
|
169 |
142 |
$20K |
| 76801 |
|
417 |
342 |
$19K |
| 99215 |
Prolong outpt/office vis |
175 |
150 |
$18K |
| 90677 |
|
3,564 |
3,191 |
$16K |
| D4342 |
|
599 |
309 |
$16K |
| 90651 |
|
8,484 |
7,346 |
$15K |
| 99354 |
|
484 |
327 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,264 |
1,041 |
$15K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
131 |
81 |
$14K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
181 |
137 |
$13K |
| 90715 |
|
2,754 |
2,192 |
$13K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
724 |
405 |
$11K |
| 90656 |
|
3,584 |
3,284 |
$11K |
| 82962 |
|
5,395 |
4,409 |
$10K |
| 98940 |
|
548 |
206 |
$9K |
| 85018 |
|
4,517 |
3,812 |
$8K |
| 99383 |
|
76 |
74 |
$7K |
| 99381 |
|
156 |
125 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
61 |
33 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
408 |
308 |
$4K |
| 90670 |
|
24,893 |
22,627 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
266 |
205 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
167 |
101 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
99 |
97 |
$2K |
| D2394 |
|
43 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
109 |
97 |
$2K |
| S4993 |
Contraceptive pills for birth control |
339 |
157 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
434 |
375 |
$2K |
| 99463 |
|
30 |
25 |
$2K |
| 90619 |
|
2,353 |
1,908 |
$1K |
| 86580 |
|
568 |
433 |
$976.59 |
| 90480 |
|
37 |
30 |
$895.85 |
| 92552 |
|
50 |
38 |
$657.82 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
61 |
57 |
$600.00 |
| 90710 |
|
1,448 |
1,224 |
$595.28 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
334 |
199 |
$580.57 |
| 90723 |
|
14,941 |
13,554 |
$489.24 |
| 90734 |
|
3,265 |
2,763 |
$467.93 |
| D2940 |
|
12 |
12 |
$461.92 |
| 0072A |
|
14 |
14 |
$446.52 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
140 |
78 |
$378.02 |
| 90620 |
|
882 |
759 |
$347.66 |
| 90632 |
|
25 |
24 |
$319.73 |
| 58300 |
|
117 |
103 |
$257.51 |
| 90716 |
|
1,063 |
939 |
$237.60 |
| 88720 |
|
175 |
62 |
$230.36 |
| 57454 |
|
146 |
139 |
$225.65 |
| 90633 |
|
12,522 |
11,283 |
$191.25 |
| 90707 |
|
1,009 |
892 |
$168.30 |
| D0270 |
|
15 |
14 |
$164.27 |
| 90648 |
|
10,101 |
9,252 |
$158.82 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
85 |
65 |
$142.72 |
| 90647 |
|
8,053 |
7,207 |
$138.77 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
353 |
269 |
$129.39 |
| 82044 |
|
192 |
180 |
$121.00 |
| 90688 |
|
430 |
365 |
$120.00 |
| 94664 |
|
12 |
12 |
$106.29 |
| 93000 |
|
194 |
175 |
$76.06 |
| 90732 |
|
95 |
90 |
$76.00 |
| 69210 |
|
68 |
54 |
$70.76 |
| 90696 |
|
1,210 |
1,041 |
$40.08 |
| 90698 |
|
4,449 |
4,083 |
$16.00 |
| 85610 |
|
15 |
12 |
$9.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
130 |
95 |
$8.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
87 |
63 |
$1.08 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
50 |
41 |
$0.08 |
| 90685 |
|
570 |
503 |
$0.00 |
| 90681 |
|
6,450 |
5,876 |
$0.00 |
| 91322 |
|
159 |
84 |
$0.00 |
| 91321 |
|
62 |
54 |
$0.00 |
| 90700 |
|
379 |
331 |
$0.00 |
| 99173 |
|
283 |
270 |
$0.00 |
| D0190 |
|
12 |
12 |
$0.00 |
| D0191 |
|
33 |
30 |
$0.00 |
| 11982 |
|
49 |
44 |
$0.00 |
| 99442 |
|
66 |
36 |
$0.00 |
| 11981 |
|
30 |
26 |
$0.00 |
| 96160 |
|
21 |
16 |
$0.00 |
| D0602 |
|
195 |
164 |
$0.00 |
| 90744 |
|
1,907 |
1,746 |
$0.00 |
| 97010 |
|
40 |
30 |
$0.00 |
| D9310 |
|
67 |
48 |
$0.00 |
| A9150 |
Non-prescription drugs |
348 |
262 |
$0.00 |
| CN006 |
|
18 |
13 |
$0.00 |
| D0603 |
|
437 |
406 |
$0.00 |
| 89060 |
|
18 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
110 |
85 |
$0.00 |
| 90381 |
|
63 |
58 |
$0.00 |
| 96380 |
|
61 |
57 |
$0.00 |
| D0601 |
|
102 |
91 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
26 |
26 |
$0.00 |
| 58301 |
|
46 |
42 |
$0.00 |
| 58100 |
|
14 |
12 |
$0.00 |