| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
352,425 |
291,137 |
$97.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177,481 |
166,732 |
$8.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,215 |
46,963 |
$3.09M |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
22,855 |
18,988 |
$1.49M |
| D0120 |
Periodic oral evaluation - established patient |
54,993 |
53,008 |
$1.43M |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
29,200 |
20,301 |
$1.36M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
35,281 |
33,441 |
$1.16M |
| T1002 |
Rn services, up to 15 minutes |
35,760 |
25,359 |
$987K |
| D0140 |
Limited oral evaluation - problem focused |
41,976 |
37,625 |
$930K |
| D4341 |
|
25,186 |
17,527 |
$850K |
| D7140 |
Extraction, erupted tooth or exposed root |
20,995 |
11,037 |
$815K |
| D1206 |
Topical application of fluoride varnish |
44,446 |
43,448 |
$795K |
| D0220 |
Intraoral - periapical first radiographic image |
91,840 |
87,481 |
$776K |
| 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 |
21,565 |
18,448 |
$681K |
| D1110 |
Prophylaxis - adult |
15,480 |
15,187 |
$624K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,734 |
7,319 |
$597K |
| D1120 |
Prophylaxis - child |
23,889 |
22,994 |
$542K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,869 |
16,950 |
$528K |
| D0330 |
Panoramic radiographic image |
17,291 |
16,395 |
$502K |
| D0274 |
Bitewings - four radiographic images |
43,369 |
41,804 |
$483K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,983 |
4,929 |
$422K |
| D0210 |
Intraoral - complete series of radiographic images |
9,862 |
9,273 |
$349K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,288 |
5,865 |
$309K |
| 59025 |
Fetal non-stress test |
6,919 |
3,487 |
$306K |
| 90686 |
|
20,668 |
20,287 |
$288K |
| D0230 |
Intraoral - periapical each additional radiographic image |
123,919 |
64,948 |
$264K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,861 |
2,831 |
$245K |
| D1351 |
Sealant - per tooth |
12,618 |
3,497 |
$232K |
| 90791 |
Psychiatric diagnostic evaluation |
2,519 |
2,493 |
$218K |
| 99215 |
Prolong outpt/office vis |
2,041 |
2,000 |
$188K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
1,846 |
1,685 |
$180K |
| S9482 |
Family stabilization services, per 15 minutes |
5,343 |
4,101 |
$147K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,374 |
2,322 |
$146K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,645 |
11,282 |
$135K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,221 |
995 |
$121K |
| D4346 |
|
1,575 |
1,562 |
$110K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,126 |
1,990 |
$92K |
| 96152 |
|
3,022 |
2,379 |
$83K |
| D9992 |
|
5,712 |
4,193 |
$82K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
5,401 |
4,285 |
$80K |
| T1017 |
Targeted case management, each 15 minutes |
3,213 |
2,430 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
782 |
773 |
$76K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,158 |
968 |
$74K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
1,557 |
1,186 |
$73K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,571 |
1,469 |
$72K |
| D0190 |
|
7,624 |
7,472 |
$72K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,788 |
1,739 |
$71K |
| D0272 |
Bitewings - two radiographic images |
7,286 |
7,081 |
$68K |
| D4910 |
|
1,135 |
1,098 |
$68K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
707 |
700 |
$67K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,360 |
795 |
$65K |
| S9470 |
Nutritional counseling, dietitian visit |
2,258 |
1,667 |
$58K |
| 90670 |
|
4,499 |
4,417 |
$47K |
| 90746 |
|
731 |
728 |
$42K |
| D2330 |
|
1,020 |
713 |
$39K |
| 99460 |
|
539 |
527 |
$39K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,086 |
1,897 |
$35K |
| D2140 |
|
899 |
661 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
817 |
251 |
$31K |
| 90651 |
|
912 |
899 |
$28K |
| D4342 |
|
1,742 |
1,214 |
$28K |
| 90715 |
|
1,141 |
1,121 |
$26K |
| D0270 |
|
3,599 |
3,389 |
$25K |
| D2332 |
|
232 |
180 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,112 |
2,066 |
$19K |
| D2331 |
|
306 |
257 |
$18K |
| 90633 |
|
1,901 |
1,875 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
197 |
190 |
$16K |
| 90680 |
|
1,794 |
1,758 |
$15K |
| 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 |
367 |
355 |
$15K |
| 91322 |
|
127 |
126 |
$14K |
| 90648 |
|
1,682 |
1,652 |
$13K |
| D0170 |
|
1,312 |
1,013 |
$12K |
| 90656 |
|
1,244 |
1,234 |
$12K |
| 91320 |
|
71 |
71 |
$10K |
| 59426 |
|
12 |
12 |
$10K |
| 90734 |
|
322 |
311 |
$10K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
91 |
81 |
$9K |
| 99177 |
|
728 |
715 |
$9K |
| 90713 |
|
312 |
309 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
590 |
574 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
719 |
668 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
480 |
472 |
$7K |
| 90480 |
|
344 |
343 |
$7K |
| 90716 |
|
384 |
382 |
$7K |
| 90723 |
|
961 |
939 |
$7K |
| 99442 |
|
157 |
151 |
$6K |
| 99441 |
|
241 |
232 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
62 |
$6K |
| D1354 |
|
1,354 |
352 |
$6K |
| 80305 |
|
407 |
363 |
$5K |
| 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 |
139 |
109 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
239 |
239 |
$4K |
| 90714 |
|
179 |
178 |
$4K |
| D9110 |
|
100 |
83 |
$3K |
| D2335 |
|
31 |
24 |
$3K |
| 90707 |
|
248 |
245 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$3K |
| 90677 |
|
177 |
176 |
$3K |
| 90685 |
|
672 |
662 |
$3K |
| 90697 |
|
170 |
169 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
209 |
178 |
$2K |
| 90619 |
|
114 |
113 |
$2K |
| 90688 |
|
199 |
198 |
$2K |
| 90698 |
|
266 |
262 |
$2K |
| D2394 |
|
14 |
14 |
$2K |
| 81003 |
|
827 |
801 |
$2K |
| 90710 |
|
173 |
171 |
$1K |
| 0031A |
|
41 |
41 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 90700 |
|
190 |
188 |
$1K |
| 97802 |
|
31 |
30 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$985.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
74 |
$923.34 |
| 99174 |
|
132 |
131 |
$845.22 |
| 90744 |
|
85 |
83 |
$731.05 |
| 90461 |
|
45 |
44 |
$682.91 |
| 85610 |
|
163 |
108 |
$649.52 |
| 99381 |
|
15 |
13 |
$640.01 |
| 99354 |
|
14 |
14 |
$632.15 |
| 36415 |
Collection of venous blood by venipuncture |
128 |
126 |
$593.43 |
| 99201 |
|
18 |
17 |
$515.31 |
| 90696 |
|
52 |
51 |
$488.11 |
| 90785 |
|
49 |
44 |
$410.24 |
| 98926 |
|
13 |
13 |
$353.57 |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$291.50 |
| 82962 |
|
121 |
119 |
$280.36 |
| 36416 |
|
150 |
144 |
$276.43 |
| 90674 |
|
15 |
14 |
$156.60 |
| 93000 |
|
15 |
15 |
$141.43 |
| D9995 |
|
14 |
14 |
$130.00 |
| 92015 |
Determination of refractive state |
14 |
13 |
$126.50 |
| 81002 |
|
30 |
30 |
$83.57 |
| 3044F |
|
26 |
26 |
$75.00 |
| 85018 |
|
29 |
28 |
$41.52 |
| D0350 |
|
138 |
102 |
$40.80 |
| 91321 |
|
16 |
16 |
$36.68 |
| D0603 |
|
123 |
69 |
$0.00 |