| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151,135 |
125,275 |
$772K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23,408 |
20,218 |
$267K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39,143 |
33,678 |
$254K |
| 99442 |
|
15,477 |
13,299 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31,367 |
27,342 |
$95K |
| 99497 |
|
23,765 |
22,684 |
$92K |
| D1110 |
Prophylaxis - adult |
2,459 |
2,058 |
$71K |
| 0012A |
|
2,356 |
2,223 |
$69K |
| 0002A |
|
2,986 |
2,589 |
$60K |
| 99441 |
|
9,982 |
8,755 |
$60K |
| 0001A |
|
3,395 |
2,834 |
$56K |
| 0011A |
|
2,024 |
1,828 |
$55K |
| 92002 |
|
1,760 |
1,596 |
$51K |
| 97802 |
|
2,570 |
2,326 |
$50K |
| 92015 |
Determination of refractive state |
3,155 |
2,846 |
$43K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
4,274 |
3,713 |
$39K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
5,588 |
5,156 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,183 |
4,699 |
$29K |
| 0003A |
|
1,296 |
1,168 |
$29K |
| 99401 |
|
20,467 |
13,685 |
$28K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,306 |
1,058 |
$28K |
| 0013A |
|
1,001 |
934 |
$26K |
| D0272 |
Bitewings - two radiographic images |
1,523 |
1,231 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,591 |
5,773 |
$20K |
| 97803 |
|
1,841 |
1,609 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,810 |
1,704 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,934 |
7,433 |
$19K |
| 90651 |
|
7,015 |
6,458 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
1,061 |
924 |
$16K |
| 0072A |
|
785 |
745 |
$15K |
| 92250 |
|
2,226 |
2,046 |
$14K |
| D0330 |
Panoramic radiographic image |
404 |
265 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,132 |
993 |
$13K |
| 99443 |
|
881 |
774 |
$12K |
| 0071A |
|
691 |
647 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
1,575 |
1,386 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,595 |
1,422 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
258 |
252 |
$11K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,427 |
3,301 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
678 |
556 |
$10K |
| 90733 |
|
3,584 |
3,255 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,018 |
840 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
477 |
423 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
271 |
259 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
457 |
422 |
$8K |
| 99347 |
|
1,338 |
1,289 |
$8K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
197 |
143 |
$6K |
| 90620 |
|
2,811 |
2,619 |
$5K |
| D1120 |
Prophylaxis - child |
250 |
203 |
$5K |
| 88142 |
|
477 |
256 |
$5K |
| 93000 |
|
1,951 |
1,861 |
$5K |
| D2140 |
|
151 |
95 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
269 |
262 |
$5K |
| 0004A |
|
500 |
479 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
64 |
63 |
$4K |
| 74018 |
|
606 |
545 |
$4K |
| D1330 |
|
750 |
648 |
$4K |
| 0064A |
|
296 |
268 |
$4K |
| 90670 |
|
7,865 |
7,051 |
$3K |
| 72100 |
|
586 |
502 |
$3K |
| 0124A |
|
124 |
96 |
$3K |
| 90686 |
|
5,127 |
4,446 |
$3K |
| 73620 |
|
565 |
413 |
$3K |
| 87536 |
|
421 |
385 |
$3K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
2,128 |
2,076 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
486 |
464 |
$2K |
| 73560 |
|
492 |
350 |
$2K |
| 73120 |
|
445 |
348 |
$2K |
| 70260 |
|
281 |
246 |
$2K |
| 70250 |
|
111 |
102 |
$2K |
| 90715 |
|
3,358 |
2,974 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
63 |
41 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,271 |
1,086 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
40 |
38 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
41 |
41 |
$2K |
| 90707 |
|
4,869 |
4,433 |
$2K |
| 76830 |
Ultrasound, transvaginal |
80 |
72 |
$1K |
| 90621 |
|
675 |
629 |
$1K |
| 86769 |
|
106 |
100 |
$1K |
| 86360 |
|
408 |
375 |
$1K |
| 90696 |
|
1,951 |
1,828 |
$1K |
| 90461 |
|
603 |
537 |
$1K |
| 76536 |
|
138 |
99 |
$1K |
| 90633 |
|
6,445 |
6,041 |
$1K |
| 88364 |
|
392 |
210 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
22 |
22 |
$1K |
| 72040 |
|
267 |
223 |
$1K |
| 90688 |
|
3,837 |
3,524 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,415 |
1,370 |
$1K |
| 73610 |
|
162 |
118 |
$1K |
| 90716 |
|
4,931 |
4,512 |
$994.38 |
| 0054A |
|
86 |
78 |
$960.00 |
| 90791 |
Psychiatric diagnostic evaluation |
1,158 |
1,149 |
$943.92 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,198 |
1,172 |
$900.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
847 |
809 |
$754.84 |
| 96160 |
|
6,654 |
5,620 |
$728.12 |
| 96127 |
|
5,208 |
4,858 |
$725.08 |
| 90681 |
|
1,644 |
1,454 |
$694.85 |
| 90723 |
|
1,740 |
1,562 |
$586.74 |
| 90698 |
|
2,586 |
2,323 |
$568.01 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,392 |
1,325 |
$543.43 |
| 80053 |
Comprehensive metabolic panel |
4,941 |
4,601 |
$537.92 |
| 80061 |
Lipid panel |
4,826 |
4,483 |
$518.73 |
| D2160 |
|
15 |
12 |
$515.35 |
| 90648 |
|
3,357 |
3,061 |
$500.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,622 |
1,457 |
$485.00 |
| 99050 |
|
4,959 |
4,462 |
$470.50 |
| 92551 |
|
1,065 |
1,051 |
$444.00 |
| 36415 |
Collection of venous blood by venipuncture |
299 |
283 |
$425.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
19 |
$370.62 |
| 73030 |
|
177 |
115 |
$368.86 |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,842 |
3,501 |
$351.44 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
419 |
409 |
$350.87 |
| 90732 |
|
42 |
40 |
$339.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,314 |
4,937 |
$321.07 |
| 73020 |
|
44 |
41 |
$304.95 |
| 99348 |
|
1,261 |
949 |
$302.38 |
| 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 |
124 |
104 |
$292.12 |
| 99051 |
|
253 |
248 |
$275.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
33 |
$270.74 |
| 90700 |
|
1,756 |
1,651 |
$252.96 |
| 99241 |
|
197 |
180 |
$243.03 |
| 99402 |
|
7,616 |
5,763 |
$225.00 |
| 71045 |
Radiologic examination, chest; single view |
81 |
60 |
$209.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,291 |
3,033 |
$208.04 |
| 92557 |
|
26 |
26 |
$204.00 |
| 90680 |
|
533 |
488 |
$192.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
153 |
143 |
$190.52 |
| 90744 |
|
1,351 |
1,196 |
$175.78 |
| 73100 |
|
41 |
24 |
$167.43 |
| 99173 |
|
1,295 |
1,170 |
$155.20 |
| 81001 |
|
4,841 |
4,324 |
$147.11 |
| 90734 |
|
1,024 |
976 |
$144.01 |
| 70150 |
|
16 |
15 |
$129.95 |
| 90656 |
|
247 |
210 |
$125.70 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
426 |
281 |
$124.69 |
| 84439 |
|
952 |
821 |
$117.84 |
| 82043 |
|
1,295 |
1,223 |
$117.50 |
| 84153 |
|
569 |
532 |
$107.44 |
| 82274 |
|
779 |
744 |
$106.19 |
| 86592 |
|
1,276 |
1,207 |
$104.52 |
| 93793 |
|
1,836 |
1,726 |
$102.56 |
| 99397 |
|
66 |
63 |
$87.50 |
| 76770 |
|
14 |
12 |
$81.82 |
| 99406 |
|
199 |
196 |
$73.79 |
| 87088 |
|
420 |
395 |
$46.32 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
70 |
66 |
$35.00 |
| 90736 |
|
124 |
80 |
$30.00 |
| 86701 |
|
724 |
697 |
$29.07 |
| 96161 |
|
365 |
353 |
$26.42 |
| 86702 |
|
235 |
228 |
$26.18 |
| 90658 |
|
55 |
46 |
$24.00 |
| 87400 |
|
122 |
115 |
$20.26 |
| 82550 |
|
79 |
73 |
$20.13 |
| 90672 |
|
81 |
71 |
$18.02 |
| 90647 |
|
177 |
167 |
$18.00 |
| 86580 |
|
80 |
75 |
$17.56 |
| 82607 |
|
110 |
109 |
$16.75 |
| 86710 |
|
58 |
53 |
$13.55 |
| 84480 |
|
162 |
155 |
$13.52 |
| 86738 |
|
66 |
62 |
$13.24 |
| 82044 |
|
80 |
80 |
$6.11 |
| 90660 |
|
35 |
19 |
$6.00 |
| 85651 |
|
83 |
80 |
$3.38 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
17 |
$1.28 |
| 2033F |
|
1,415 |
1,391 |
$0.11 |
| 3514F |
|
343 |
342 |
$0.05 |
| 91300 |
|
62 |
58 |
$0.03 |
| 1160F |
|
70,286 |
59,392 |
$0.02 |
| 1159F |
|
81,574 |
68,929 |
$0.02 |
| 96150 |
|
453 |
415 |
$0.02 |
| 3754F |
|
648 |
606 |
$0.02 |
| 2026F |
|
210 |
207 |
$0.01 |
| 3008F |
|
100,650 |
85,323 |
$0.01 |
| 1030F |
|
1,251 |
1,113 |
$0.01 |
| 3077F |
|
7,737 |
7,145 |
$0.00 |
| G9316 |
Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family |
9,499 |
9,206 |
$0.00 |
| 3078F |
|
50,133 |
43,124 |
$0.00 |
| 2028F |
|
3,925 |
3,315 |
$0.00 |
| 3725F |
|
54,880 |
51,036 |
$0.00 |
| 3015F |
|
1,604 |
1,521 |
$0.00 |
| 4013F |
|
1,448 |
1,355 |
$0.00 |
| 2014F |
|
155 |
149 |
$0.00 |
| 0521F |
|
701 |
679 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
17 |
16 |
$0.00 |
| 1033F |
|
2,340 |
1,780 |
$0.00 |
| 90749 |
|
2,088 |
1,920 |
$0.00 |
| 99408 |
|
5,732 |
5,557 |
$0.00 |
| 3016F |
|
940 |
917 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
608 |
574 |
$0.00 |
| 1124F |
|
200 |
32 |
$0.00 |
| 3050F |
|
655 |
630 |
$0.00 |
| 0518F |
|
165 |
162 |
$0.00 |
| 1158F |
|
3,019 |
2,432 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
60 |
$0.00 |
| 3288F |
|
1,076 |
629 |
$0.00 |
| 1090F |
|
95 |
89 |
$0.00 |
| 2022F |
|
303 |
230 |
$0.00 |
| 3028F |
|
424 |
377 |
$0.00 |
| 3650F |
|
252 |
250 |
$0.00 |
| 3511F |
|
211 |
202 |
$0.00 |
| 86703 |
|
514 |
394 |
$0.00 |
| 2024F |
|
95 |
89 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
78 |
75 |
$0.00 |
| 87660 |
|
32 |
32 |
$0.00 |
| 80074 |
|
27 |
27 |
$0.00 |
| 4012F |
|
70 |
63 |
$0.00 |
| 3045F |
|
13 |
12 |
$0.00 |
| 80305 |
|
149 |
134 |
$0.00 |
| 92225 |
|
259 |
109 |
$0.00 |
| 85610 |
|
150 |
134 |
$0.00 |
| 98960 |
|
165 |
161 |
$0.00 |
| 86038 |
|
26 |
25 |
$0.00 |
| 1039F |
|
44 |
37 |
$0.00 |
| 3051F |
|
24 |
24 |
$0.00 |
| 3095F |
|
28 |
27 |
$0.00 |
| 90750 |
|
85 |
56 |
$0.00 |
| 99421 |
|
27 |
27 |
$0.00 |
| 82947 |
|
29 |
26 |
$0.00 |
| 0575F |
|
13 |
13 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
14 |
14 |
$0.00 |
| 87177 |
|
15 |
12 |
$0.00 |
| 92552 |
|
13 |
13 |
$0.00 |
| 80164 |
|
30 |
24 |
$0.00 |
| 3049F |
|
1,315 |
1,232 |
$0.00 |
| 2000F |
|
29,579 |
21,023 |
$0.00 |
| 3074F |
|
47,393 |
40,233 |
$0.00 |
| 1126F |
|
75,214 |
64,535 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
1,620 |
1,572 |
$0.00 |
| 1125F |
|
17,419 |
15,320 |
$0.00 |
| 1000F |
|
20,112 |
12,532 |
$0.00 |
| 4010F |
|
2,905 |
2,621 |
$0.00 |
| 1220F |
|
16,612 |
10,825 |
$0.00 |
| 3079F |
|
17,636 |
15,284 |
$0.00 |
| 1123F |
|
25,852 |
24,337 |
$0.00 |
| 2001F |
|
44,034 |
32,779 |
$0.00 |
| 3075F |
|
9,330 |
8,253 |
$0.00 |
| 3011F |
|
2,120 |
2,031 |
$0.00 |
| 3014F |
|
734 |
655 |
$0.00 |
| 3017F |
|
4,120 |
3,918 |
$0.00 |
| 3048F |
|
4,546 |
4,365 |
$0.00 |
| 99385 |
|
38 |
38 |
$0.00 |
| 1101F |
|
1,569 |
1,012 |
$0.00 |
| 4000F |
|
920 |
890 |
$0.00 |
| 3072F |
|
1,970 |
1,879 |
$0.00 |
| 90619 |
|
434 |
425 |
$0.00 |
| 2010F |
|
5,685 |
5,173 |
$0.00 |
| 3044F |
|
5,998 |
5,213 |
$0.00 |
| 85027 |
|
417 |
258 |
$0.00 |
| 1170F |
|
7,237 |
6,334 |
$0.00 |
| 1036F |
|
3,368 |
3,109 |
$0.00 |
| 99368 |
|
378 |
364 |
$0.00 |
| 3061F |
|
818 |
743 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
330 |
323 |
$0.00 |
| 90697 |
|
168 |
165 |
$0.00 |
| 85730 |
|
134 |
120 |
$0.00 |
| 82575 |
|
27 |
25 |
$0.00 |
| 84436 |
|
574 |
447 |
$0.00 |
| 90677 |
|
154 |
45 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
123 |
119 |
$0.00 |
| D9210 |
|
33 |
31 |
$0.00 |
| 94010 |
|
56 |
41 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
590 |
567 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
12 |
12 |
$0.00 |
| 3120F |
|
133 |
127 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
570 |
542 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 1111F |
|
1,624 |
1,548 |
$0.00 |
| 82270 |
|
215 |
206 |
$0.00 |
| 99383 |
|
13 |
13 |
$0.00 |
| 3265F |
|
54 |
54 |
$0.00 |
| 1127F |
|
344 |
330 |
$0.00 |
| 80050 |
General health panel |
135 |
135 |
$0.00 |
| 87625 |
|
18 |
18 |
$0.00 |
| 86803 |
|
414 |
269 |
$0.00 |
| 99000 |
|
24 |
24 |
$0.00 |
| 3279F |
|
148 |
148 |
$0.00 |
| 3080F |
|
304 |
268 |
$0.00 |
| 1031F |
|
87 |
77 |
$0.00 |
| 84703 |
|
42 |
38 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |
| 99422 |
|
37 |
32 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
81 |
81 |
$0.00 |
| 87623 |
|
122 |
54 |
$0.00 |
| 4086F |
|
47 |
43 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
15 |
$0.00 |
| 87070 |
|
30 |
30 |
$0.00 |
| 86632 |
|
19 |
17 |
$0.00 |
| 98961 |
|
25 |
25 |
$0.00 |
| 99455 |
|
72 |
65 |
$0.00 |
| 3060F |
|
49 |
42 |
$0.00 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
15 |
15 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
15 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 82746 |
|
18 |
18 |
$0.00 |