| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,968 |
54,659 |
$3.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,963 |
11,407 |
$807K |
| D1110 |
Prophylaxis - adult |
17,850 |
9,010 |
$677K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,869 |
2,845 |
$415K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
10,732 |
5,021 |
$406K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,653 |
6,697 |
$335K |
| D0330 |
Panoramic radiographic image |
10,720 |
6,285 |
$299K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,499 |
4,371 |
$265K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23,318 |
18,915 |
$259K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,844 |
1,408 |
$244K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,030 |
3,723 |
$244K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,875 |
6,389 |
$225K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
3,777 |
2,152 |
$215K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
7,417 |
4,252 |
$203K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,870 |
1,838 |
$196K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,320 |
1,965 |
$164K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,244 |
1,552 |
$160K |
| D0140 |
Limited oral evaluation - problem focused |
5,570 |
3,382 |
$151K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,867 |
2,506 |
$149K |
| 90791 |
Psychiatric diagnostic evaluation |
1,522 |
957 |
$128K |
| D0120 |
Periodic oral evaluation - established patient |
3,405 |
2,231 |
$105K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,701 |
8,475 |
$96K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,609 |
1,396 |
$96K |
| D0274 |
Bitewings - four radiographic images |
3,350 |
2,477 |
$81K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,011 |
715 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,079 |
1,337 |
$77K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,819 |
5,512 |
$57K |
| 99422 |
|
1,962 |
792 |
$52K |
| Q3014 |
Telehealth originating site facility fee |
2,628 |
1,658 |
$52K |
| 99442 |
|
1,514 |
845 |
$51K |
| 90658 |
|
5,598 |
5,057 |
$47K |
| 99385 |
|
1,141 |
595 |
$46K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,475 |
529 |
$41K |
| D1120 |
Prophylaxis - child |
1,119 |
899 |
$39K |
| 99447 |
|
921 |
428 |
$38K |
| 87210 |
|
3,474 |
2,222 |
$34K |
| D0220 |
Intraoral - periapical first radiographic image |
2,419 |
1,757 |
$31K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,291 |
2,145 |
$30K |
| D0210 |
Intraoral - complete series of radiographic images |
1,670 |
1,651 |
$26K |
| 90715 |
|
1,453 |
1,096 |
$23K |
| 3074F |
|
4,372 |
2,864 |
$22K |
| D9110 |
|
684 |
602 |
$21K |
| 98968 |
|
694 |
277 |
$20K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
264 |
169 |
$19K |
| D9995 |
|
690 |
405 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
588 |
253 |
$18K |
| 88150 |
|
1,608 |
1,394 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,532 |
1,492 |
$17K |
| 3008F |
|
3,709 |
2,530 |
$16K |
| D7140 |
Extraction, erupted tooth or exposed root |
335 |
146 |
$15K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
177 |
119 |
$13K |
| 36416 |
|
1,601 |
1,167 |
$11K |
| D0180 |
|
1,401 |
1,147 |
$11K |
| 0031A |
|
381 |
380 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
714 |
711 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
844 |
709 |
$9K |
| 81025 |
|
1,787 |
1,497 |
$9K |
| 99446 |
|
193 |
100 |
$9K |
| 99441 |
|
405 |
289 |
$8K |
| 98967 |
|
316 |
169 |
$8K |
| 99383 |
|
283 |
107 |
$6K |
| 96127 |
|
4,638 |
4,602 |
$5K |
| 98966 |
|
141 |
71 |
$5K |
| 90633 |
|
1,519 |
1,106 |
$5K |
| 97162 |
|
144 |
109 |
$5K |
| 86580 |
|
1,186 |
1,096 |
$5K |
| 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 |
1,477 |
1,261 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
433 |
308 |
$5K |
| 99384 |
|
128 |
62 |
$4K |
| 90620 |
|
427 |
400 |
$4K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
77 |
53 |
$4K |
| 99443 |
|
103 |
66 |
$4K |
| 90670 |
|
1,362 |
1,219 |
$4K |
| 0004A |
|
90 |
89 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
278 |
63 |
$3K |
| 99401 |
|
224 |
223 |
$3K |
| 90651 |
|
1,192 |
1,149 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
25 |
$3K |
| 86701 |
|
348 |
347 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
661 |
646 |
$3K |
| 97014 |
|
735 |
276 |
$3K |
| 90696 |
|
297 |
170 |
$2K |
| D1206 |
Topical application of fluoride varnish |
94 |
86 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
401 |
134 |
$2K |
| 99406 |
|
255 |
253 |
$2K |
| 90716 |
|
42 |
42 |
$2K |
| 83655 |
|
363 |
263 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35 |
34 |
$1K |
| 0071A |
|
39 |
39 |
$1K |
| 0002A |
|
37 |
37 |
$1K |
| 90707 |
|
39 |
39 |
$1K |
| 3079F |
|
696 |
672 |
$1K |
| 90686 |
|
1,249 |
1,233 |
$1K |
| 3078F |
|
1,723 |
1,658 |
$1K |
| 81002 |
|
435 |
415 |
$1K |
| 99381 |
|
27 |
12 |
$1K |
| 0001A |
|
26 |
26 |
$1K |
| 0034A |
|
25 |
25 |
$1K |
| 85018 |
|
403 |
335 |
$974.46 |
| 99386 |
|
13 |
13 |
$973.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
196 |
$952.56 |
| G2063 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes |
38 |
15 |
$825.64 |
| 99382 |
|
24 |
12 |
$650.92 |
| 0072A |
|
16 |
16 |
$600.00 |
| D0272 |
Bitewings - two radiographic images |
38 |
38 |
$593.60 |
| 90734 |
|
1,282 |
1,244 |
$560.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
141 |
100 |
$448.59 |
| 90697 |
|
222 |
166 |
$403.47 |
| 3046F |
|
206 |
186 |
$396.97 |
| 90750 |
|
15 |
15 |
$367.50 |
| 90656 |
|
73 |
64 |
$329.97 |
| 99407 |
|
42 |
39 |
$290.28 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
20 |
19 |
$285.20 |
| 97032 |
|
76 |
24 |
$194.68 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
304 |
298 |
$173.55 |
| 90474 |
|
12 |
12 |
$139.54 |
| 90648 |
|
329 |
317 |
$133.63 |
| 3077F |
|
49 |
41 |
$122.70 |
| 90671 |
|
328 |
315 |
$102.68 |
| 90723 |
|
508 |
504 |
$78.40 |
| 90710 |
|
694 |
693 |
$57.85 |
| 94760 |
|
456 |
454 |
$50.25 |
| 94150 |
|
199 |
196 |
$27.71 |
| 82272 |
|
60 |
59 |
$20.74 |
| 3080F |
|
14 |
14 |
$7.00 |
| 93770 |
|
21 |
20 |
$4.47 |
| 90647 |
|
224 |
224 |
$0.00 |
| 90677 |
|
46 |
46 |
$0.00 |
| 3044F |
|
56 |
56 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 90713 |
|
40 |
40 |
$0.00 |
| 90681 |
|
96 |
96 |
$0.00 |
| 1159F |
|
25 |
25 |
$0.00 |
| 90649 |
|
17 |
17 |
$0.00 |