| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
25,224 |
17,485 |
$4.62M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154,481 |
143,174 |
$2.34M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,629 |
1,507 |
$1.18M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71,918 |
50,511 |
$833K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,898 |
39,579 |
$647K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51,301 |
48,509 |
$627K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16,003 |
15,752 |
$601K |
| 59425 |
|
9,545 |
7,696 |
$459K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,149 |
11,873 |
$429K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,688 |
10,424 |
$406K |
| D0120 |
Periodic oral evaluation - established patient |
7,399 |
6,868 |
$370K |
| 59426 |
|
6,644 |
3,939 |
$368K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,065 |
9,610 |
$297K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17,803 |
15,965 |
$241K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,168 |
4,055 |
$149K |
| 99460 |
|
1,732 |
1,679 |
$133K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,635 |
4,477 |
$128K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,374 |
11,036 |
$119K |
| 90619 |
|
1,306 |
1,242 |
$101K |
| 3008F |
|
107,175 |
99,956 |
$82K |
| 90686 |
|
18,041 |
16,869 |
$78K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,905 |
3,740 |
$78K |
| D1110 |
Prophylaxis - adult |
5,067 |
4,723 |
$78K |
| 90651 |
|
3,252 |
2,981 |
$76K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,980 |
3,719 |
$72K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,050 |
2,002 |
$71K |
| D0210 |
Intraoral - complete series of radiographic images |
2,966 |
2,856 |
$68K |
| 92552 |
|
16,902 |
16,788 |
$68K |
| 90461 |
|
4,957 |
4,740 |
$64K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,034 |
1,875 |
$56K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,205 |
1,551 |
$54K |
| 59514 |
|
66 |
65 |
$54K |
| D1206 |
Topical application of fluoride varnish |
4,344 |
4,212 |
$53K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,774 |
1,673 |
$52K |
| 0012A |
|
1,624 |
1,614 |
$50K |
| D1120 |
Prophylaxis - child |
3,533 |
3,408 |
$45K |
| 0011A |
|
1,563 |
1,550 |
$43K |
| 99385 |
|
1,321 |
1,260 |
$43K |
| 90674 |
|
2,639 |
2,634 |
$43K |
| 0001A |
|
1,085 |
1,066 |
$41K |
| 0002A |
|
843 |
833 |
$32K |
| D0140 |
Limited oral evaluation - problem focused |
6,663 |
6,282 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,868 |
3,640 |
$28K |
| D0220 |
Intraoral - periapical first radiographic image |
8,970 |
8,559 |
$26K |
| 99221 |
|
734 |
698 |
$25K |
| D0274 |
Bitewings - four radiographic images |
3,655 |
3,487 |
$25K |
| 81025 |
|
6,753 |
6,469 |
$23K |
| 11721 |
|
2,081 |
1,986 |
$22K |
| 90697 |
|
998 |
904 |
$22K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
752 |
504 |
$22K |
| 54150 |
|
181 |
181 |
$20K |
| 99234 |
|
271 |
231 |
$20K |
| 0064A |
|
689 |
656 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
487 |
444 |
$17K |
| 0072A |
|
417 |
405 |
$16K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
445 |
368 |
$16K |
| 0071A |
|
400 |
395 |
$15K |
| 59430 |
|
291 |
287 |
$14K |
| 90734 |
|
955 |
939 |
$14K |
| 97802 |
|
372 |
370 |
$13K |
| 90715 |
|
1,287 |
1,179 |
$11K |
| 90677 |
|
995 |
890 |
$11K |
| 90671 |
|
773 |
700 |
$11K |
| D1351 |
Sealant - per tooth |
937 |
122 |
$11K |
| 90670 |
|
2,005 |
1,828 |
$10K |
| 82948 |
|
11,973 |
11,384 |
$10K |
| 99386 |
|
251 |
240 |
$8K |
| 90656 |
|
2,227 |
2,223 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,095 |
2,583 |
$7K |
| 99173 |
|
14,573 |
14,466 |
$6K |
| 81000 |
|
6,836 |
5,125 |
$5K |
| 0004A |
|
169 |
160 |
$5K |
| 99381 |
|
249 |
225 |
$5K |
| 99215 |
Prolong outpt/office vis |
219 |
202 |
$5K |
| 90750 |
|
35 |
33 |
$5K |
| 97803 |
|
116 |
114 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
236 |
200 |
$4K |
| 83655 |
|
1,052 |
993 |
$4K |
| 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 |
8,838 |
8,292 |
$4K |
| 11720 |
|
587 |
574 |
$3K |
| 90633 |
|
1,962 |
1,782 |
$3K |
| D0601 |
|
422 |
417 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
278 |
273 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,362 |
3,188 |
$3K |
| 87210 |
|
1,105 |
1,060 |
$3K |
| 90710 |
|
476 |
426 |
$3K |
| 99462 |
|
424 |
314 |
$3K |
| 90716 |
|
344 |
310 |
$3K |
| 99188 |
|
235 |
235 |
$3K |
| 92081 |
|
359 |
329 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
157 |
144 |
$2K |
| 99383 |
|
85 |
82 |
$2K |
| D0240 |
|
681 |
274 |
$2K |
| 90474 |
|
237 |
232 |
$2K |
| 85018 |
|
2,511 |
2,402 |
$2K |
| 90696 |
|
404 |
362 |
$2K |
| D0272 |
Bitewings - two radiographic images |
328 |
326 |
$2K |
| 0134A |
|
73 |
67 |
$2K |
| 99384 |
|
37 |
37 |
$1K |
| 90620 |
|
49 |
46 |
$1K |
| D0603 |
|
174 |
172 |
$1K |
| 90707 |
|
282 |
255 |
$1K |
| 80305 |
|
260 |
243 |
$1K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
31 |
24 |
$1K |
| 90698 |
|
716 |
642 |
$1K |
| 82962 |
|
1,859 |
1,734 |
$849.93 |
| 99235 |
|
12 |
12 |
$842.14 |
| D4355 |
|
201 |
169 |
$828.00 |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$780.54 |
| 99201 |
|
39 |
39 |
$755.54 |
| 0124A |
|
28 |
28 |
$680.00 |
| 0503F |
|
253 |
248 |
$675.00 |
| 99496 |
|
13 |
13 |
$641.12 |
| 90662 |
|
90 |
83 |
$599.47 |
| 90681 |
|
625 |
549 |
$534.34 |
| 0054A |
|
14 |
13 |
$520.00 |
| 99241 |
|
160 |
105 |
$489.00 |
| 86580 |
|
143 |
126 |
$453.98 |
| 11056 |
|
87 |
87 |
$453.61 |
| D0602 |
|
86 |
85 |
$440.00 |
| 90658 |
|
29 |
29 |
$425.40 |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,727 |
2,296 |
$415.85 |
| 90791 |
Psychiatric diagnostic evaluation |
828 |
824 |
$402.92 |
| 36415 |
Collection of venous blood by venipuncture |
129 |
124 |
$268.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$238.47 |
| 90621 |
|
29 |
27 |
$200.00 |
| 3074F |
|
30,297 |
27,607 |
$150.00 |
| 90723 |
|
48 |
47 |
$150.00 |
| 3078F |
|
32,840 |
29,994 |
$150.00 |
| 90672 |
|
13 |
13 |
$142.20 |
| 96380 |
|
13 |
13 |
$126.48 |
| 90473 |
|
25 |
24 |
$113.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
98 |
$82.15 |
| 2010F |
|
33,262 |
29,645 |
$75.00 |
| 3351F |
|
11,372 |
10,331 |
$75.00 |
| 2001F |
|
32,206 |
28,779 |
$75.00 |
| 3079F |
|
11,530 |
10,677 |
$75.00 |
| 2000F |
|
28,617 |
25,687 |
$75.00 |
| G0008 |
Administration of influenza virus vaccine |
91 |
90 |
$54.06 |
| 93000 |
|
15 |
15 |
$53.72 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,644 |
1,716 |
$52.18 |
| 36416 |
|
1,171 |
1,107 |
$39.99 |
| D0270 |
|
13 |
13 |
$37.95 |
| 99421 |
|
40 |
40 |
$19.80 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
85 |
77 |
$13.23 |
| 91307 |
|
867 |
825 |
$7.00 |
| 91301 |
|
479 |
474 |
$3.00 |
| 91300 |
|
2,087 |
1,865 |
$1.00 |
| 3080F |
|
6,707 |
6,181 |
$0.00 |
| 1126F |
|
13,005 |
11,854 |
$0.00 |
| 1034F |
|
2,887 |
2,625 |
$0.00 |
| 4010F |
|
3,368 |
2,953 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,604 |
2,469 |
$0.00 |
| 3075F |
|
7,678 |
7,190 |
$0.00 |
| 1125F |
|
3,405 |
3,167 |
$0.00 |
| 1036F |
|
13,021 |
11,732 |
$0.00 |
| 0500F |
|
615 |
557 |
$0.00 |
| 3044F |
|
936 |
881 |
$0.00 |
| D1310 |
|
342 |
327 |
$0.00 |
| 4037F |
|
3,660 |
3,497 |
$0.00 |
| 91306 |
|
525 |
512 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
18 |
18 |
$0.00 |
| 3352F |
|
31 |
29 |
$0.00 |
| 90744 |
|
16 |
14 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$0.00 |
| 1160F |
|
20,575 |
18,618 |
$0.00 |
| 1159F |
|
20,573 |
18,617 |
$0.00 |
| 4274F |
|
11,339 |
10,213 |
$0.00 |
| 3077F |
|
13,272 |
12,186 |
$0.00 |
| 4004F |
|
343 |
319 |
$0.00 |
| 0502F |
|
16,576 |
11,127 |
$0.00 |
| 3046F |
|
107 |
102 |
$0.00 |
| D1999 |
|
200 |
132 |
$0.00 |
| 4040F |
|
3,560 |
3,133 |
$0.00 |
| 92015 |
Determination of refractive state |
13 |
13 |
$0.00 |
| 2028F |
|
114 |
112 |
$0.00 |
| 90700 |
|
28 |
26 |
$0.00 |
| 3051F |
|
63 |
60 |
$0.00 |
| 90648 |
|
47 |
41 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90713 |
|
17 |
13 |
$0.00 |