| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
2,580,849 |
2,254,829 |
$13.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,777 |
16,857 |
$1.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,495 |
8,671 |
$1.17M |
| 99502 |
|
13,363 |
11,196 |
$774K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50,546 |
44,805 |
$692K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26,162 |
23,336 |
$678K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,074 |
6,546 |
$647K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,184 |
5,665 |
$529K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,005 |
4,547 |
$472K |
| D0120 |
Periodic oral evaluation - established patient |
15,535 |
15,218 |
$464K |
| 99501 |
|
8,355 |
6,841 |
$447K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
5,096 |
3,424 |
$434K |
| D1120 |
Prophylaxis - child |
12,413 |
12,122 |
$386K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
7,615 |
6,938 |
$364K |
| T1001 |
Nursing assessment / evaluation |
4,516 |
3,639 |
$307K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,561 |
1,855 |
$286K |
| D1206 |
Topical application of fluoride varnish |
14,376 |
13,672 |
$259K |
| D1351 |
Sealant - per tooth |
7,689 |
2,699 |
$240K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,730 |
1,516 |
$219K |
| D1110 |
Prophylaxis - adult |
4,696 |
4,608 |
$209K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,567 |
5,001 |
$176K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17,175 |
15,386 |
$163K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,348 |
1,285 |
$153K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
788 |
738 |
$153K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,088 |
1,034 |
$148K |
| 59426 |
|
224 |
220 |
$142K |
| 59430 |
|
1,088 |
1,034 |
$130K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,626 |
2,542 |
$127K |
| D0272 |
Bitewings - two radiographic images |
5,812 |
5,637 |
$121K |
| D1208 |
Topical application of fluoride, excluding varnish |
7,293 |
7,187 |
$119K |
| D0220 |
Intraoral - periapical first radiographic image |
5,745 |
5,534 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,091 |
951 |
$98K |
| 92551 |
|
12,355 |
10,862 |
$95K |
| D0145 |
Oral evaluation for a patient under three years of age |
3,008 |
2,649 |
$89K |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,539 |
3,733 |
$86K |
| D0274 |
Bitewings - four radiographic images |
2,457 |
2,396 |
$85K |
| 96127 |
|
16,412 |
14,290 |
$80K |
| 81025 |
|
10,416 |
8,937 |
$79K |
| 36415 |
Collection of venous blood by venipuncture |
29,444 |
24,337 |
$73K |
| 90651 |
|
2,679 |
2,361 |
$72K |
| 85018 |
|
21,084 |
18,413 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,218 |
973 |
$57K |
| 90715 |
|
4,045 |
3,452 |
$57K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
321 |
217 |
$52K |
| 99381 |
|
515 |
437 |
$46K |
| 90480 |
|
1,006 |
937 |
$45K |
| 90716 |
|
1,881 |
1,648 |
$45K |
| 90739 |
|
297 |
274 |
$37K |
| 99215 |
Prolong outpt/office vis |
291 |
256 |
$36K |
| 90474 |
|
2,265 |
2,099 |
$33K |
| T1002 |
Rn services, up to 15 minutes |
1,334 |
1,161 |
$32K |
| 87210 |
|
6,212 |
5,174 |
$28K |
| 82950 |
|
4,528 |
4,009 |
$28K |
| 90734 |
|
2,148 |
1,801 |
$28K |
| S9442 |
Birthing classes, non-physician provider, per session |
1,673 |
845 |
$27K |
| 90707 |
|
1,027 |
903 |
$27K |
| 81003 |
|
9,079 |
7,922 |
$24K |
| 91322 |
|
363 |
342 |
$24K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
248 |
189 |
$24K |
| 90713 |
|
1,943 |
1,734 |
$24K |
| 99441 |
|
432 |
386 |
$23K |
| 90688 |
|
3,718 |
3,466 |
$21K |
| 90620 |
|
621 |
509 |
$20K |
| 76801 |
|
195 |
187 |
$19K |
| 82120 |
|
4,607 |
3,727 |
$18K |
| 90632 |
|
231 |
215 |
$18K |
| 99205 |
Prolong outpt/office vis |
100 |
58 |
$16K |
| 96161 |
|
4,371 |
4,044 |
$16K |
| D7140 |
Extraction, erupted tooth or exposed root |
222 |
139 |
$14K |
| D1354 |
|
1,794 |
686 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
5,350 |
4,949 |
$13K |
| 96160 |
|
3,354 |
2,890 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
73 |
$10K |
| 90686 |
|
12,790 |
11,164 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
670 |
579 |
$9K |
| 82947 |
|
1,932 |
1,706 |
$9K |
| 92587 |
|
252 |
237 |
$8K |
| 99385 |
|
44 |
41 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
89 |
86 |
$6K |
| 99443 |
|
39 |
38 |
$5K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
12 |
$5K |
| 99173 |
|
12,354 |
10,920 |
$4K |
| 99383 |
|
39 |
39 |
$4K |
| 90619 |
|
1,424 |
1,194 |
$3K |
| 99417 |
Prolong home eval add 15m |
51 |
28 |
$3K |
| 90714 |
|
263 |
237 |
$3K |
| 90746 |
|
45 |
44 |
$2K |
| 90473 |
|
165 |
162 |
$2K |
| 90633 |
|
3,870 |
3,474 |
$2K |
| 82951 |
|
93 |
85 |
$2K |
| 90670 |
|
7,382 |
6,802 |
$2K |
| 90658 |
|
102 |
97 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
114 |
92 |
$1K |
| 99442 |
|
12 |
12 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
25 |
24 |
$970.56 |
| 97802 |
|
20 |
16 |
$808.83 |
| 0124A |
|
13 |
12 |
$780.00 |
| 90656 |
|
62 |
43 |
$779.12 |
| 90744 |
|
3,286 |
3,016 |
$697.17 |
| 71045 |
Radiologic examination, chest; single view |
38 |
38 |
$617.12 |
| 90672 |
|
395 |
382 |
$543.48 |
| 88738 |
|
69 |
64 |
$385.86 |
| 82952 |
|
60 |
53 |
$323.22 |
| 90677 |
|
783 |
748 |
$268.63 |
| 0071A |
|
12 |
12 |
$262.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$202.66 |
| 87420 |
|
14 |
12 |
$174.24 |
| 90697 |
|
562 |
495 |
$138.72 |
| 86580 |
|
21 |
18 |
$55.90 |
| 90661 |
|
623 |
596 |
$32.65 |
| 90698 |
|
4,034 |
3,821 |
$0.00 |
| 90696 |
|
180 |
171 |
$0.00 |
| 90723 |
|
67 |
55 |
$0.00 |
| 86901 |
|
13 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
42 |
36 |
$0.00 |
| 86762 |
|
13 |
12 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
54 |
49 |
$0.00 |
| 86850 |
|
13 |
12 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90647 |
|
92 |
91 |
$0.00 |
| 87340 |
|
29 |
24 |
$0.00 |
| 98619 |
|
12 |
12 |
$0.00 |
| 90381 |
|
21 |
21 |
$0.00 |
| 90681 |
|
1,968 |
1,820 |
$0.00 |
| 90710 |
|
533 |
470 |
$0.00 |
| 90685 |
|
1,485 |
1,458 |
$0.00 |
| 91321 |
|
227 |
216 |
$0.00 |
| 90700 |
|
299 |
280 |
$0.00 |
| 86787 |
|
30 |
25 |
$0.00 |
| 99177 |
|
880 |
781 |
$0.00 |
| 90380 |
|
28 |
24 |
$0.00 |
| 86900 |
|
13 |
12 |
$0.00 |