| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,574 |
41,120 |
$19.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,810 |
11,665 |
$4.64M |
| D0220 |
Intraoral - periapical first radiographic image |
10,238 |
9,718 |
$4.39M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,979 |
2,910 |
$3.94M |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
12,005 |
3,880 |
$2.47M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,036 |
6,110 |
$2.23M |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,624 |
2,297 |
$1.68M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,445 |
3,394 |
$1.61M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,442 |
2,348 |
$1.01M |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
4,505 |
2,898 |
$959K |
| 91300 |
|
1,554 |
1,452 |
$769K |
| 90686 |
|
2,817 |
2,770 |
$766K |
| D1351 |
Sealant - per tooth |
8,607 |
2,512 |
$752K |
| 99000 |
|
3,101 |
2,943 |
$691K |
| D0120 |
Periodic oral evaluation - established patient |
8,814 |
8,529 |
$635K |
| D0140 |
Limited oral evaluation - problem focused |
2,754 |
2,585 |
$579K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,366 |
9,019 |
$564K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,168 |
849 |
$528K |
| 97161 |
|
825 |
818 |
$480K |
| D2140 |
|
2,680 |
1,785 |
$476K |
| D0274 |
Bitewings - four radiographic images |
6,345 |
6,119 |
$447K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,155 |
965 |
$396K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,849 |
1,006 |
$332K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
591 |
524 |
$305K |
| 0004A |
|
794 |
789 |
$305K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
485 |
474 |
$240K |
| D1206 |
Topical application of fluoride varnish |
10,120 |
9,775 |
$230K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,523 |
2,257 |
$230K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,011 |
1,023 |
$216K |
| 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 |
15,574 |
11,560 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
387 |
377 |
$201K |
| D0272 |
Bitewings - two radiographic images |
2,170 |
2,091 |
$185K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
393 |
272 |
$181K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,357 |
1,288 |
$176K |
| D1110 |
Prophylaxis - adult |
3,897 |
3,749 |
$175K |
| D0330 |
Panoramic radiographic image |
2,008 |
1,916 |
$161K |
| 99442 |
|
482 |
452 |
$153K |
| D2331 |
|
841 |
567 |
$146K |
| 36415 |
Collection of venous blood by venipuncture |
5,521 |
5,109 |
$145K |
| D2160 |
|
603 |
473 |
$133K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
307 |
294 |
$123K |
| 90688 |
|
318 |
317 |
$123K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
508 |
417 |
$119K |
| 90834 |
Psychotherapy, 45 minutes with patient |
322 |
242 |
$115K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,792 |
5,367 |
$110K |
| D0230 |
Intraoral - periapical each additional radiographic image |
14,677 |
7,805 |
$99K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,730 |
1,669 |
$98K |
| 99441 |
|
459 |
418 |
$88K |
| D1120 |
Prophylaxis - child |
4,473 |
4,316 |
$86K |
| D2330 |
|
441 |
258 |
$62K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
934 |
544 |
$60K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
209 |
176 |
$59K |
| 97014 |
|
14,509 |
4,298 |
$56K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,870 |
4,684 |
$49K |
| D0470 |
|
223 |
212 |
$48K |
| 0124A |
|
84 |
84 |
$45K |
| 99307 |
|
3,115 |
1,766 |
$42K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
699 |
394 |
$42K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
102 |
54 |
$41K |
| 97032 |
|
2,060 |
735 |
$39K |
| 80053 |
Comprehensive metabolic panel |
4,858 |
4,584 |
$39K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
84 |
81 |
$38K |
| 91322 |
|
110 |
110 |
$38K |
| D1352 |
|
785 |
451 |
$37K |
| 90656 |
|
126 |
121 |
$35K |
| V2020 |
Frames, purchases |
3,859 |
3,780 |
$34K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
137 |
130 |
$34K |
| 91307 |
|
50 |
50 |
$32K |
| 91320 |
|
185 |
180 |
$30K |
| 80061 |
Lipid panel |
2,223 |
2,143 |
$26K |
| 92310 |
|
219 |
214 |
$24K |
| D1354 |
|
535 |
414 |
$24K |
| 90619 |
|
95 |
93 |
$23K |
| 90715 |
|
206 |
199 |
$22K |
| D0240 |
|
733 |
352 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,776 |
1,684 |
$21K |
| 90651 |
|
84 |
80 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
51 |
48 |
$18K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
44 |
44 |
$16K |
| 82570 |
|
1,199 |
1,137 |
$15K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
210 |
201 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
24 |
$11K |
| 90750 |
|
167 |
165 |
$10K |
| 81025 |
|
615 |
580 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
369 |
346 |
$10K |
| 90633 |
|
152 |
150 |
$10K |
| 81002 |
|
1,378 |
1,274 |
$10K |
| 0002A |
|
633 |
626 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
617 |
548 |
$9K |
| 36416 |
|
285 |
263 |
$9K |
| 81000 |
|
528 |
488 |
$9K |
| 82043 |
|
1,014 |
977 |
$8K |
| 90734 |
|
35 |
35 |
$8K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$8K |
| 95251 |
|
41 |
38 |
$8K |
| D0701 |
|
27 |
27 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,613 |
1,536 |
$7K |
| D0702 |
|
27 |
27 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
849 |
750 |
$7K |
| D0270 |
|
219 |
213 |
$7K |
| 0001A |
|
604 |
599 |
$6K |
| 81003 |
|
638 |
611 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,442 |
1,230 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
15 |
$5K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
163 |
104 |
$5K |
| 92250 |
|
669 |
665 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
710 |
681 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
205 |
158 |
$5K |
| 73630 |
|
66 |
56 |
$4K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
163 |
27 |
$4K |
| D3120 |
|
14 |
13 |
$4K |
| 82607 |
|
297 |
286 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
506 |
444 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,775 |
2,690 |
$4K |
| 80305 |
|
382 |
333 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
28 |
25 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
168 |
150 |
$3K |
| 90662 |
|
137 |
135 |
$3K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
20 |
12 |
$3K |
| D4910 |
|
104 |
104 |
$2K |
| 84439 |
|
124 |
116 |
$2K |
| 90685 |
|
13 |
13 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
303 |
280 |
$2K |
| D4346 |
|
14 |
13 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
163 |
157 |
$1K |
| 98960 |
|
343 |
301 |
$1K |
| 85651 |
|
32 |
27 |
$1K |
| 87807 |
|
142 |
133 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
52 |
41 |
$1K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
63 |
13 |
$1K |
| 90636 |
|
67 |
67 |
$1K |
| 80074 |
|
234 |
227 |
$1K |
| 87400 |
|
277 |
262 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
133 |
125 |
$1K |
| 86803 |
|
371 |
352 |
$766.00 |
| 90677 |
|
27 |
26 |
$654.00 |
| 86140 |
|
63 |
56 |
$479.00 |
| D1330 |
|
76 |
74 |
$427.00 |
| 20610 |
|
20 |
12 |
$234.12 |
| 83735 |
|
51 |
51 |
$170.30 |
| 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 |
37 |
24 |
$141.35 |
| 73562 |
|
54 |
49 |
$125.13 |
| 90480 |
|
350 |
340 |
$80.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
163 |
157 |
$37.00 |
| 96127 |
|
30 |
28 |
$31.36 |
| G0008 |
Administration of influenza virus vaccine |
220 |
215 |
$20.72 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,309 |
2,221 |
$10.00 |
| 86592 |
|
19 |
19 |
$6.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
14 |
$0.08 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
805 |
770 |
$0.00 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
837 |
808 |
$0.00 |
| 83690 |
|
25 |
24 |
$0.00 |
| 97035 |
|
255 |
131 |
$0.00 |
| 80069 |
|
13 |
12 |
$0.00 |
| 87070 |
|
13 |
12 |
$0.00 |
| 82728 |
|
13 |
12 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
26 |
$0.00 |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
24 |
24 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
27 |
27 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
26 |
$0.00 |
| 87430 |
|
17 |
16 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
3,860 |
3,731 |
$0.00 |
| 0073A |
|
17 |
17 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
70 |
65 |
$0.00 |
| 2028F |
|
162 |
159 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
269 |
105 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
67 |
66 |
$0.00 |
| 11721 |
|
15 |
12 |
$0.00 |
| 90707 |
|
38 |
38 |
$0.00 |
| D0340 |
|
31 |
25 |
$0.00 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
16 |
14 |
$0.00 |
| 0071A |
|
12 |
12 |
$0.00 |