| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
125,571 |
86,043 |
$17.34M |
| D0999 |
Unspecified diagnostic procedure, by report |
3,398 |
2,891 |
$292K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,461 |
36,997 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,928 |
8,763 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,112 |
4,581 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,540 |
3,980 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,797 |
3,418 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,887 |
1,695 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,730 |
15,249 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,875 |
2,497 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,501 |
1,367 |
$5K |
| 0012A |
|
136 |
131 |
$4K |
| 0502F |
|
6,157 |
3,585 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
197 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,600 |
1,398 |
$2K |
| 0011A |
|
116 |
110 |
$2K |
| 90677 |
|
522 |
457 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,687 |
1,499 |
$2K |
| 99383 |
|
312 |
290 |
$2K |
| 90671 |
|
181 |
153 |
$2K |
| 90715 |
|
1,743 |
1,555 |
$1K |
| 90686 |
|
683 |
597 |
$1K |
| 99386 |
|
115 |
99 |
$1K |
| 90633 |
|
2,016 |
1,757 |
$1K |
| 0500F |
|
229 |
181 |
$1K |
| 90680 |
|
1,560 |
1,356 |
$1K |
| 90651 |
|
1,175 |
1,023 |
$1K |
| 90697 |
|
505 |
435 |
$1K |
| 99385 |
|
178 |
165 |
$938.23 |
| 90698 |
|
1,824 |
1,596 |
$916.59 |
| 99384 |
|
224 |
202 |
$911.27 |
| 90649 |
|
1,290 |
1,135 |
$806.42 |
| 90670 |
|
2,333 |
2,033 |
$805.18 |
| 90716 |
|
624 |
517 |
$745.93 |
| 90619 |
|
1,086 |
953 |
$728.37 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,340 |
2,998 |
$688.20 |
| 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 |
68 |
39 |
$605.86 |
| 90707 |
|
653 |
542 |
$604.40 |
| 90710 |
|
902 |
794 |
$578.14 |
| 59430 |
|
43 |
38 |
$576.25 |
| 85018 |
|
2,727 |
2,466 |
$516.68 |
| 90620 |
|
517 |
482 |
$513.86 |
| 81025 |
|
3,357 |
2,884 |
$506.71 |
| 90696 |
|
751 |
652 |
$494.59 |
| 11721 |
|
687 |
636 |
$416.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
375 |
334 |
$352.80 |
| D0330 |
Panoramic radiographic image |
655 |
597 |
$326.74 |
| 90658 |
|
4,011 |
3,528 |
$307.48 |
| 90832 |
Psychotherapy, 30 minutes with patient |
756 |
439 |
$248.10 |
| 82962 |
|
1,615 |
1,492 |
$235.43 |
| 81002 |
|
1,760 |
1,514 |
$187.80 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
355 |
311 |
$182.56 |
| 11056 |
|
189 |
174 |
$174.48 |
| 90688 |
|
189 |
167 |
$171.09 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
226 |
213 |
$170.00 |
| 90744 |
|
689 |
592 |
$165.28 |
| 99382 |
|
57 |
56 |
$162.95 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
148 |
144 |
$141.36 |
| 59025 |
Fetal non-stress test |
170 |
95 |
$135.80 |
| D0274 |
Bitewings - four radiographic images |
466 |
413 |
$130.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
227 |
211 |
$117.72 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
43 |
$117.10 |
| 99459 |
|
77 |
63 |
$116.96 |
| 96127 |
|
242 |
218 |
$90.00 |
| D0120 |
Periodic oral evaluation - established patient |
135 |
129 |
$84.00 |
| D0220 |
Intraoral - periapical first radiographic image |
298 |
297 |
$81.88 |
| 11057 |
|
111 |
106 |
$74.84 |
| D0140 |
Limited oral evaluation - problem focused |
126 |
120 |
$57.36 |
| 90734 |
|
740 |
682 |
$56.12 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
111 |
101 |
$43.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,689 |
1,371 |
$39.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
203 |
203 |
$35.86 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
168 |
125 |
$30.00 |
| 87210 |
|
495 |
394 |
$23.00 |
| 82948 |
|
1,223 |
945 |
$22.36 |
| 90656 |
|
58 |
58 |
$17.72 |
| 90661 |
|
361 |
331 |
$16.71 |
| 99441 |
|
67 |
50 |
$14.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
57 |
$11.73 |
| 99201 |
|
49 |
49 |
$1.00 |
| 2000F |
|
2,261 |
1,965 |
$0.00 |
| 3080F |
|
1,854 |
1,646 |
$0.00 |
| 1036F |
|
2,804 |
2,507 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,054 |
950 |
$0.00 |
| 0503F |
|
162 |
126 |
$0.00 |
| 3044F |
|
574 |
525 |
$0.00 |
| 1126F |
|
718 |
643 |
$0.00 |
| 3008F |
|
11,271 |
9,558 |
$0.00 |
| 3074F |
|
2,349 |
2,056 |
$0.00 |
| 3079F |
|
2,378 |
2,100 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,236 |
561 |
$0.00 |
| 4010F |
|
859 |
800 |
$0.00 |
| 3075F |
|
1,445 |
1,311 |
$0.00 |
| 87070 |
|
169 |
144 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
54 |
46 |
$0.00 |
| 4015F |
|
28 |
27 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
41 |
41 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
50 |
26 |
$0.00 |
| 90723 |
|
128 |
118 |
$0.00 |
| 3052F |
|
69 |
67 |
$0.00 |
| 4140F |
|
31 |
26 |
$0.00 |
| 99381 |
|
16 |
14 |
$0.00 |
| 3078F |
|
2,354 |
2,070 |
$0.00 |
| 1159F |
|
739 |
626 |
$0.00 |
| 3046F |
|
348 |
323 |
$0.00 |
| 1160F |
|
737 |
626 |
$0.00 |
| 3077F |
|
2,805 |
2,463 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,500 |
3,116 |
$0.00 |
| D1120 |
Prophylaxis - child |
26 |
26 |
$0.00 |
| 90461 |
|
1,896 |
1,686 |
$0.00 |
| 4145F |
|
1,521 |
1,370 |
$0.00 |
| 3051F |
|
215 |
194 |
$0.00 |
| 97803 |
|
770 |
647 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
207 |
191 |
$0.00 |
| 90648 |
|
335 |
287 |
$0.00 |
| 90621 |
|
30 |
30 |
$0.00 |
| 98966 |
|
17 |
12 |
$0.00 |
| 90700 |
|
46 |
39 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
90 |
59 |
$0.00 |