| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,863 |
28,870 |
$5.10M |
| D0999 |
Unspecified diagnostic procedure, by report |
18,714 |
17,021 |
$4.99M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,878 |
25,978 |
$4.56M |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
6,505 |
3,485 |
$358K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,159 |
2,004 |
$311K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
5,592 |
3,269 |
$286K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
706 |
668 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
559 |
523 |
$78K |
| D1206 |
Topical application of fluoride varnish |
9,480 |
8,889 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
188 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
3,776 |
3,569 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
201 |
197 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,028 |
9,657 |
$17K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,577 |
10,611 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
76 |
$16K |
| 90832 |
Psychotherapy, 30 minutes with patient |
355 |
256 |
$15K |
| D0272 |
Bitewings - two radiographic images |
1,259 |
1,170 |
$12K |
| D1120 |
Prophylaxis - child |
975 |
914 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
6,143 |
5,601 |
$10K |
| 0002A |
|
259 |
227 |
$10K |
| D1354 |
|
440 |
107 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
48 |
$9K |
| D0274 |
Bitewings - four radiographic images |
951 |
891 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
542 |
491 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
323 |
304 |
$8K |
| 0001A |
|
306 |
224 |
$8K |
| 99000 |
|
11,847 |
10,795 |
$8K |
| 0071A |
|
167 |
167 |
$7K |
| 0012A |
|
193 |
186 |
$7K |
| 0011A |
|
194 |
190 |
$7K |
| 36416 |
|
3,342 |
3,130 |
$7K |
| 0072A |
|
139 |
128 |
$6K |
| 0064A |
|
146 |
145 |
$6K |
| 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 |
595 |
533 |
$5K |
| D0330 |
Panoramic radiographic image |
366 |
352 |
$5K |
| D1351 |
Sealant - per tooth |
570 |
163 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
482 |
447 |
$5K |
| D1110 |
Prophylaxis - adult |
226 |
201 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
1,238 |
1,169 |
$4K |
| 99201 |
|
26 |
24 |
$4K |
| 0124A |
|
53 |
46 |
$4K |
| 81002 |
|
1,844 |
1,436 |
$4K |
| 0004A |
|
69 |
68 |
$3K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
56 |
45 |
$3K |
| 90686 |
|
4,119 |
3,960 |
$2K |
| 0054A |
|
43 |
39 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
22 |
17 |
$1K |
| D0190 |
|
884 |
867 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
554 |
524 |
$1K |
| 0051A |
|
23 |
20 |
$1K |
| H0031 |
Mental health assessment, by non-physician |
17 |
16 |
$840.14 |
| D0230 |
Intraoral - periapical each additional radiographic image |
302 |
282 |
$793.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,012 |
1,943 |
$744.77 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
12 |
$616.42 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
581 |
565 |
$437.32 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
24 |
12 |
$257.74 |
| 90677 |
|
30 |
28 |
$253.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
896 |
863 |
$235.12 |
| 81025 |
|
107 |
101 |
$219.06 |
| D0270 |
|
30 |
28 |
$180.00 |
| 80053 |
Comprehensive metabolic panel |
721 |
703 |
$7.39 |
| 90715 |
|
26 |
26 |
$0.01 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24 |
24 |
$0.00 |
| 80061 |
Lipid panel |
226 |
224 |
$0.00 |
| 90670 |
|
83 |
80 |
$0.00 |
| 90461 |
|
119 |
113 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
319 |
204 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
168 |
163 |
$0.00 |
| 91300 |
|
32 |
32 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
30 |
29 |
$0.00 |
| D0460 |
|
12 |
12 |
$0.00 |
| 80305 |
|
15 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
316 |
308 |
$0.00 |
| 91301 |
|
385 |
383 |
$0.00 |
| 90688 |
|
886 |
849 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
53 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90651 |
|
26 |
25 |
$0.00 |
| 85018 |
|
29 |
29 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
206 |
200 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$0.00 |
| D1353 |
|
40 |
12 |
$0.00 |
| 90647 |
|
16 |
13 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |