| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78,407 |
70,659 |
$2.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,542 |
19,708 |
$1.05M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,211 |
16,159 |
$501K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,139 |
5,277 |
$435K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,032 |
4,861 |
$361K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,332 |
4,076 |
$307K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,777 |
3,677 |
$283K |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,690 |
4,313 |
$254K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,916 |
3,698 |
$240K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,650 |
2,584 |
$195K |
| 90791 |
Psychiatric diagnostic evaluation |
2,063 |
1,881 |
$181K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,700 |
1,594 |
$154K |
| H1000 |
Prenatal care, at-risk assessment |
2,352 |
1,752 |
$124K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,587 |
1,514 |
$117K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,576 |
1,467 |
$105K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
881 |
866 |
$90K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,047 |
1,591 |
$89K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,832 |
2,405 |
$68K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,495 |
1,335 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,894 |
13,998 |
$49K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
409 |
304 |
$49K |
| 99385 |
|
748 |
686 |
$47K |
| H2000 |
Comprehensive multidisciplinary evaluation |
258 |
216 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,119 |
8,419 |
$37K |
| 59410 |
|
42 |
39 |
$37K |
| 87428 |
|
1,524 |
1,457 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,694 |
7,325 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,033 |
7,287 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,563 |
2,482 |
$31K |
| H0031 |
Mental health assessment, by non-physician |
780 |
679 |
$25K |
| 99406 |
|
4,614 |
4,241 |
$22K |
| 59430 |
|
372 |
340 |
$20K |
| D1330 |
|
509 |
509 |
$19K |
| 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 |
1,520 |
1,185 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,053 |
1,989 |
$18K |
| 1000F |
|
65,546 |
54,314 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,800 |
4,527 |
$15K |
| 1159F |
|
52,638 |
46,986 |
$14K |
| 90677 |
|
492 |
481 |
$13K |
| 85018 |
|
4,472 |
4,348 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
212 |
212 |
$11K |
| 99173 |
|
6,267 |
5,320 |
$11K |
| 81003 |
|
12,913 |
10,241 |
$11K |
| 99383 |
|
136 |
130 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,501 |
2,346 |
$10K |
| 92551 |
|
13,353 |
11,640 |
$10K |
| 99177 |
|
11,333 |
10,171 |
$9K |
| 99386 |
|
103 |
100 |
$9K |
| 99235 |
|
77 |
66 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
75 |
66 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
176 |
176 |
$7K |
| D0272 |
Bitewings - two radiographic images |
62 |
62 |
$6K |
| 81025 |
|
2,075 |
1,974 |
$5K |
| 1160F |
|
52,460 |
46,819 |
$5K |
| 93000 |
|
943 |
898 |
$5K |
| 3351F |
|
23,499 |
19,472 |
$5K |
| 59025 |
Fetal non-stress test |
310 |
214 |
$5K |
| 99381 |
|
52 |
48 |
$4K |
| 99384 |
|
64 |
63 |
$4K |
| 87807 |
|
956 |
930 |
$4K |
| 99188 |
|
480 |
448 |
$4K |
| 3008F |
|
82,273 |
69,418 |
$4K |
| 1126F |
|
21,416 |
19,811 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
716 |
628 |
$4K |
| 82274 |
|
2,118 |
2,013 |
$2K |
| 1036F |
|
15,306 |
12,094 |
$2K |
| 0012A |
|
107 |
101 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
31 |
26 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 11721 |
|
104 |
100 |
$2K |
| 1125F |
|
13,956 |
13,083 |
$2K |
| 90686 |
|
4,142 |
3,766 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
64 |
64 |
$1K |
| 90723 |
|
1,743 |
1,672 |
$1K |
| 91301 |
|
193 |
176 |
$1K |
| 1034F |
|
4,057 |
3,565 |
$1K |
| 0031A |
|
38 |
36 |
$1K |
| 0011A |
|
116 |
105 |
$988.20 |
| 0064A |
|
65 |
38 |
$960.62 |
| 36415 |
Collection of venous blood by venipuncture |
5,932 |
5,498 |
$934.11 |
| 4004F |
|
20,749 |
17,539 |
$920.49 |
| 99407 |
|
145 |
128 |
$846.59 |
| D1999 |
|
14 |
14 |
$840.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
12 |
$767.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$675.28 |
| 90710 |
|
834 |
745 |
$627.24 |
| 0513F |
|
3,479 |
3,363 |
$622.99 |
| 90633 |
|
1,228 |
1,170 |
$617.84 |
| 80305 |
|
184 |
157 |
$581.36 |
| 90656 |
|
1,228 |
1,178 |
$556.12 |
| 90670 |
|
2,198 |
2,105 |
$441.30 |
| 3354F |
|
2,458 |
2,086 |
$428.14 |
| 69210 |
|
37 |
25 |
$401.94 |
| D7140 |
Extraction, erupted tooth or exposed root |
14 |
12 |
$364.00 |
| 90715 |
|
98 |
95 |
$360.55 |
| 90734 |
|
726 |
700 |
$353.97 |
| 90461 |
|
1,022 |
967 |
$344.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
177 |
151 |
$319.88 |
| 90647 |
|
1,527 |
1,454 |
$269.81 |
| 90651 |
|
997 |
929 |
$234.18 |
| 3074F |
|
17,735 |
16,142 |
$226.46 |
| 1035F |
|
261 |
245 |
$187.89 |
| 90681 |
|
541 |
510 |
$180.00 |
| 0071A |
|
16 |
16 |
$160.00 |
| D1351 |
Sealant - per tooth |
204 |
68 |
$153.10 |
| 3078F |
|
16,217 |
14,269 |
$151.40 |
| 90658 |
|
145 |
142 |
$145.48 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
20 |
13 |
$120.88 |
| 90473 |
|
93 |
86 |
$120.00 |
| 90648 |
|
208 |
197 |
$115.63 |
| 1039F |
|
66 |
51 |
$112.69 |
| 99408 |
|
1,355 |
1,038 |
$112.00 |
| 81002 |
|
167 |
130 |
$109.18 |
| D1206 |
Topical application of fluoride varnish |
361 |
361 |
$87.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$78.76 |
| 2028F |
|
982 |
869 |
$75.27 |
| D0220 |
Intraoral - periapical first radiographic image |
225 |
225 |
$72.00 |
| D0210 |
Intraoral - complete series of radiographic images |
194 |
194 |
$70.00 |
| D1120 |
Prophylaxis - child |
245 |
245 |
$58.00 |
| 94760 |
|
686 |
584 |
$50.00 |
| 90657 |
|
29 |
28 |
$43.80 |
| 3077F |
|
1,363 |
1,160 |
$36.49 |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$35.00 |
| 3352F |
|
1,150 |
1,018 |
$32.42 |
| 3353F |
|
3,384 |
2,919 |
$31.31 |
| 1111F |
|
321 |
265 |
$25.76 |
| 1033F |
|
292 |
244 |
$25.76 |
| 1032F |
|
162 |
136 |
$23.42 |
| 3044F |
|
1,532 |
1,423 |
$20.00 |
| 90655 |
|
87 |
78 |
$18.00 |
| 90696 |
|
25 |
25 |
$12.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
54 |
42 |
$2.86 |
| 3079F |
|
4,371 |
3,756 |
$0.02 |
| 2000F |
|
15,755 |
14,003 |
$0.00 |
| 1220F |
|
15,173 |
12,438 |
$0.00 |
| 2001F |
|
20,551 |
18,219 |
$0.00 |
| 3075F |
|
1,623 |
1,530 |
$0.00 |
| 3080F |
|
924 |
750 |
$0.00 |
| 36416 |
|
2,613 |
2,106 |
$0.00 |
| 3017F |
|
673 |
551 |
$0.00 |
| 4000F |
|
932 |
829 |
$0.00 |
| 1170F |
|
312 |
287 |
$0.00 |
| 1031F |
|
66 |
45 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
14 |
14 |
$0.00 |
| 3014F |
|
691 |
567 |
$0.00 |
| 90620 |
|
247 |
241 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
102 |
102 |
$0.00 |
| 91303 |
|
12 |
12 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
25 |
$0.00 |
| 91306 |
|
49 |
25 |
$0.00 |
| 1101F |
|
188 |
143 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
29 |
$0.00 |
| 91307 |
|
61 |
44 |
$0.00 |
| 99484 |
|
24 |
15 |
$0.00 |
| 3052F |
|
52 |
27 |
$0.00 |
| 0521F |
|
2,192 |
2,022 |
$0.00 |
| D1110 |
Prophylaxis - adult |
186 |
186 |
$0.00 |
| 96160 |
|
89 |
74 |
$0.00 |
| D0190 |
|
100 |
100 |
$0.00 |
| 3210F |
|
1,806 |
1,616 |
$0.00 |
| 3051F |
|
55 |
41 |
$0.00 |
| 0518F |
|
73 |
66 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
81 |
81 |
$0.00 |
| 3288F |
|
135 |
128 |
$0.00 |
| 3046F |
|
108 |
74 |
$0.00 |
| 90700 |
|
41 |
39 |
$0.00 |
| 98966 |
|
21 |
20 |
$0.00 |