| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,142 |
45,244 |
$7.65M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,933 |
16,385 |
$2.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,378 |
9,913 |
$1.40M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,829 |
4,474 |
$566K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,593 |
4,184 |
$523K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,428 |
4,056 |
$521K |
| D0999 |
Unspecified diagnostic procedure, by report |
4,114 |
3,741 |
$504K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,013 |
3,246 |
$437K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,157 |
2,678 |
$420K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,478 |
3,126 |
$403K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,880 |
2,293 |
$311K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,885 |
9,605 |
$221K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,374 |
1,048 |
$128K |
| D0330 |
Panoramic radiographic image |
2,240 |
2,097 |
$101K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,216 |
1,903 |
$100K |
| 99381 |
|
928 |
680 |
$83K |
| D1120 |
Prophylaxis - child |
1,528 |
1,449 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
801 |
663 |
$67K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,053 |
1,769 |
$46K |
| 99383 |
|
373 |
329 |
$43K |
| D7140 |
Extraction, erupted tooth or exposed root |
861 |
567 |
$42K |
| 99215 |
Prolong outpt/office vis |
345 |
278 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,972 |
4,583 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
311 |
267 |
$32K |
| 99384 |
|
235 |
212 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,057 |
923 |
$27K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,455 |
1,384 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,162 |
1,738 |
$23K |
| D1110 |
Prophylaxis - adult |
655 |
614 |
$22K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
30 |
27 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
380 |
221 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,339 |
3,437 |
$18K |
| 99382 |
|
165 |
144 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,568 |
3,091 |
$17K |
| 81003 |
|
46,493 |
33,073 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
156 |
145 |
$14K |
| 99173 |
|
4,334 |
3,904 |
$13K |
| 59514 |
|
18 |
13 |
$13K |
| 2000F |
|
81,929 |
60,162 |
$10K |
| 3028F |
|
108,316 |
80,938 |
$9K |
| 2001F |
|
95,785 |
70,153 |
$9K |
| 2010F |
|
110,468 |
82,280 |
$9K |
| 3008F |
|
100,362 |
74,421 |
$9K |
| 81025 |
|
20,014 |
16,289 |
$9K |
| 1220F |
|
52,221 |
36,950 |
$8K |
| 92551 |
|
2,695 |
2,400 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
101 |
80 |
$7K |
| 99429 |
|
537 |
375 |
$7K |
| 1036F |
|
37,461 |
26,555 |
$7K |
| 3074F |
|
53,146 |
40,701 |
$6K |
| 1160F |
|
43,900 |
32,069 |
$6K |
| 0001A |
|
196 |
181 |
$6K |
| 90715 |
|
1,773 |
1,505 |
$6K |
| 99385 |
|
111 |
80 |
$6K |
| 3078F |
|
55,633 |
43,644 |
$5K |
| 3016F |
|
23,842 |
17,507 |
$5K |
| 0002A |
|
156 |
138 |
$5K |
| 85018 |
|
11,103 |
8,781 |
$5K |
| 0012A |
|
168 |
134 |
$5K |
| D1206 |
Topical application of fluoride varnish |
1,414 |
1,328 |
$4K |
| 1126F |
|
45,414 |
33,978 |
$4K |
| D1351 |
Sealant - per tooth |
451 |
145 |
$4K |
| 0011A |
|
196 |
116 |
$3K |
| 1159F |
|
31,979 |
23,719 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
23 |
13 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
262 |
242 |
$3K |
| 3725F |
|
21,239 |
15,237 |
$3K |
| 3351F |
|
17,947 |
12,695 |
$3K |
| 3079F |
|
15,796 |
12,362 |
$3K |
| 96161 |
|
1,577 |
1,181 |
$2K |
| 1000F |
|
21,811 |
15,694 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
22 |
16 |
$2K |
| 76830 |
Ultrasound, transvaginal |
710 |
614 |
$2K |
| 90686 |
|
1,579 |
1,368 |
$2K |
| 91300 |
|
193 |
165 |
$2K |
| 99401 |
|
1,504 |
1,118 |
$2K |
| 3292F |
|
5,703 |
4,538 |
$2K |
| 3512F |
|
7,601 |
6,147 |
$1K |
| 3037F |
|
17,408 |
13,925 |
$1K |
| D0272 |
Bitewings - two radiographic images |
1,251 |
1,185 |
$1K |
| 3075F |
|
8,518 |
6,724 |
$1K |
| 90651 |
|
2,406 |
2,131 |
$1K |
| 3511F |
|
4,837 |
3,973 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
35 |
27 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
379 |
357 |
$1K |
| 3015F |
|
2,608 |
1,966 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
315 |
298 |
$1K |
| 82962 |
|
8,370 |
6,974 |
$974.21 |
| 3754F |
|
9,747 |
7,616 |
$967.07 |
| 3280F |
|
3,713 |
2,830 |
$950.30 |
| 0503F |
|
417 |
324 |
$935.09 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,783 |
2,319 |
$844.09 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,777 |
2,323 |
$838.50 |
| 90662 |
|
1,196 |
1,032 |
$809.23 |
| 54150 |
|
15 |
12 |
$774.10 |
| 3077F |
|
9,514 |
7,289 |
$744.43 |
| 90670 |
|
3,318 |
2,754 |
$738.63 |
| 3080F |
|
7,729 |
5,973 |
$725.49 |
| D0120 |
Periodic oral evaluation - established patient |
227 |
219 |
$695.60 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,330 |
1,956 |
$689.43 |
| 3281F |
|
2,960 |
2,252 |
$665.21 |
| 1034F |
|
6,420 |
4,749 |
$648.44 |
| 3279F |
|
2,700 |
2,072 |
$642.85 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
185 |
155 |
$612.40 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
147 |
114 |
$610.59 |
| 0071A |
|
16 |
16 |
$600.05 |
| 86592 |
|
1,554 |
1,299 |
$568.15 |
| D0274 |
Bitewings - four radiographic images |
65 |
62 |
$567.34 |
| 3514F |
|
3,451 |
2,615 |
$559.00 |
| 0031A |
|
40 |
13 |
$520.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,301 |
3,713 |
$470.88 |
| 86803 |
|
883 |
730 |
$448.16 |
| 90688 |
|
1,355 |
1,234 |
$447.28 |
| 1125F |
|
10,455 |
7,923 |
$444.35 |
| 90661 |
|
137 |
125 |
$424.40 |
| 3044F |
|
1,771 |
1,467 |
$399.46 |
| 4293F |
|
1,890 |
1,503 |
$391.30 |
| 91301 |
|
87 |
75 |
$361.36 |
| 83655 |
|
294 |
273 |
$359.90 |
| 1124F |
|
3,636 |
3,093 |
$346.58 |
| 82950 |
|
483 |
417 |
$319.60 |
| 36415 |
Collection of venous blood by venipuncture |
761 |
617 |
$305.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
28 |
24 |
$274.12 |
| 59025 |
Fetal non-stress test |
69 |
36 |
$271.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,148 |
958 |
$241.64 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
146 |
146 |
$237.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
52 |
$235.40 |
| 90620 |
|
1,068 |
970 |
$234.84 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
181 |
144 |
$216.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,345 |
1,984 |
$184.47 |
| 3011F |
|
3,118 |
2,517 |
$173.29 |
| 80053 |
Comprehensive metabolic panel |
2,434 |
2,107 |
$162.11 |
| 3046F |
|
282 |
257 |
$160.03 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,463 |
1,244 |
$156.52 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,937 |
1,704 |
$156.52 |
| 92552 |
|
30 |
27 |
$150.51 |
| 4010F |
|
813 |
612 |
$150.01 |
| 0500F |
|
13 |
12 |
$150.00 |
| 80061 |
Lipid panel |
1,787 |
1,524 |
$139.75 |
| 90687 |
|
190 |
183 |
$126.26 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
227 |
203 |
$126.26 |
| 1158F |
|
572 |
422 |
$106.21 |
| 4013F |
|
4,297 |
3,220 |
$78.26 |
| 99001 |
|
222 |
188 |
$33.54 |
| 1006F |
|
165 |
143 |
$27.95 |
| 71046 |
Radiologic examination, chest; 2 views |
179 |
173 |
$26.19 |
| 1031F |
|
131 |
113 |
$22.36 |
| 0001F |
|
850 |
721 |
$16.77 |
| 3330F |
|
160 |
133 |
$16.77 |
| 1033F |
|
17 |
15 |
$11.18 |
| 90734 |
|
1,182 |
1,064 |
$11.18 |
| 3049F |
|
192 |
165 |
$11.18 |
| 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 |
8,950 |
6,421 |
$11.18 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
145 |
124 |
$9.99 |
| 90633 |
|
2,229 |
1,958 |
$5.59 |
| 3048F |
|
388 |
333 |
$5.59 |
| 1038F |
|
27 |
27 |
$5.59 |
| 87210 |
|
305 |
263 |
$4.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
14 |
$0.33 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,858 |
3,396 |
$0.04 |
| 3050F |
|
99 |
89 |
$0.01 |
| 90707 |
|
185 |
166 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
10,242 |
7,909 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
36 |
31 |
$0.00 |
| 84439 |
|
253 |
206 |
$0.00 |
| 4120F |
|
178 |
152 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
5,085 |
3,560 |
$0.00 |
| G4067 |
|
71 |
66 |
$0.00 |
| 90710 |
|
1,375 |
1,234 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
2,840 |
2,651 |
$0.00 |
| 86787 |
|
40 |
30 |
$0.00 |
| 0502F |
|
507 |
387 |
$0.00 |
| 4025F |
|
1,416 |
1,084 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
366 |
287 |
$0.00 |
| D0190 |
|
623 |
564 |
$0.00 |
| 90648 |
|
186 |
160 |
$0.00 |
| 1039F |
|
143 |
122 |
$0.00 |
| 90681 |
|
416 |
311 |
$0.00 |
| 90655 |
|
129 |
124 |
$0.00 |
| 90713 |
|
148 |
106 |
$0.00 |
| 90785 |
|
195 |
178 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
22 |
18 |
$0.00 |
| 4040F |
|
612 |
525 |
$0.00 |
| 90700 |
|
553 |
480 |
$0.00 |
| 1007F |
|
206 |
155 |
$0.00 |
| 1032F |
|
732 |
542 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
68 |
64 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
12 |
$0.00 |
| 82274 |
|
39 |
36 |
$0.00 |
| 87806 |
|
69 |
52 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
21 |
15 |
$0.00 |
| 3352F |
|
192 |
153 |
$0.00 |
| 90696 |
|
710 |
643 |
$0.00 |
| 90723 |
|
2,595 |
1,897 |
$0.00 |
| 4037F |
|
911 |
775 |
$0.00 |
| 90647 |
|
2,209 |
1,836 |
$0.00 |
| 90677 |
|
999 |
791 |
$0.00 |
| 90680 |
|
1,785 |
1,362 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,682 |
1,228 |
$0.00 |
| 90697 |
|
647 |
468 |
$0.00 |
| 90716 |
|
256 |
230 |
$0.00 |
| 4008F |
|
489 |
349 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
278 |
211 |
$0.00 |
| 90619 |
|
735 |
612 |
$0.00 |
| 4016F |
|
384 |
298 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
83 |
76 |
$0.00 |
| 90744 |
|
52 |
29 |
$0.00 |
| 80055 |
|
15 |
13 |
$0.00 |
| 87430 |
|
13 |
13 |
$0.00 |
| 85027 |
|
27 |
27 |
$0.00 |
| 84153 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 90660 |
|
151 |
146 |
$0.00 |
| 1111F |
|
13 |
12 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| D4355 |
|
16 |
14 |
$0.00 |