| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72,869 |
62,888 |
$5.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43,782 |
36,528 |
$3.49M |
| 90832 |
Psychotherapy, 30 minutes with patient |
15,982 |
7,262 |
$1.60M |
| 99215 |
Prolong outpt/office vis |
5,036 |
4,292 |
$631K |
| D0140 |
Limited oral evaluation - problem focused |
14,416 |
13,534 |
$604K |
| D1110 |
Prophylaxis - adult |
10,279 |
10,169 |
$473K |
| D0120 |
Periodic oral evaluation - established patient |
12,801 |
12,653 |
$378K |
| D1206 |
Topical application of fluoride varnish |
24,152 |
22,975 |
$368K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,065 |
1,144 |
$320K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,604 |
2,139 |
$274K |
| D0220 |
Intraoral - periapical first radiographic image |
27,572 |
26,229 |
$264K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,865 |
4,017 |
$263K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
5,159 |
1,746 |
$258K |
| D0274 |
Bitewings - four radiographic images |
9,207 |
9,070 |
$203K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,556 |
4,510 |
$197K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,591 |
1,986 |
$170K |
| H2014 |
Skills training and development, per 15 minutes |
3,726 |
1,328 |
$166K |
| D0210 |
Intraoral - complete series of radiographic images |
3,000 |
2,958 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,375 |
1,266 |
$115K |
| 99442 |
|
1,988 |
1,651 |
$113K |
| D1351 |
Sealant - per tooth |
7,214 |
1,711 |
$111K |
| 90686 |
|
5,657 |
5,521 |
$98K |
| D0230 |
Intraoral - periapical each additional radiographic image |
17,661 |
13,054 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
933 |
913 |
$87K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,560 |
1,088 |
$84K |
| D0191 |
|
7,007 |
5,806 |
$74K |
| 36415 |
Collection of venous blood by venipuncture |
28,671 |
25,899 |
$62K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
739 |
611 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,565 |
3,404 |
$53K |
| 99443 |
|
635 |
545 |
$51K |
| 0011A |
|
1,175 |
1,161 |
$50K |
| D0270 |
|
5,758 |
5,515 |
$46K |
| D1120 |
Prophylaxis - child |
1,311 |
1,298 |
$46K |
| 0012A |
|
1,096 |
1,083 |
$46K |
| D4910 |
|
686 |
667 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
506 |
455 |
$38K |
| 87428 |
|
2,329 |
2,219 |
$38K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
278 |
226 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,836 |
1,708 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
312 |
305 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
186 |
178 |
$26K |
| D4341 |
|
255 |
163 |
$20K |
| 99441 |
|
499 |
423 |
$17K |
| 90670 |
|
808 |
795 |
$17K |
| 80305 |
|
2,828 |
2,117 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
327 |
303 |
$12K |
| 90723 |
|
549 |
541 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,314 |
2,153 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,588 |
1,553 |
$11K |
| D1354 |
|
879 |
265 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
165 |
156 |
$9K |
| 99205 |
Prolong outpt/office vis |
53 |
49 |
$9K |
| 90647 |
|
406 |
399 |
$9K |
| 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 |
2,112 |
1,145 |
$8K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
78 |
54 |
$8K |
| 0064A |
|
175 |
169 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
40 |
12 |
$7K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
31 |
31 |
$6K |
| 36416 |
|
3,854 |
3,400 |
$6K |
| 90677 |
|
80 |
80 |
$6K |
| 0071A |
|
143 |
143 |
$6K |
| H0032 |
Mental health service plan development by non-physician |
62 |
57 |
$6K |
| 90681 |
|
250 |
245 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
50 |
$5K |
| 99188 |
|
465 |
457 |
$5K |
| 0031A |
|
102 |
101 |
$5K |
| 0134A |
|
141 |
140 |
$5K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
53 |
42 |
$5K |
| 0072A |
|
92 |
92 |
$4K |
| 90750 |
|
29 |
27 |
$4K |
| 96152 |
|
298 |
225 |
$4K |
| D2940 |
|
72 |
64 |
$3K |
| 90633 |
|
147 |
146 |
$3K |
| 90715 |
|
139 |
139 |
$3K |
| 90882 |
|
35 |
25 |
$2K |
| 90651 |
|
86 |
86 |
$2K |
| D0272 |
Bitewings - two radiographic images |
170 |
168 |
$2K |
| 98925 |
|
73 |
68 |
$2K |
| 96160 |
|
1,392 |
1,294 |
$2K |
| 81002 |
|
889 |
845 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
75 |
66 |
$2K |
| 90697 |
|
62 |
61 |
$1K |
| 99404 |
|
12 |
12 |
$1K |
| 0004A |
|
41 |
40 |
$1K |
| D4342 |
|
17 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
105 |
$919.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
47 |
47 |
$766.64 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
12 |
12 |
$664.18 |
| 90734 |
|
31 |
31 |
$636.84 |
| 99408 |
|
66 |
62 |
$613.01 |
| 99334 |
|
119 |
86 |
$584.82 |
| 92551 |
|
48 |
48 |
$512.31 |
| 99173 |
|
155 |
155 |
$419.67 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
18 |
$386.24 |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,163 |
7,437 |
$289.00 |
| 90672 |
|
13 |
13 |
$285.48 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
445 |
138 |
$277.43 |
| D0145 |
Oral evaluation for a patient under three years of age |
14 |
14 |
$270.00 |
| 83655 |
|
26 |
25 |
$184.36 |
| 85018 |
|
98 |
94 |
$152.92 |
| 99409 |
|
44 |
43 |
$110.00 |
| D0603 |
|
10,656 |
10,459 |
$43.55 |
| D0602 |
|
194 |
187 |
$0.99 |
| 91313 |
|
141 |
140 |
$0.05 |
| 91306 |
|
176 |
170 |
$0.02 |
| 91301 |
|
382 |
362 |
$0.01 |
| D9995 |
|
465 |
456 |
$0.00 |
| 3008F |
|
85 |
84 |
$0.00 |
| 2000F |
|
124 |
121 |
$0.00 |
| D0601 |
|
39 |
39 |
$0.00 |
| 91307 |
|
272 |
269 |
$0.00 |
| 2010F |
|
130 |
127 |
$0.00 |
| 2001F |
|
125 |
122 |
$0.00 |
| 1036F |
|
27 |
27 |
$0.00 |
| 3074F |
|
69 |
69 |
$0.00 |
| 81000 |
|
21 |
12 |
$0.00 |
| 3078F |
|
55 |
55 |
$0.00 |
| 1159F |
|
66 |
65 |
$0.00 |
| 1160F |
|
66 |
65 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |