| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110,355 |
76,780 |
$7.14M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36,484 |
24,289 |
$2.15M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,959 |
9,003 |
$1.90M |
| 90832 |
Psychotherapy, 30 minutes with patient |
17,162 |
9,703 |
$1.76M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,598 |
16,070 |
$1.21M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,008 |
8,157 |
$788K |
| D0120 |
Periodic oral evaluation - established patient |
25,616 |
9,788 |
$718K |
| 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 |
7,244 |
7,227 |
$632K |
| D1110 |
Prophylaxis - adult |
13,316 |
7,206 |
$530K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,836 |
4,663 |
$428K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,278 |
2,439 |
$341K |
| D1120 |
Prophylaxis - child |
11,620 |
3,285 |
$291K |
| D0230 |
Intraoral - periapical each additional radiographic image |
13,824 |
8,215 |
$282K |
| 99442 |
|
3,514 |
2,792 |
$266K |
| D0274 |
Bitewings - four radiographic images |
8,106 |
4,940 |
$220K |
| D1351 |
Sealant - per tooth |
4,497 |
1,047 |
$208K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,007 |
1,883 |
$203K |
| 99443 |
|
2,674 |
2,413 |
$162K |
| 92015 |
Determination of refractive state |
17,774 |
15,690 |
$160K |
| D0140 |
Limited oral evaluation - problem focused |
3,279 |
1,418 |
$151K |
| D1208 |
Topical application of fluoride, excluding varnish |
7,491 |
2,643 |
$135K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,351 |
1,373 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,293 |
3,756 |
$123K |
| 99441 |
|
2,159 |
1,897 |
$121K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,702 |
1,218 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,987 |
3,371 |
$113K |
| 92100 |
|
3,409 |
2,893 |
$111K |
| D0220 |
Intraoral - periapical first radiographic image |
9,650 |
7,708 |
$110K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,317 |
655 |
$102K |
| 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 |
2,959 |
1,161 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,646 |
2,251 |
$72K |
| 92133 |
|
1,202 |
934 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,111 |
1,721 |
$48K |
| 90686 |
|
7,189 |
6,864 |
$46K |
| 2022F |
|
3,299 |
2,526 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,951 |
10,890 |
$45K |
| 97802 |
|
9,076 |
8,998 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,872 |
1,657 |
$43K |
| 97803 |
|
2,019 |
1,987 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,767 |
4,504 |
$35K |
| 92083 |
|
680 |
518 |
$33K |
| 11721 |
|
1,591 |
1,226 |
$32K |
| 92551 |
|
9,761 |
9,643 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
304 |
231 |
$30K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
369 |
178 |
$29K |
| D0210 |
Intraoral - complete series of radiographic images |
1,055 |
928 |
$29K |
| T2022 |
Case management, per month |
340 |
125 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,272 |
1,247 |
$21K |
| 90461 |
|
3,408 |
3,389 |
$15K |
| D0272 |
Bitewings - two radiographic images |
1,230 |
1,230 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
87 |
57 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
132 |
90 |
$12K |
| 82948 |
|
2,963 |
2,614 |
$12K |
| 92250 |
|
255 |
224 |
$11K |
| 99397 |
|
204 |
151 |
$10K |
| 90658 |
|
2,105 |
2,102 |
$9K |
| D1330 |
|
294 |
172 |
$8K |
| 92002 |
|
150 |
146 |
$6K |
| 11056 |
|
133 |
94 |
$5K |
| 99173 |
|
7,289 |
7,198 |
$5K |
| 2023F |
|
1,360 |
1,308 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
32 |
$3K |
| 81025 |
|
743 |
734 |
$2K |
| 99174 |
|
3,124 |
3,078 |
$2K |
| 81003 |
|
1,583 |
1,302 |
$2K |
| 0011A |
|
112 |
111 |
$2K |
| D0602 |
|
100 |
41 |
$2K |
| 90715 |
|
110 |
110 |
$2K |
| 0001A |
|
43 |
43 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
38 |
12 |
$2K |
| 90620 |
|
105 |
105 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
230 |
223 |
$1K |
| 0013A |
|
37 |
37 |
$1K |
| 90670 |
|
1,053 |
1,051 |
$1K |
| D0601 |
|
169 |
124 |
$1K |
| D0603 |
|
35 |
12 |
$1K |
| 90651 |
|
315 |
315 |
$1K |
| 86703 |
|
104 |
104 |
$971.55 |
| 90655 |
|
171 |
171 |
$950.65 |
| 90656 |
|
355 |
354 |
$557.86 |
| 11720 |
|
28 |
24 |
$554.95 |
| 11055 |
|
15 |
15 |
$551.99 |
| 92134 |
|
25 |
24 |
$477.11 |
| 0071A |
|
14 |
13 |
$424.45 |
| 0072A |
|
13 |
13 |
$424.24 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
116 |
107 |
$387.91 |
| 85018 |
|
181 |
181 |
$385.68 |
| 90723 |
|
294 |
294 |
$350.00 |
| 90863 |
|
124 |
116 |
$255.32 |
| 57410 |
|
25 |
25 |
$228.60 |
| 90734 |
|
188 |
187 |
$170.00 |
| 90647 |
|
331 |
331 |
$150.00 |
| 36415 |
Collection of venous blood by venipuncture |
390 |
381 |
$144.10 |
| 90619 |
|
29 |
29 |
$63.75 |
| 90633 |
|
141 |
141 |
$48.00 |
| 99406 |
|
12 |
12 |
$45.61 |
| 91307 |
|
62 |
59 |
$24.22 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
128 |
117 |
$6.01 |
| 3008F |
|
1,783 |
1,759 |
$0.21 |
| 91300 |
|
121 |
119 |
$0.04 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
83 |
83 |
$0.00 |
| 90680 |
|
103 |
103 |
$0.00 |
| 91301 |
|
69 |
69 |
$0.00 |
| 99499 |
|
275 |
196 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
52 |
52 |
$0.00 |
| 98960 |
|
15 |
12 |
$0.00 |