| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,784 |
50,472 |
$2.33M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,979 |
48,184 |
$1.62M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27,363 |
25,407 |
$1.00M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,018 |
10,097 |
$593K |
| D7140 |
Extraction, erupted tooth or exposed root |
14,574 |
3,191 |
$578K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
22,897 |
21,745 |
$444K |
| 92015 |
Determination of refractive state |
45,233 |
41,164 |
$394K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,628 |
8,700 |
$367K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
1,551 |
550 |
$259K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,120 |
5,510 |
$213K |
| D8670 |
Periodic orthodontic treatment visit |
1,093 |
1,078 |
$196K |
| D0140 |
Limited oral evaluation - problem focused |
7,913 |
7,195 |
$151K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,036 |
1,352 |
$147K |
| D1120 |
Prophylaxis - child |
5,786 |
5,695 |
$144K |
| D0120 |
Periodic oral evaluation - established patient |
6,574 |
6,475 |
$116K |
| D1206 |
Topical application of fluoride varnish |
7,689 |
7,520 |
$115K |
| D9222 |
|
1,362 |
1,258 |
$92K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,070 |
2,010 |
$88K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,114 |
667 |
$87K |
| 99215 |
Prolong outpt/office vis |
2,021 |
1,794 |
$82K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,431 |
3,243 |
$77K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,374 |
961 |
$74K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,473 |
1,209 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,310 |
6,787 |
$65K |
| 92341 |
|
2,153 |
2,056 |
$55K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,279 |
1,830 |
$55K |
| D7240 |
Removal of impacted tooth - completely bony |
257 |
131 |
$54K |
| 90686 |
|
4,928 |
4,730 |
$50K |
| D1351 |
Sealant - per tooth |
2,527 |
992 |
$49K |
| D0272 |
Bitewings - two radiographic images |
3,147 |
3,093 |
$48K |
| D7230 |
|
212 |
106 |
$41K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,297 |
1,222 |
$38K |
| 11721 |
|
3,076 |
2,904 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,242 |
1,152 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
421 |
413 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
417 |
388 |
$24K |
| D1110 |
Prophylaxis - adult |
840 |
825 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
891 |
870 |
$21K |
| D0330 |
Panoramic radiographic image |
414 |
394 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
1,585 |
1,522 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
259 |
255 |
$16K |
| 3008F |
|
1,996 |
1,915 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
200 |
185 |
$13K |
| V2020 |
Frames, purchases |
1,192 |
1,125 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
332 |
300 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
608 |
565 |
$11K |
| 99460 |
|
117 |
109 |
$10K |
| 99334 |
|
235 |
233 |
$8K |
| 99347 |
|
276 |
241 |
$8K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
452 |
210 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
555 |
203 |
$8K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
5,016 |
4,460 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
542 |
415 |
$7K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
60 |
38 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
6,944 |
6,086 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
119 |
119 |
$6K |
| 90688 |
|
394 |
377 |
$6K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
95 |
67 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
260 |
222 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
75 |
63 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
106 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
56 |
$4K |
| 92250 |
|
347 |
243 |
$4K |
| 90961 |
|
76 |
76 |
$4K |
| 82565 |
|
887 |
772 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
33 |
29 |
$3K |
| V2025 |
Deluxe frame |
517 |
485 |
$2K |
| D9243 |
|
65 |
39 |
$2K |
| 90836 |
|
45 |
39 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
454 |
258 |
$2K |
| 90662 |
|
50 |
50 |
$2K |
| 92133 |
|
101 |
79 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
166 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
14 |
13 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
157 |
38 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
41 |
$1K |
| 20610 |
|
32 |
26 |
$1K |
| 85610 |
|
779 |
303 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
44 |
39 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
18 |
18 |
$1K |
| D9239 |
|
47 |
40 |
$1K |
| 99349 |
|
58 |
54 |
$1K |
| 90656 |
|
78 |
78 |
$1K |
| D2941 |
|
21 |
12 |
$1K |
| 92134 |
|
71 |
59 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
141 |
132 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
24 |
24 |
$982.39 |
| 99442 |
|
30 |
17 |
$865.39 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$792.75 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
15 |
12 |
$734.08 |
| 99233 |
Prolong inpt eval add15 m |
75 |
29 |
$732.37 |
| 90672 |
|
26 |
26 |
$694.37 |
| G0008 |
Administration of influenza virus vaccine |
166 |
164 |
$635.53 |
| 84460 |
|
110 |
102 |
$552.06 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
26 |
26 |
$496.96 |
| 0001A |
|
13 |
13 |
$496.08 |
| 90734 |
|
12 |
12 |
$473.89 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
15 |
$441.00 |
| 92557 |
|
15 |
13 |
$430.05 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
12 |
$403.78 |
| 92567 |
|
29 |
25 |
$393.87 |
| 90670 |
|
114 |
114 |
$377.34 |
| 92083 |
|
20 |
15 |
$327.23 |
| 99220 |
|
14 |
12 |
$302.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
38 |
$297.25 |
| 0124A |
|
12 |
12 |
$281.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
68 |
$267.56 |
| 73630 |
|
31 |
25 |
$255.28 |
| 99443 |
|
19 |
16 |
$225.12 |
| 85027 |
|
42 |
39 |
$223.47 |
| 94010 |
|
22 |
12 |
$217.98 |
| 84132 |
|
68 |
61 |
$210.03 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
13 |
$206.90 |
| 92136 |
|
16 |
16 |
$205.91 |
| 90785 |
|
22 |
13 |
$198.88 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30 |
28 |
$194.42 |
| 90685 |
|
60 |
57 |
$188.67 |
| 90698 |
|
55 |
55 |
$182.05 |
| 90651 |
|
12 |
12 |
$153.31 |
| 90633 |
|
43 |
41 |
$119.16 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$113.59 |
| 99441 |
|
17 |
17 |
$107.64 |
| 95117 |
|
18 |
13 |
$74.25 |
| 84295 |
|
13 |
12 |
$48.10 |
| 90680 |
|
13 |
13 |
$43.03 |
| 90648 |
|
12 |
12 |
$39.72 |
| 84520 |
|
13 |
13 |
$27.65 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
336 |
164 |
$7.76 |
| D0145 |
Oral evaluation for a patient under three years of age |
26 |
26 |
$0.00 |
| 91300 |
|
45 |
42 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
127 |
70 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
17 |
14 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
18 |
13 |
$0.00 |
| J3490 |
Unclassified drugs |
17 |
15 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |