| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85,222 |
76,045 |
$11.45M |
| D0999 |
Unspecified diagnostic procedure, by report |
28,124 |
26,106 |
$6.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,059 |
13,637 |
$1.77M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,647 |
9,163 |
$1.43M |
| H0031 |
Mental health assessment, by non-physician |
7,533 |
4,702 |
$947K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,547 |
3,507 |
$568K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,546 |
3,523 |
$477K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,068 |
2,101 |
$340K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,502 |
2,493 |
$326K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,045 |
15,845 |
$273K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,455 |
598 |
$188K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,483 |
1,470 |
$181K |
| 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 |
3,206 |
2,786 |
$70K |
| 90834 |
Psychotherapy, 45 minutes with patient |
477 |
278 |
$59K |
| 90686 |
|
2,627 |
2,593 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
270 |
$52K |
| D1110 |
Prophylaxis - adult |
1,774 |
1,758 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
2,808 |
2,743 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
245 |
238 |
$40K |
| 90832 |
Psychotherapy, 30 minutes with patient |
345 |
195 |
$39K |
| 90837 |
Psychotherapy, 53 minutes with patient |
250 |
188 |
$38K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,963 |
1,942 |
$35K |
| 90791 |
Psychiatric diagnostic evaluation |
196 |
186 |
$30K |
| D0220 |
Intraoral - periapical first radiographic image |
3,012 |
2,928 |
$27K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,407 |
988 |
$26K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
524 |
237 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,576 |
3,513 |
$23K |
| 90461 |
|
2,596 |
2,583 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
134 |
128 |
$21K |
| D0274 |
Bitewings - four radiographic images |
775 |
752 |
$20K |
| D0190 |
|
2,205 |
2,159 |
$20K |
| 99381 |
|
93 |
89 |
$18K |
| D1120 |
Prophylaxis - child |
1,019 |
1,005 |
$17K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
160 |
114 |
$16K |
| D7140 |
Extraction, erupted tooth or exposed root |
249 |
113 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
302 |
300 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
135 |
113 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$8K |
| D1354 |
|
158 |
40 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,608 |
1,566 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
421 |
414 |
$6K |
| 90682 |
|
153 |
153 |
$5K |
| 90670 |
|
124 |
124 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
29 |
$4K |
| D1206 |
Topical application of fluoride varnish |
12,188 |
11,893 |
$4K |
| D0180 |
|
60 |
60 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,454 |
2,203 |
$3K |
| 99442 |
|
14 |
14 |
$3K |
| T1017 |
Targeted case management, each 15 minutes |
18 |
15 |
$3K |
| D0272 |
Bitewings - two radiographic images |
205 |
200 |
$2K |
| D0330 |
Panoramic radiographic image |
121 |
118 |
$2K |
| D1351 |
Sealant - per tooth |
49 |
16 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
120 |
110 |
$1K |
| 90633 |
|
12 |
12 |
$1K |
| 36416 |
|
3,268 |
3,159 |
$601.29 |
| 36415 |
Collection of venous blood by venipuncture |
4,317 |
4,163 |
$562.66 |
| D0270 |
|
41 |
41 |
$556.00 |
| 99000 |
|
1,370 |
1,315 |
$408.48 |
| 90662 |
|
37 |
37 |
$394.13 |
| 98926 |
|
89 |
64 |
$387.40 |
| 97810 |
|
140 |
99 |
$323.81 |
| 90732 |
|
17 |
17 |
$198.43 |
| 0003A |
|
39 |
39 |
$80.00 |
| 85018 |
|
1,827 |
1,803 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
27 |
$0.00 |
| D4342 |
|
54 |
38 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 90677 |
|
162 |
158 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
121 |
113 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
53 |
53 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$0.00 |
| 81003 |
|
2,311 |
2,228 |
$0.00 |
| 81025 |
|
193 |
185 |
$0.00 |
| 82948 |
|
315 |
305 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
42 |
$0.00 |
| 80305 |
|
33 |
25 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
67 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| D4910 |
|
41 |
41 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |