| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,097 |
33,020 |
$1.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,082 |
9,063 |
$502K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,167 |
2,806 |
$84K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,582 |
801 |
$78K |
| D0330 |
Panoramic radiographic image |
1,926 |
1,708 |
$68K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,394 |
886 |
$66K |
| D1120 |
Prophylaxis - child |
1,309 |
1,146 |
$61K |
| 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 |
5,626 |
1,954 |
$39K |
| 99072 |
|
7,857 |
6,536 |
$36K |
| D0140 |
Limited oral evaluation - problem focused |
1,200 |
1,053 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,837 |
2,433 |
$34K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
651 |
440 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
412 |
367 |
$24K |
| D0274 |
Bitewings - four radiographic images |
1,089 |
973 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,564 |
1,283 |
$22K |
| D1206 |
Topical application of fluoride varnish |
1,521 |
1,344 |
$21K |
| 87428 |
|
2,517 |
2,143 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
315 |
306 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
266 |
$19K |
| D1110 |
Prophylaxis - adult |
427 |
366 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
239 |
187 |
$16K |
| 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 |
1,847 |
1,525 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
472 |
380 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
1,474 |
1,303 |
$14K |
| D1351 |
Sealant - per tooth |
735 |
250 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
5,698 |
4,658 |
$13K |
| 92552 |
|
1,143 |
1,045 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
805 |
384 |
$10K |
| D7140 |
Extraction, erupted tooth or exposed root |
249 |
153 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
225 |
134 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
113 |
95 |
$7K |
| 99442 |
|
150 |
130 |
$5K |
| 90686 |
|
225 |
204 |
$3K |
| 80305 |
|
222 |
75 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
39 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
78 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
210 |
203 |
$2K |
| 99441 |
|
74 |
67 |
$2K |
| 99188 |
|
112 |
106 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
20 |
15 |
$2K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
33 |
24 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
19 |
19 |
$1K |
| D0272 |
Bitewings - two radiographic images |
108 |
97 |
$1K |
| 99177 |
|
587 |
528 |
$1K |
| 0012A |
|
40 |
35 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
171 |
131 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
513 |
64 |
$1K |
| 96127 |
|
270 |
240 |
$943.84 |
| 0011A |
|
43 |
39 |
$852.45 |
| 81002 |
|
924 |
713 |
$573.56 |
| 96161 |
|
169 |
169 |
$537.42 |
| 99422 |
|
31 |
26 |
$499.38 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$253.75 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
37 |
29 |
$249.60 |
| 85018 |
|
127 |
120 |
$237.78 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$143.91 |
| 90473 |
|
16 |
16 |
$128.00 |
| 90658 |
|
25 |
25 |
$18.40 |
| 90688 |
|
305 |
286 |
$15.90 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,508 |
1,934 |
$3.11 |
| 4551F |
|
1,123 |
900 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 1124F |
|
306 |
277 |
$0.00 |
| 1033F |
|
418 |
369 |
$0.00 |
| 3085F |
|
177 |
132 |
$0.00 |
| 90648 |
|
118 |
102 |
$0.00 |
| 90633 |
|
105 |
105 |
$0.00 |
| 888888 |
|
52 |
44 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 90670 |
|
73 |
55 |
$0.00 |
| 0502F |
|
28 |
17 |
$0.00 |
| 1000F |
|
1,608 |
1,318 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
4,755 |
3,613 |
$0.00 |
| 91301 |
|
90 |
80 |
$0.00 |
| 90680 |
|
44 |
44 |
$0.00 |
| 90677 |
|
139 |
138 |
$0.00 |
| D1330 |
|
496 |
386 |
$0.00 |
| D0603 |
|
76 |
43 |
$0.00 |
| 99000 |
|
49 |
37 |
$0.00 |
| D0602 |
|
36 |
19 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |