| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,428 |
46,407 |
$2.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,565 |
16,412 |
$1.26M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,804 |
7,582 |
$571K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,281 |
5,909 |
$427K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,316 |
2,452 |
$211K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,763 |
2,677 |
$205K |
| D1120 |
Prophylaxis - child |
5,391 |
5,325 |
$160K |
| D1206 |
Topical application of fluoride varnish |
7,968 |
7,853 |
$142K |
| D0120 |
Periodic oral evaluation - established patient |
7,154 |
7,026 |
$121K |
| 90686 |
|
10,444 |
10,059 |
$114K |
| 90670 |
|
4,283 |
4,058 |
$94K |
| D1110 |
Prophylaxis - adult |
2,304 |
2,238 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,171 |
21,474 |
$77K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,314 |
2,822 |
$76K |
| D0330 |
Panoramic radiographic image |
1,936 |
1,662 |
$74K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,205 |
832 |
$73K |
| 92551 |
|
7,328 |
6,909 |
$68K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
957 |
682 |
$62K |
| 90723 |
|
3,420 |
3,226 |
$61K |
| 90677 |
|
379 |
355 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,167 |
5,006 |
$47K |
| 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 |
2,502 |
2,106 |
$46K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,798 |
1,697 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
541 |
533 |
$44K |
| 90837 |
Psychotherapy, 53 minutes with patient |
435 |
320 |
$42K |
| D0210 |
Intraoral - complete series of radiographic images |
2,147 |
1,530 |
$41K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,180 |
1,147 |
$38K |
| 90671 |
|
253 |
247 |
$38K |
| 90647 |
|
3,195 |
3,010 |
$35K |
| 83655 |
|
3,184 |
3,038 |
$34K |
| 90651 |
|
527 |
515 |
$30K |
| D0274 |
Bitewings - four radiographic images |
1,286 |
1,256 |
$30K |
| 99381 |
|
414 |
384 |
$28K |
| 90633 |
|
2,004 |
1,942 |
$28K |
| 90681 |
|
1,264 |
1,179 |
$25K |
| 90461 |
|
11,128 |
10,194 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,604 |
1,541 |
$20K |
| 99000 |
|
20,038 |
17,453 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
11,401 |
9,048 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
998 |
740 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
144 |
140 |
$17K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,582 |
1,376 |
$17K |
| 99173 |
|
7,463 |
7,043 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
323 |
259 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
114 |
113 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
401 |
377 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
154 |
$15K |
| D0272 |
Bitewings - two radiographic images |
690 |
687 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
950 |
917 |
$12K |
| D7140 |
Extraction, erupted tooth or exposed root |
295 |
123 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
1,623 |
1,237 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,579 |
1,520 |
$11K |
| 90734 |
|
269 |
257 |
$9K |
| 85018 |
|
4,000 |
3,840 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,193 |
2,098 |
$9K |
| 90656 |
|
483 |
474 |
$7K |
| D1351 |
Sealant - per tooth |
209 |
75 |
$6K |
| 90716 |
|
246 |
237 |
$6K |
| 90715 |
|
217 |
205 |
$6K |
| 0012A |
|
190 |
189 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
33 |
33 |
$5K |
| 94760 |
|
7,014 |
6,315 |
$5K |
| 90710 |
|
171 |
169 |
$4K |
| 90707 |
|
232 |
222 |
$4K |
| 0011A |
|
170 |
170 |
$4K |
| 90700 |
|
214 |
204 |
$3K |
| 90696 |
|
162 |
160 |
$2K |
| 0071A |
|
66 |
63 |
$2K |
| 0072A |
|
56 |
56 |
$2K |
| 96161 |
|
1,161 |
1,080 |
$2K |
| 36416 |
|
4,432 |
4,227 |
$2K |
| 87807 |
|
129 |
125 |
$1K |
| 99215 |
Prolong outpt/office vis |
21 |
13 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| D9920 |
|
12 |
12 |
$822.00 |
| 90688 |
|
73 |
62 |
$734.38 |
| D0145 |
Oral evaluation for a patient under three years of age |
31 |
31 |
$624.65 |
| 0064A |
|
20 |
20 |
$592.48 |
| 81002 |
|
278 |
258 |
$524.86 |
| 81025 |
|
76 |
73 |
$464.71 |
| D0230 |
Intraoral - periapical each additional radiographic image |
160 |
73 |
$450.43 |
| D0270 |
|
65 |
64 |
$436.02 |
| 0001A |
|
12 |
12 |
$360.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$65.60 |
| G0008 |
Administration of influenza virus vaccine |
53 |
47 |
$4.99 |
| D4346 |
|
15 |
15 |
$0.00 |
| 99177 |
|
29 |
29 |
$0.00 |