| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
408,380 |
139,733 |
$10.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238,255 |
72,603 |
$6.21M |
| D0120 |
Periodic oral evaluation - established patient |
73,824 |
18,250 |
$1.27M |
| 97803 |
|
19,619 |
12,277 |
$972K |
| T1015 |
Clinic visit/encounter, all-inclusive |
100,767 |
14,683 |
$921K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36,031 |
8,767 |
$880K |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,622 |
5,610 |
$794K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33,451 |
8,603 |
$725K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35,289 |
8,431 |
$682K |
| D1110 |
Prophylaxis - adult |
15,554 |
10,797 |
$678K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12,119 |
6,432 |
$677K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
40,313 |
7,789 |
$581K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29,706 |
6,244 |
$545K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25,541 |
6,363 |
$530K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47,713 |
47,338 |
$513K |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,309 |
5,322 |
$468K |
| 97802 |
|
7,490 |
4,759 |
$393K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,943 |
5,832 |
$378K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15,949 |
3,634 |
$373K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
5,900 |
3,213 |
$371K |
| 90791 |
Psychiatric diagnostic evaluation |
5,049 |
2,901 |
$363K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
4,933 |
3,862 |
$299K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18,504 |
18,402 |
$280K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,686 |
2,466 |
$258K |
| D9110 |
|
6,235 |
3,724 |
$209K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15,146 |
11,404 |
$208K |
| D0274 |
Bitewings - four radiographic images |
9,015 |
6,905 |
$202K |
| D0330 |
Panoramic radiographic image |
6,379 |
4,573 |
$188K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12,376 |
11,676 |
$170K |
| D1120 |
Prophylaxis - child |
4,210 |
3,282 |
$149K |
| 96127 |
|
39,877 |
37,462 |
$119K |
| 90688 |
|
6,946 |
6,908 |
$119K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,301 |
1,151 |
$110K |
| D0220 |
Intraoral - periapical first radiographic image |
5,611 |
2,681 |
$109K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,661 |
598 |
$100K |
| 99406 |
|
13,084 |
12,182 |
$90K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,123 |
5,383 |
$84K |
| 11721 |
|
3,427 |
2,806 |
$84K |
| 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 |
11,968 |
3,221 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,721 |
2,444 |
$70K |
| 99385 |
|
2,285 |
665 |
$67K |
| 99188 |
|
4,441 |
4,233 |
$66K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,868 |
1,842 |
$60K |
| 96160 |
|
33,191 |
32,240 |
$57K |
| 92551 |
|
19,113 |
19,085 |
$52K |
| 99443 |
|
806 |
450 |
$48K |
| D0603 |
|
6,580 |
5,111 |
$48K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
660 |
341 |
$47K |
| D1206 |
Topical application of fluoride varnish |
1,694 |
1,616 |
$47K |
| 0012A |
|
1,371 |
1,371 |
$45K |
| 91320 |
|
451 |
451 |
$44K |
| 99383 |
|
1,651 |
425 |
$42K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
464 |
426 |
$39K |
| 99441 |
|
1,080 |
543 |
$39K |
| 0002A |
|
1,066 |
1,065 |
$38K |
| 0011A |
|
1,381 |
1,381 |
$37K |
| 99215 |
Prolong outpt/office vis |
1,955 |
455 |
$37K |
| 0001A |
|
903 |
900 |
$32K |
| 99384 |
|
1,145 |
285 |
$28K |
| 83655 |
|
3,180 |
3,141 |
$25K |
| 11056 |
|
595 |
528 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
478 |
176 |
$23K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
220 |
108 |
$22K |
| 81025 |
|
6,078 |
5,683 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,399 |
2,378 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
368 |
158 |
$22K |
| 0502F |
|
903 |
453 |
$21K |
| 99386 |
|
463 |
165 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
437 |
247 |
$20K |
| D0140 |
Limited oral evaluation - problem focused |
817 |
275 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,098 |
2,985 |
$19K |
| 0064A |
|
527 |
527 |
$19K |
| 90480 |
|
691 |
687 |
$18K |
| 99381 |
|
389 |
177 |
$15K |
| 90715 |
|
876 |
872 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,128 |
1,103 |
$15K |
| 94664 |
|
1,658 |
1,643 |
$15K |
| 90677 |
|
790 |
788 |
$15K |
| 0031A |
|
510 |
510 |
$14K |
| 99001 |
|
9,797 |
9,432 |
$14K |
| 99442 |
|
325 |
177 |
$14K |
| D7140 |
Extraction, erupted tooth or exposed root |
270 |
129 |
$13K |
| 0072A |
|
333 |
332 |
$12K |
| 0071A |
|
336 |
336 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
584 |
578 |
$12K |
| D4341 |
|
278 |
101 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,784 |
1,685 |
$10K |
| G0127 |
Trimming of dystrophic nails, any number |
3,012 |
884 |
$10K |
| 99173 |
|
18,589 |
18,491 |
$10K |
| D1330 |
|
7,162 |
6,916 |
$9K |
| 0124A |
|
258 |
251 |
$9K |
| 90658 |
|
574 |
574 |
$9K |
| 0004A |
|
245 |
244 |
$9K |
| 90686 |
|
11,203 |
11,127 |
$8K |
| G9007 |
Coordinated care fee, scheduled team conference |
108 |
84 |
$8K |
| 76801 |
|
112 |
66 |
$8K |
| 83037 |
|
2,812 |
2,443 |
$8K |
| D0601 |
|
1,689 |
1,399 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
116 |
95 |
$7K |
| 76820 |
|
174 |
107 |
$7K |
| 99382 |
|
131 |
62 |
$7K |
| D1351 |
Sealant - per tooth |
245 |
66 |
$7K |
| 0054A |
|
180 |
178 |
$6K |
| 96161 |
|
4,564 |
4,279 |
$6K |
| 90670 |
|
2,429 |
2,426 |
$5K |
| 99401 |
|
408 |
397 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
38 |
38 |
$4K |
| 81002 |
|
1,187 |
1,071 |
$4K |
| D1310 |
|
2,832 |
2,689 |
$4K |
| J3490 |
Unclassified drugs |
93 |
93 |
$4K |
| 87210 |
|
1,072 |
1,055 |
$3K |
| 2010F |
|
2,873 |
2,599 |
$3K |
| 86580 |
|
921 |
853 |
$3K |
| 0052A |
|
89 |
89 |
$3K |
| 3074F |
|
10,603 |
10,279 |
$3K |
| 90651 |
|
1,911 |
1,890 |
$3K |
| S9470 |
Nutritional counseling, dietitian visit |
977 |
951 |
$3K |
| 98968 |
|
67 |
36 |
$3K |
| 3078F |
|
8,475 |
8,241 |
$2K |
| 90707 |
|
909 |
820 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
80 |
28 |
$2K |
| 85018 |
|
3,120 |
3,103 |
$2K |
| 90621 |
|
342 |
342 |
$2K |
| 1159F |
|
10,942 |
10,412 |
$2K |
| 90732 |
|
17 |
17 |
$2K |
| D1320 |
|
190 |
142 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
514 |
511 |
$2K |
| 99024 |
|
3,297 |
2,480 |
$2K |
| 90716 |
|
1,080 |
1,073 |
$2K |
| 3079F |
|
2,076 |
2,035 |
$2K |
| D0272 |
Bitewings - two radiographic images |
117 |
85 |
$2K |
| 92250 |
|
56 |
56 |
$2K |
| 90473 |
|
161 |
161 |
$2K |
| 11055 |
|
62 |
31 |
$1K |
| 90734 |
|
708 |
707 |
$1K |
| 90723 |
|
1,624 |
1,619 |
$1K |
| 90648 |
|
2,875 |
2,865 |
$1K |
| 95251 |
|
64 |
37 |
$1K |
| 82948 |
|
547 |
514 |
$1K |
| 91306 |
|
507 |
498 |
$1K |
| 91301 |
|
2,389 |
2,340 |
$1K |
| 3008F |
|
13,177 |
12,656 |
$1K |
| 90633 |
|
1,465 |
1,451 |
$986.72 |
| 1036F |
|
9,355 |
8,918 |
$964.04 |
| 90656 |
|
923 |
922 |
$936.59 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
19 |
16 |
$916.84 |
| 91300 |
|
2,194 |
2,021 |
$851.95 |
| 94760 |
|
961 |
924 |
$828.83 |
| 91307 |
|
877 |
842 |
$640.37 |
| 92015 |
Determination of refractive state |
170 |
163 |
$634.12 |
| 11730 |
|
12 |
12 |
$544.17 |
| 11057 |
|
13 |
12 |
$502.39 |
| 20553 |
|
12 |
12 |
$437.46 |
| 0051A |
|
12 |
12 |
$395.48 |
| 20552 |
|
13 |
13 |
$366.03 |
| 93000 |
|
32 |
32 |
$363.53 |
| 4019F |
|
75 |
59 |
$296.84 |
| 90474 |
|
57 |
56 |
$261.52 |
| 3075F |
|
316 |
312 |
$240.00 |
| 99000 |
|
1,166 |
1,146 |
$220.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
113 |
112 |
$219.53 |
| 91303 |
|
300 |
297 |
$212.35 |
| 86703 |
|
24 |
24 |
$211.70 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
82 |
37 |
$202.84 |
| 90619 |
|
523 |
523 |
$175.33 |
| 87220 |
|
109 |
107 |
$165.85 |
| 36415 |
Collection of venous blood by venipuncture |
336 |
336 |
$154.68 |
| 36416 |
|
861 |
853 |
$146.14 |
| 91312 |
|
164 |
163 |
$145.37 |
| 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) |
230 |
227 |
$135.82 |
| 87806 |
|
17 |
17 |
$130.69 |
| 82120 |
|
50 |
50 |
$104.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,905 |
6,862 |
$65.45 |
| 90713 |
|
48 |
48 |
$46.90 |
| S9451 |
Exercise classes, non-physician provider, per session |
523 |
514 |
$36.75 |
| 94150 |
|
16 |
16 |
$31.68 |
| 90685 |
|
144 |
144 |
$20.34 |
| 3044F |
|
60 |
58 |
$20.00 |
| 2028F |
|
170 |
168 |
$1.00 |
| 1160F |
|
6,730 |
6,487 |
$0.26 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
40 |
40 |
$0.03 |
| 3725F |
|
2,797 |
2,776 |
$0.02 |
| 3077F |
|
416 |
402 |
$0.01 |
| 90680 |
|
376 |
376 |
$0.00 |
| 91305 |
|
537 |
528 |
$0.00 |
| 1126F |
|
163 |
151 |
$0.00 |
| 3080F |
|
191 |
184 |
$0.00 |
| 91319 |
|
24 |
24 |
$0.00 |
| 1125F |
|
110 |
108 |
$0.00 |
| 90696 |
|
64 |
64 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 90681 |
|
160 |
160 |
$0.00 |
| 90700 |
|
65 |
65 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |