| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,960 |
15,182 |
$3.18M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,656 |
11,886 |
$2.05M |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,959 |
1,741 |
$1.05M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,073 |
2,553 |
$532K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,873 |
3,366 |
$459K |
| D1110 |
Prophylaxis - adult |
4,376 |
3,757 |
$422K |
| D0330 |
Panoramic radiographic image |
3,696 |
3,208 |
$359K |
| D0140 |
Limited oral evaluation - problem focused |
3,486 |
2,835 |
$345K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,099 |
1,728 |
$341K |
| 99215 |
Prolong outpt/office vis |
1,226 |
1,114 |
$334K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,723 |
2,427 |
$266K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,619 |
1,000 |
$252K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,417 |
1,130 |
$237K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,330 |
2,643 |
$237K |
| 90461 |
|
4,681 |
4,106 |
$193K |
| 81002 |
|
14,797 |
9,742 |
$158K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,747 |
1,500 |
$155K |
| 81025 |
|
6,275 |
4,931 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,253 |
6,358 |
$141K |
| 87110 |
|
4,480 |
3,336 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
822 |
616 |
$136K |
| 80053 |
Comprehensive metabolic panel |
813 |
669 |
$122K |
| 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 |
4,004 |
3,078 |
$118K |
| D1120 |
Prophylaxis - child |
1,638 |
1,418 |
$113K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,819 |
2,403 |
$111K |
| D0120 |
Periodic oral evaluation - established patient |
2,120 |
1,788 |
$102K |
| 99205 |
Prolong outpt/office vis |
259 |
204 |
$100K |
| 87800 |
|
1,084 |
954 |
$89K |
| 80061 |
Lipid panel |
866 |
701 |
$76K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,395 |
2,625 |
$68K |
| 88164 |
|
2,029 |
1,881 |
$62K |
| 84443 |
Thyroid stimulating hormone (TSH) |
524 |
444 |
$56K |
| D0274 |
Bitewings - four radiographic images |
970 |
834 |
$46K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
250 |
161 |
$42K |
| 82962 |
|
5,371 |
4,287 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,622 |
1,333 |
$41K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
118 |
114 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
810 |
763 |
$39K |
| D0220 |
Intraoral - periapical first radiographic image |
1,375 |
1,142 |
$36K |
| 36416 |
|
4,569 |
3,732 |
$36K |
| 90832 |
Psychotherapy, 30 minutes with patient |
140 |
115 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
98 |
75 |
$30K |
| 86703 |
|
903 |
787 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
1,920 |
1,548 |
$28K |
| 81001 |
|
637 |
551 |
$21K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
182 |
99 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
40 |
$16K |
| D9110 |
|
206 |
167 |
$14K |
| D1330 |
|
1,286 |
1,101 |
$14K |
| 90670 |
|
382 |
377 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
164 |
158 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
49 |
$13K |
| 97802 |
|
168 |
150 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
82 |
81 |
$11K |
| 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 |
411 |
215 |
$9K |
| 90715 |
|
125 |
121 |
$9K |
| 90836 |
|
35 |
26 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
18 |
12 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
421 |
299 |
$7K |
| D1351 |
Sealant - per tooth |
87 |
12 |
$6K |
| D4910 |
|
50 |
40 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$4K |
| 82785 |
|
59 |
50 |
$4K |
| 99383 |
|
16 |
16 |
$3K |
| 86790 |
|
65 |
62 |
$3K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
15 |
12 |
$3K |
| 99384 |
|
13 |
12 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
14 |
$2K |
| 90647 |
|
129 |
128 |
$2K |
| 87209 |
|
29 |
26 |
$2K |
| 86592 |
|
60 |
47 |
$2K |
| 87340 |
|
29 |
27 |
$1K |
| 81000 |
|
189 |
100 |
$1K |
| 90633 |
|
236 |
235 |
$1K |
| D4355 |
|
13 |
13 |
$1K |
| D0170 |
|
38 |
24 |
$1K |
| 0002A |
|
49 |
49 |
$1K |
| 90710 |
|
128 |
128 |
$901.68 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
49 |
46 |
$835.72 |
| 0012A |
|
33 |
33 |
$784.92 |
| D0272 |
Bitewings - two radiographic images |
16 |
14 |
$728.00 |
| 87088 |
|
16 |
14 |
$715.26 |
| 99408 |
|
557 |
506 |
$637.72 |
| 87081 |
|
13 |
13 |
$609.05 |
| 90651 |
|
36 |
36 |
$433.16 |
| 0011A |
|
27 |
26 |
$347.53 |
| 0001A |
|
23 |
23 |
$311.63 |
| 99173 |
|
86 |
62 |
$292.50 |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 mental health visit |
12 |
12 |
$208.80 |
| 90698 |
|
12 |
12 |
$155.81 |
| S8110 |
Peak expiratory flow rate (physician services) |
13 |
12 |
$135.00 |
| 90685 |
|
595 |
585 |
$66.30 |
| 90723 |
|
61 |
60 |
$28.10 |
| 85041 |
|
36 |
26 |
$0.00 |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
67 |
55 |
$0.00 |
| 90734 |
|
31 |
31 |
$0.00 |
| 91300 |
|
162 |
142 |
$0.00 |
| 90649 |
|
16 |
16 |
$0.00 |
| D0431 |
|
42 |
30 |
$0.00 |
| 0013A |
|
28 |
16 |
$0.00 |
| 90686 |
|
577 |
567 |
$0.00 |
| 91301 |
|
121 |
113 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |