| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,023 |
12,224 |
$1.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,400 |
14,341 |
$1.08M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,839 |
11,624 |
$515K |
| 92551 |
|
6,753 |
6,548 |
$274K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
428 |
422 |
$256K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,709 |
1,644 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,678 |
1,629 |
$137K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,609 |
1,500 |
$133K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,365 |
1,308 |
$117K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,354 |
1,194 |
$115K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,727 |
4,591 |
$114K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,013 |
995 |
$97K |
| D0330 |
Panoramic radiographic image |
959 |
862 |
$90K |
| 76801 |
|
378 |
338 |
$86K |
| 81025 |
|
8,807 |
8,462 |
$79K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,186 |
1,070 |
$79K |
| 99215 |
Prolong outpt/office vis |
443 |
360 |
$70K |
| 81003 |
|
11,905 |
9,963 |
$63K |
| D7140 |
Extraction, erupted tooth or exposed root |
471 |
185 |
$56K |
| H0049 |
Alcohol and/or drug screening |
4,192 |
4,012 |
$54K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
972 |
961 |
$53K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
570 |
549 |
$52K |
| 92015 |
Determination of refractive state |
2,587 |
2,519 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
374 |
362 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
810 |
794 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
252 |
246 |
$40K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
420 |
365 |
$40K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,211 |
1,039 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
832 |
825 |
$37K |
| H1000 |
Prenatal care, at-risk assessment |
412 |
363 |
$34K |
| 93000 |
|
734 |
635 |
$33K |
| 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 |
792 |
779 |
$25K |
| 82947 |
|
2,372 |
2,286 |
$22K |
| D0274 |
Bitewings - four radiographic images |
403 |
368 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
102 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
313 |
275 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
73 |
72 |
$14K |
| 98940 |
|
575 |
459 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
547 |
480 |
$13K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
294 |
289 |
$11K |
| D1206 |
Topical application of fluoride varnish |
736 |
714 |
$11K |
| 87210 |
|
1,329 |
1,306 |
$9K |
| 99173 |
|
1,103 |
1,076 |
$8K |
| 92002 |
|
98 |
96 |
$7K |
| 99205 |
Prolong outpt/office vis |
30 |
29 |
$6K |
| D4355 |
|
40 |
39 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
327 |
99 |
$6K |
| D1110 |
Prophylaxis - adult |
73 |
70 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
32 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
189 |
188 |
$4K |
| 99383 |
|
42 |
40 |
$3K |
| 80053 |
Comprehensive metabolic panel |
63 |
60 |
$3K |
| 99381 |
|
33 |
29 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
48 |
45 |
$3K |
| 96161 |
|
513 |
448 |
$3K |
| 99384 |
|
36 |
30 |
$3K |
| 80061 |
Lipid panel |
39 |
37 |
$2K |
| 90697 |
|
69 |
56 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$2K |
| 84153 |
|
26 |
25 |
$2K |
| 80305 |
|
153 |
141 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$1K |
| 90723 |
|
73 |
72 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
30 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
38 |
36 |
$1K |
| 99451 |
|
61 |
57 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
12 |
$972.91 |
| 86803 |
|
16 |
14 |
$915.31 |
| 90670 |
|
329 |
325 |
$879.02 |
| 90686 |
|
442 |
431 |
$831.57 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
19 |
19 |
$792.90 |
| 59025 |
Fetal non-stress test |
23 |
12 |
$736.24 |
| 90651 |
|
306 |
306 |
$578.14 |
| 90633 |
|
162 |
162 |
$524.94 |
| 90677 |
|
118 |
118 |
$420.29 |
| 92133 |
|
12 |
12 |
$363.43 |
| 90619 |
|
64 |
64 |
$362.92 |
| 90698 |
|
27 |
27 |
$347.89 |
| 90648 |
|
110 |
110 |
$342.86 |
| 90710 |
|
27 |
27 |
$299.73 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
14 |
$296.60 |
| 90696 |
|
13 |
13 |
$192.64 |
| 83721 |
|
14 |
14 |
$173.70 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$169.39 |
| 90700 |
|
14 |
14 |
$128.46 |
| 90620 |
|
15 |
12 |
$96.87 |
| 90715 |
|
28 |
28 |
$96.52 |
| 0011A |
|
13 |
12 |
$86.42 |
| 90734 |
|
31 |
31 |
$85.75 |
| 90707 |
|
13 |
13 |
$64.29 |
| 90716 |
|
13 |
13 |
$21.49 |
| 90656 |
|
28 |
28 |
$0.28 |
| D1310 |
|
58 |
51 |
$0.00 |
| 0001A |
|
14 |
14 |
$0.00 |