| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,585 |
60,305 |
$3.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,763 |
35,775 |
$2.80M |
| T1015 |
Clinic visit/encounter, all-inclusive |
133,383 |
92,875 |
$1.57M |
| 90837 |
Psychotherapy, 53 minutes with patient |
18,093 |
10,311 |
$1.43M |
| 90834 |
Psychotherapy, 45 minutes with patient |
17,727 |
10,543 |
$925K |
| 59426 |
|
6,869 |
4,010 |
$493K |
| 59425 |
|
6,977 |
5,691 |
$461K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,375 |
3,518 |
$301K |
| 90791 |
Psychiatric diagnostic evaluation |
3,610 |
3,074 |
$296K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,556 |
3,137 |
$265K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,895 |
5,029 |
$255K |
| D9999 |
Unspecified adjunctive procedure, by report |
11,857 |
8,499 |
$213K |
| D1110 |
Prophylaxis - adult |
6,113 |
5,023 |
$211K |
| 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 |
7,060 |
5,679 |
$151K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,548 |
1,594 |
$143K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,136 |
1,297 |
$141K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,178 |
4,520 |
$139K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,663 |
1,535 |
$123K |
| D0210 |
Intraoral - complete series of radiographic images |
3,394 |
2,673 |
$112K |
| D0120 |
Periodic oral evaluation - established patient |
6,481 |
5,309 |
$111K |
| 87428 |
|
2,314 |
1,811 |
$106K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,816 |
3,114 |
$105K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,417 |
1,289 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,287 |
1,175 |
$95K |
| D0140 |
Limited oral evaluation - problem focused |
3,047 |
2,494 |
$81K |
| 99215 |
Prolong outpt/office vis |
748 |
678 |
$80K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,280 |
963 |
$78K |
| D0330 |
Panoramic radiographic image |
3,314 |
2,709 |
$70K |
| 59430 |
|
555 |
429 |
$69K |
| D0274 |
Bitewings - four radiographic images |
2,697 |
2,216 |
$69K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,440 |
1,160 |
$65K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,463 |
919 |
$61K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,555 |
1,301 |
$59K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
110 |
88 |
$48K |
| 80305 |
|
4,497 |
3,287 |
$46K |
| 20610 |
|
1,500 |
795 |
$46K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,785 |
7,980 |
$46K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
727 |
488 |
$46K |
| 90686 |
|
5,509 |
4,671 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,454 |
2,665 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
455 |
428 |
$33K |
| D1206 |
Topical application of fluoride varnish |
2,287 |
1,890 |
$32K |
| D1120 |
Prophylaxis - child |
1,199 |
993 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,804 |
4,471 |
$30K |
| D0220 |
Intraoral - periapical first radiographic image |
2,942 |
2,421 |
$25K |
| 81025 |
|
4,733 |
3,943 |
$25K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,338 |
789 |
$22K |
| 98940 |
|
1,098 |
388 |
$20K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,394 |
941 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,392 |
1,180 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
349 |
300 |
$15K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
498 |
244 |
$13K |
| J3490 |
Unclassified drugs |
282 |
243 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,576 |
1,275 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
596 |
535 |
$9K |
| 20552 |
|
465 |
320 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
360 |
324 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
61 |
47 |
$7K |
| 90715 |
|
761 |
661 |
$7K |
| 83655 |
|
591 |
489 |
$6K |
| 96156 |
|
91 |
70 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
107 |
58 |
$5K |
| 99460 |
|
85 |
73 |
$5K |
| 99383 |
|
61 |
56 |
$5K |
| 99385 |
|
49 |
43 |
$4K |
| 81002 |
|
2,743 |
2,166 |
$4K |
| D2332 |
|
54 |
41 |
$4K |
| 96127 |
|
1,124 |
927 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
280 |
253 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
95 |
53 |
$3K |
| 99354 |
|
47 |
32 |
$2K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
37 |
28 |
$2K |
| 98960 |
|
155 |
119 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
320 |
159 |
$2K |
| 59025 |
Fetal non-stress test |
70 |
41 |
$2K |
| 85018 |
|
969 |
804 |
$2K |
| 99000 |
|
1,147 |
853 |
$1K |
| 99382 |
|
18 |
16 |
$1K |
| D2330 |
|
17 |
13 |
$1K |
| D0272 |
Bitewings - two radiographic images |
89 |
76 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
172 |
115 |
$1K |
| 81003 |
|
853 |
726 |
$1K |
| 90670 |
|
2,376 |
1,999 |
$1K |
| 99221 |
|
13 |
12 |
$905.65 |
| 90649 |
|
231 |
197 |
$859.55 |
| 96137 |
|
20 |
12 |
$783.40 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
73 |
62 |
$625.94 |
| 96136 |
|
39 |
26 |
$564.52 |
| 90677 |
|
35 |
28 |
$547.70 |
| 90734 |
|
441 |
376 |
$515.58 |
| 90621 |
|
83 |
66 |
$483.32 |
| 87807 |
|
42 |
37 |
$455.75 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
21 |
15 |
$336.69 |
| 90620 |
|
49 |
38 |
$332.93 |
| 82962 |
|
386 |
308 |
$283.30 |
| 86701 |
|
48 |
38 |
$212.64 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
34 |
21 |
$187.05 |
| 90707 |
|
92 |
75 |
$140.12 |
| 90680 |
|
496 |
414 |
$88.84 |
| 90688 |
|
148 |
123 |
$81.39 |
| 90723 |
|
827 |
693 |
$76.84 |
| 90633 |
|
983 |
819 |
$66.47 |
| 90656 |
|
28 |
26 |
$35.12 |
| 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 |
829 |
516 |
$13.41 |
| 90648 |
|
632 |
517 |
$0.00 |
| 3078F |
|
793 |
741 |
$0.00 |
| 90681 |
|
39 |
39 |
$0.00 |
| 3077F |
|
308 |
283 |
$0.00 |
| 2028F |
|
248 |
216 |
$0.00 |
| 90396 |
|
16 |
16 |
$0.00 |
| 90710 |
|
48 |
41 |
$0.00 |
| 3074F |
|
1,366 |
1,273 |
$0.00 |
| 90698 |
|
732 |
634 |
$0.00 |
| 3079F |
|
679 |
638 |
$0.00 |
| D1330 |
|
1,341 |
1,185 |
$0.00 |
| 3080F |
|
113 |
104 |
$0.00 |
| 90696 |
|
36 |
29 |
$0.00 |
| 90716 |
|
92 |
69 |
$0.00 |
| 3075F |
|
61 |
57 |
$0.00 |
| D9995 |
|
13 |
12 |
$0.00 |
| 90694 |
|
14 |
12 |
$0.00 |
| 90744 |
|
49 |
42 |
$0.00 |