| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,636 |
16,560 |
$501K |
| H1000 |
Prenatal care, at-risk assessment |
6,045 |
3,962 |
$214K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,066 |
1,682 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,995 |
1,501 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,409 |
1,179 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,113 |
2,298 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
833 |
679 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,293 |
5,620 |
$34K |
| 90832 |
Psychotherapy, 30 minutes with patient |
827 |
591 |
$32K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
757 |
565 |
$32K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,872 |
790 |
$29K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
854 |
689 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,755 |
2,578 |
$26K |
| D0230 |
Intraoral - periapical each additional radiographic image |
985 |
541 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
1,402 |
996 |
$23K |
| 99460 |
|
472 |
442 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,824 |
1,578 |
$20K |
| D0330 |
Panoramic radiographic image |
431 |
424 |
$18K |
| D7140 |
Extraction, erupted tooth or exposed root |
574 |
362 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
1,843 |
1,697 |
$13K |
| D1351 |
Sealant - per tooth |
1,214 |
326 |
$11K |
| D1120 |
Prophylaxis - child |
827 |
726 |
$10K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
309 |
220 |
$9K |
| D1206 |
Topical application of fluoride varnish |
2,039 |
1,708 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
580 |
481 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
233 |
167 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,141 |
541 |
$8K |
| D1354 |
|
2,131 |
470 |
$8K |
| 59430 |
|
289 |
177 |
$7K |
| D1110 |
Prophylaxis - adult |
548 |
464 |
$6K |
| D0274 |
Bitewings - four radiographic images |
1,487 |
1,327 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,281 |
4,122 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
94 |
81 |
$5K |
| 87428 |
|
216 |
201 |
$5K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
89 |
80 |
$5K |
| D1330 |
|
2,473 |
2,195 |
$5K |
| 98942 |
|
223 |
82 |
$4K |
| 90677 |
|
247 |
221 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
274 |
230 |
$3K |
| 98940 |
|
407 |
216 |
$3K |
| 99188 |
|
357 |
286 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
634 |
573 |
$2K |
| 81025 |
|
948 |
729 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
105 |
85 |
$2K |
| 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 |
382 |
352 |
$2K |
| 99383 |
|
31 |
29 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
1,791 |
1,510 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
50 |
39 |
$2K |
| 11721 |
|
192 |
150 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
27 |
25 |
$1K |
| 90686 |
|
2,927 |
2,441 |
$1K |
| 0012A |
|
35 |
35 |
$1K |
| 99441 |
|
159 |
123 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$901.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
152 |
$884.21 |
| 81002 |
|
1,183 |
894 |
$870.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
232 |
168 |
$568.99 |
| 36415 |
Collection of venous blood by venipuncture |
749 |
667 |
$488.36 |
| 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 |
2,000 |
1,462 |
$478.69 |
| 90474 |
|
164 |
113 |
$426.99 |
| D0191 |
|
44 |
41 |
$420.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
67 |
$365.57 |
| 85018 |
|
408 |
375 |
$363.56 |
| 0013A |
|
14 |
13 |
$360.00 |
| 83026 |
|
344 |
253 |
$296.97 |
| 98943 |
|
28 |
12 |
$284.94 |
| 1159F |
|
18,744 |
14,754 |
$234.21 |
| 90715 |
|
59 |
54 |
$216.94 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
15 |
$210.69 |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$172.08 |
| 90656 |
|
240 |
240 |
$160.00 |
| D0603 |
|
1,564 |
1,445 |
$149.23 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
12 |
$146.55 |
| 86703 |
|
53 |
41 |
$137.16 |
| 90674 |
|
65 |
64 |
$129.12 |
| 3351F |
|
11,387 |
7,941 |
$117.90 |
| 90651 |
|
592 |
528 |
$111.47 |
| 87340 |
|
25 |
13 |
$53.90 |
| D0270 |
|
27 |
27 |
$51.09 |
| 3074F |
|
25,152 |
18,652 |
$50.06 |
| 3044F |
|
1,208 |
1,041 |
$40.00 |
| 85027 |
|
26 |
14 |
$38.88 |
| 4040F |
|
590 |
400 |
$32.00 |
| 82962 |
|
18 |
17 |
$31.98 |
| 90734 |
|
254 |
238 |
$30.00 |
| 86592 |
|
26 |
14 |
$22.68 |
| 2001F |
|
35,113 |
25,679 |
$16.12 |
| D0602 |
|
36 |
36 |
$14.01 |
| 1160F |
|
19,342 |
15,119 |
$8.55 |
| 3008F |
|
36,050 |
26,701 |
$8.14 |
| 1036F |
|
11,463 |
7,824 |
$6.38 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
49 |
42 |
$5.45 |
| 96127 |
|
602 |
559 |
$2.09 |
| 1000F |
|
30,831 |
22,158 |
$0.16 |
| 1125F |
|
4,704 |
3,153 |
$0.12 |
| 2000F |
|
19,514 |
14,960 |
$0.12 |
| 1220F |
|
9,310 |
7,681 |
$0.11 |
| 3079F |
|
7,177 |
4,957 |
$0.04 |
| 3078F |
|
21,079 |
15,436 |
$0.01 |
| 1033F |
|
2,796 |
2,216 |
$0.00 |
| 4035F |
|
3,235 |
2,530 |
$0.00 |
| 99173 |
|
2,501 |
1,979 |
$0.00 |
| 90670 |
|
1,015 |
761 |
$0.00 |
| 90633 |
|
361 |
297 |
$0.00 |
| 4004F |
|
783 |
469 |
$0.00 |
| 3077F |
|
878 |
739 |
$0.00 |
| 3210F |
|
178 |
156 |
$0.00 |
| 1158F |
|
1,410 |
620 |
$0.00 |
| 1039F |
|
484 |
392 |
$0.00 |
| 98960 |
|
167 |
125 |
$0.00 |
| 90461 |
|
584 |
287 |
$0.00 |
| 0502F |
|
1,389 |
1,100 |
$0.00 |
| 2028F |
|
601 |
435 |
$0.00 |
| 90681 |
|
210 |
154 |
$0.00 |
| 0556F |
|
12 |
12 |
$0.00 |
| 83037 |
|
18 |
17 |
$0.00 |
| 90700 |
|
15 |
13 |
$0.00 |
| 90655 |
|
12 |
12 |
$0.00 |
| 1126F |
|
11,093 |
9,195 |
$0.00 |
| 92551 |
|
2,306 |
1,803 |
$0.00 |
| 4000F |
|
3,051 |
2,610 |
$0.00 |
| 3075F |
|
2,334 |
1,671 |
$0.00 |
| 90647 |
|
760 |
614 |
$0.00 |
| 1030F |
|
3,303 |
2,596 |
$0.00 |
| 90723 |
|
953 |
723 |
$0.00 |
| 1034F |
|
1,510 |
1,011 |
$0.00 |
| 4037F |
|
1,612 |
1,200 |
$0.00 |
| 1170F |
|
111 |
27 |
$0.00 |
| 3048F |
|
23 |
12 |
$0.00 |
| 3080F |
|
391 |
317 |
$0.00 |
| 3353F |
|
55 |
53 |
$0.00 |
| 1101F |
|
1,024 |
541 |
$0.00 |
| 1022F |
|
608 |
415 |
$0.00 |
| 1005F |
|
306 |
234 |
$0.00 |
| 0503F |
|
76 |
38 |
$0.00 |
| 4010F |
|
136 |
100 |
$0.00 |
| 0513F |
|
172 |
39 |
$0.00 |
| 1157F |
|
205 |
72 |
$0.00 |
| 90620 |
|
28 |
26 |
$0.00 |
| 3352F |
|
21 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 1111F |
|
15 |
15 |
$0.00 |