| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,516 |
21,307 |
$3.36M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,102 |
3,855 |
$547K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,455 |
746 |
$307K |
| D0120 |
Periodic oral evaluation - established patient |
7,185 |
2,492 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,687 |
1,228 |
$191K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,651 |
1,211 |
$178K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,449 |
895 |
$172K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,213 |
769 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,139 |
5,081 |
$120K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,042 |
636 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,120 |
708 |
$115K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,091 |
514 |
$87K |
| D1110 |
Prophylaxis - adult |
1,109 |
919 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
655 |
366 |
$68K |
| 90832 |
Psychotherapy, 30 minutes with patient |
796 |
428 |
$66K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,587 |
506 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
463 |
313 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
476 |
330 |
$50K |
| D0220 |
Intraoral - periapical first radiographic image |
2,690 |
2,254 |
$45K |
| D0274 |
Bitewings - four radiographic images |
1,706 |
1,536 |
$41K |
| 97803 |
|
1,088 |
1,071 |
$36K |
| 0012A |
|
740 |
739 |
$31K |
| 0011A |
|
712 |
711 |
$25K |
| 90686 |
|
3,946 |
3,942 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,830 |
1,811 |
$23K |
| 99442 |
|
361 |
288 |
$20K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,171 |
1,929 |
$19K |
| D0210 |
Intraoral - complete series of radiographic images |
374 |
253 |
$18K |
| D1120 |
Prophylaxis - child |
466 |
466 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
371 |
133 |
$16K |
| 0002A |
|
346 |
346 |
$15K |
| 0001A |
|
342 |
342 |
$14K |
| 90461 |
|
459 |
457 |
$14K |
| 99173 |
|
6,113 |
6,099 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
734 |
668 |
$13K |
| 0071A |
|
275 |
246 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
7,306 |
6,962 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
447 |
444 |
$11K |
| 0064A |
|
239 |
239 |
$10K |
| 81025 |
|
1,559 |
1,524 |
$9K |
| 99441 |
|
119 |
69 |
$9K |
| 97802 |
|
200 |
199 |
$8K |
| 92551 |
|
914 |
911 |
$7K |
| D1999 |
|
219 |
139 |
$5K |
| D1330 |
|
57 |
50 |
$4K |
| 1000F |
|
1,782 |
1,716 |
$4K |
| 81000 |
|
1,181 |
860 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
85 |
82 |
$3K |
| 86703 |
|
222 |
222 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
43 |
43 |
$2K |
| 0004A |
|
55 |
55 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
609 |
607 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 96161 |
|
1,574 |
1,559 |
$2K |
| 93000 |
|
84 |
79 |
$1K |
| 90656 |
|
167 |
167 |
$1K |
| 64450 |
|
15 |
13 |
$791.73 |
| 0031A |
|
17 |
17 |
$705.94 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
368 |
367 |
$614.26 |
| 90715 |
|
14 |
14 |
$546.74 |
| 90651 |
|
53 |
53 |
$539.49 |
| 11721 |
|
15 |
15 |
$499.38 |
| 99401 |
|
26 |
26 |
$471.01 |
| 99443 |
|
14 |
12 |
$374.10 |
| 98967 |
|
15 |
14 |
$327.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
26 |
26 |
$245.61 |
| 86580 |
|
30 |
30 |
$222.80 |
| 90474 |
|
14 |
14 |
$183.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
31 |
$127.55 |
| 99000 |
|
3,083 |
3,049 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 91301 |
|
128 |
128 |
$0.00 |
| 91306 |
|
49 |
49 |
$0.00 |
| 91307 |
|
34 |
27 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90698 |
|
41 |
41 |
$0.00 |
| 99080 |
|
15 |
15 |
$0.00 |
| 90649 |
|
61 |
61 |
$0.00 |
| 90670 |
|
117 |
117 |
$0.00 |
| 90633 |
|
36 |
36 |
$0.00 |
| 91300 |
|
102 |
89 |
$0.00 |