| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,044 |
14,992 |
$2.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,796 |
5,675 |
$728K |
| D0120 |
Periodic oral evaluation - established patient |
6,479 |
6,418 |
$515K |
| D1110 |
Prophylaxis - adult |
5,733 |
5,623 |
$478K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,533 |
4,464 |
$402K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,575 |
3,272 |
$387K |
| D1120 |
Prophylaxis - child |
4,193 |
4,165 |
$369K |
| 36415 |
Collection of venous blood by venipuncture |
7,887 |
6,801 |
$309K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
2,890 |
2,190 |
$305K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
3,256 |
2,250 |
$302K |
| D0140 |
Limited oral evaluation - problem focused |
2,953 |
2,818 |
$273K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,893 |
2,120 |
$270K |
| W0037 |
|
7,965 |
7,965 |
$206K |
| D1351 |
Sealant - per tooth |
5,825 |
1,582 |
$157K |
| D0274 |
Bitewings - four radiographic images |
3,341 |
3,272 |
$148K |
| 99000 |
|
1,410 |
1,241 |
$134K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,529 |
2,262 |
$113K |
| D0272 |
Bitewings - two radiographic images |
2,330 |
2,309 |
$111K |
| D0210 |
Intraoral - complete series of radiographic images |
1,863 |
1,838 |
$95K |
| 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 |
3,309 |
2,663 |
$94K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,435 |
2,224 |
$88K |
| 80053 |
Comprehensive metabolic panel |
2,705 |
2,435 |
$85K |
| D5899 |
|
432 |
253 |
$76K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,507 |
1,349 |
$72K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,995 |
1,756 |
$71K |
| D1206 |
Topical application of fluoride varnish |
7,445 |
7,284 |
$62K |
| 90688 |
|
835 |
787 |
$61K |
| 80061 |
Lipid panel |
1,902 |
1,736 |
$61K |
| 90837 |
Psychotherapy, 53 minutes with patient |
948 |
496 |
$59K |
| D0220 |
Intraoral - periapical first radiographic image |
4,066 |
3,893 |
$54K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,171 |
1,074 |
$51K |
| D0330 |
Panoramic radiographic image |
1,109 |
1,076 |
$47K |
| 90834 |
Psychotherapy, 45 minutes with patient |
385 |
265 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,095 |
856 |
$36K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
868 |
748 |
$34K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
855 |
738 |
$34K |
| 81025 |
|
330 |
289 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
131 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
129 |
116 |
$16K |
| D2330 |
|
193 |
144 |
$16K |
| 99385 |
|
84 |
78 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
68 |
$12K |
| D1354 |
|
221 |
91 |
$11K |
| 81001 |
|
550 |
489 |
$11K |
| 92587 |
|
59 |
56 |
$10K |
| 80305 |
|
577 |
525 |
$9K |
| D0270 |
|
1,019 |
976 |
$9K |
| 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 |
356 |
165 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
63 |
52 |
$7K |
| 90716 |
|
263 |
250 |
$6K |
| 90715 |
|
241 |
230 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
41 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
204 |
175 |
$6K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
45 |
39 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
31 |
31 |
$5K |
| D2331 |
|
54 |
41 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$4K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$3K |
| D4341 |
|
54 |
28 |
$3K |
| 86592 |
|
508 |
447 |
$3K |
| 87806 |
|
18 |
16 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$3K |
| 86580 |
|
16 |
16 |
$3K |
| 99384 |
|
14 |
14 |
$2K |
| 86706 |
|
14 |
12 |
$2K |
| 87340 |
|
14 |
12 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
59 |
$2K |
| 82043 |
|
67 |
62 |
$2K |
| D2335 |
|
12 |
12 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
12 |
$2K |
| 87430 |
|
15 |
12 |
$2K |
| 36416 |
|
13 |
13 |
$2K |
| D4910 |
|
12 |
12 |
$899.75 |
| 94760 |
|
13 |
12 |
$864.25 |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,224 |
1,233 |
$360.95 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$270.70 |
| 81003 |
|
53 |
39 |
$175.38 |
| 87210 |
|
402 |
361 |
$27.07 |
| 82570 |
|
25 |
24 |
$3.12 |
| 86703 |
|
599 |
523 |
$2.74 |
| 90656 |
|
146 |
142 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
135 |
126 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |
| 90480 |
|
31 |
31 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
85 |
83 |
$0.00 |
| D0603 |
|
20 |
20 |
$0.00 |
| 90651 |
|
101 |
91 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
149 |
136 |
$0.00 |
| D0602 |
|
12 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28 |
26 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$0.00 |
| 90746 |
|
40 |
36 |
$0.00 |
| 90658 |
|
217 |
214 |
$0.00 |
| 99177 |
|
312 |
253 |
$0.00 |
| 91300 |
|
17 |
15 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
127 |
123 |
$0.00 |
| 90633 |
|
80 |
79 |
$0.00 |
| 90713 |
|
284 |
266 |
$0.00 |
| 0003A |
|
14 |
13 |
$0.00 |
| 90714 |
|
12 |
12 |
$0.00 |
| 90707 |
|
68 |
60 |
$0.00 |
| 91320 |
|
15 |
15 |
$0.00 |