| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104,764 |
88,097 |
$16.85M |
| T1015 |
Clinic visit/encounter, all-inclusive |
83,837 |
63,145 |
$11.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,732 |
39,951 |
$6.80M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,298 |
6,960 |
$1.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,137 |
12,963 |
$942K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,617 |
8,549 |
$920K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,671 |
14,177 |
$891K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,144 |
6,082 |
$680K |
| H0046 |
Mental health services, not otherwise specified |
6,158 |
5,898 |
$364K |
| 90686 |
|
26,759 |
26,422 |
$341K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
11,045 |
10,754 |
$321K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,429 |
3,174 |
$299K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,251 |
1,233 |
$208K |
| 59025 |
Fetal non-stress test |
2,780 |
1,451 |
$179K |
| D1206 |
Topical application of fluoride varnish |
21,758 |
18,786 |
$146K |
| 99381 |
|
1,280 |
1,262 |
$131K |
| 90677 |
|
2,797 |
2,733 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
751 |
733 |
$128K |
| 36415 |
Collection of venous blood by venipuncture |
27,974 |
26,105 |
$123K |
| D1999 |
|
13,479 |
12,200 |
$122K |
| 83655 |
|
9,920 |
9,825 |
$115K |
| 90670 |
|
10,429 |
10,377 |
$114K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
132 |
126 |
$112K |
| 0002A |
|
2,952 |
2,939 |
$111K |
| D1120 |
Prophylaxis - child |
13,593 |
13,487 |
$109K |
| 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 |
3,871 |
3,230 |
$108K |
| 90723 |
|
9,358 |
9,280 |
$100K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
614 |
599 |
$99K |
| 90647 |
|
9,304 |
9,228 |
$99K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
1,409 |
341 |
$97K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
719 |
668 |
$90K |
| 0001A |
|
2,565 |
2,536 |
$88K |
| 99460 |
|
883 |
876 |
$88K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,668 |
5,600 |
$80K |
| D0120 |
Periodic oral evaluation - established patient |
9,773 |
9,674 |
$67K |
| D1351 |
Sealant - per tooth |
7,119 |
2,486 |
$64K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
3,680 |
2,612 |
$62K |
| 90715 |
|
2,128 |
2,062 |
$60K |
| 99215 |
Prolong outpt/office vis |
391 |
365 |
$59K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
842 |
828 |
$56K |
| 90681 |
|
4,959 |
4,927 |
$53K |
| 87428 |
|
2,050 |
2,026 |
$52K |
| 90633 |
|
4,546 |
4,506 |
$50K |
| 76801 |
|
407 |
374 |
$50K |
| 0072A |
|
1,215 |
1,206 |
$44K |
| 90651 |
|
2,749 |
2,731 |
$40K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,018 |
4,837 |
$36K |
| 0071A |
|
990 |
979 |
$36K |
| 81025 |
|
4,523 |
4,344 |
$35K |
| 90716 |
|
3,181 |
3,147 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,241 |
2,227 |
$34K |
| 85018 |
|
14,352 |
14,121 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,989 |
1,747 |
$32K |
| 90707 |
|
2,916 |
2,884 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
132 |
129 |
$27K |
| 90678 |
|
118 |
105 |
$26K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,802 |
1,333 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,301 |
3,285 |
$20K |
| 0004A |
|
529 |
522 |
$19K |
| 90685 |
|
1,700 |
1,699 |
$18K |
| 90656 |
|
1,504 |
1,470 |
$18K |
| D0272 |
Bitewings - two radiographic images |
5,433 |
5,359 |
$18K |
| 0054A |
|
503 |
496 |
$17K |
| 97802 |
|
575 |
566 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,448 |
1,226 |
$17K |
| 0124A |
|
502 |
496 |
$16K |
| 99177 |
|
1,507 |
1,469 |
$16K |
| D0210 |
Intraoral - complete series of radiographic images |
329 |
329 |
$15K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
2,582 |
2,463 |
$13K |
| 97803 |
|
496 |
491 |
$11K |
| D7140 |
Extraction, erupted tooth or exposed root |
598 |
341 |
$10K |
| 99173 |
|
4,817 |
4,768 |
$10K |
| 90674 |
|
423 |
421 |
$9K |
| 90734 |
|
833 |
822 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
110 |
53 |
$8K |
| J3490 |
Unclassified drugs |
103 |
103 |
$8K |
| 0064A |
|
224 |
222 |
$7K |
| 90480 |
|
337 |
282 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
140 |
67 |
$7K |
| 0052A |
|
196 |
195 |
$7K |
| D0145 |
Oral evaluation for a patient under three years of age |
611 |
610 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
75 |
62 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
67 |
49 |
$5K |
| 80061 |
Lipid panel |
399 |
392 |
$5K |
| 0112A |
|
145 |
145 |
$5K |
| 0011A |
|
103 |
103 |
$5K |
| 0012A |
|
136 |
136 |
$5K |
| 81002 |
|
1,648 |
1,569 |
$4K |
| D0274 |
Bitewings - four radiographic images |
1,552 |
1,530 |
$4K |
| D1110 |
Prophylaxis - adult |
1,087 |
1,070 |
$4K |
| 90700 |
|
377 |
368 |
$4K |
| 0074A |
|
103 |
103 |
$4K |
| D0330 |
Panoramic radiographic image |
2,499 |
2,480 |
$3K |
| 90619 |
|
261 |
257 |
$3K |
| D9420 |
|
53 |
42 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
26 |
26 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
420 |
396 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
30 |
$3K |
| 99442 |
|
100 |
97 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
45 |
42 |
$2K |
| 59430 |
|
41 |
38 |
$2K |
| 90696 |
|
211 |
208 |
$2K |
| 0051A |
|
62 |
62 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
131 |
128 |
$2K |
| 0111A |
|
53 |
53 |
$2K |
| 0003A |
|
49 |
49 |
$2K |
| D1354 |
|
434 |
158 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,182 |
250 |
$2K |
| 0154A |
|
37 |
37 |
$1K |
| 92250 |
|
33 |
32 |
$1K |
| 82948 |
|
381 |
365 |
$1K |
| 91320 |
|
13 |
12 |
$1K |
| 88720 |
|
190 |
182 |
$883.52 |
| 82270 |
|
234 |
234 |
$854.19 |
| 59425 |
|
14 |
14 |
$779.30 |
| D0220 |
Intraoral - periapical first radiographic image |
1,013 |
949 |
$760.17 |
| D2330 |
|
34 |
24 |
$677.10 |
| 90381 |
|
63 |
61 |
$666.12 |
| 90658 |
|
45 |
39 |
$605.32 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$549.98 |
| 0173A |
|
14 |
14 |
$540.54 |
| D2331 |
|
20 |
14 |
$504.30 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
70 |
30 |
$463.01 |
| D0240 |
|
387 |
284 |
$430.78 |
| 0031A |
|
15 |
14 |
$413.53 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
41 |
35 |
$364.50 |
| 87210 |
|
44 |
42 |
$254.34 |
| 90713 |
|
12 |
12 |
$220.04 |
| 90380 |
|
12 |
12 |
$131.04 |
| G0008 |
Administration of influenza virus vaccine |
74 |
73 |
$73.64 |
| 36416 |
|
848 |
831 |
$11.24 |
| D0140 |
Limited oral evaluation - problem focused |
808 |
790 |
$0.00 |
| D0270 |
|
254 |
250 |
$0.00 |