| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,858 |
23,033 |
$1.46M |
| T1015 |
Clinic visit/encounter, all-inclusive |
67,434 |
36,325 |
$961K |
| 90832 |
Psychotherapy, 30 minutes with patient |
12,432 |
6,417 |
$483K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,134 |
6,365 |
$469K |
| 59425 |
|
8,063 |
4,362 |
$391K |
| 59426 |
|
5,508 |
2,486 |
$327K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,498 |
3,162 |
$322K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,337 |
2,503 |
$244K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,190 |
2,175 |
$224K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,915 |
2,167 |
$190K |
| 90791 |
Psychiatric diagnostic evaluation |
1,201 |
845 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,168 |
831 |
$83K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,018 |
467 |
$80K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,355 |
7,772 |
$68K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,809 |
4,818 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,474 |
964 |
$44K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,516 |
1,270 |
$43K |
| D0210 |
Intraoral - complete series of radiographic images |
782 |
599 |
$41K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,543 |
664 |
$35K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,018 |
745 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
484 |
360 |
$28K |
| 59430 |
|
269 |
206 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
808 |
490 |
$24K |
| D9999 |
Unspecified adjunctive procedure, by report |
4,279 |
2,947 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
9,607 |
7,094 |
$19K |
| 99385 |
|
344 |
282 |
$18K |
| D0140 |
Limited oral evaluation - problem focused |
607 |
499 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
71 |
58 |
$17K |
| 81025 |
|
2,582 |
1,951 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
136 |
92 |
$14K |
| 90651 |
|
901 |
598 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,896 |
1,235 |
$13K |
| 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 |
512 |
442 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
365 |
324 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
214 |
168 |
$11K |
| D1110 |
Prophylaxis - adult |
270 |
195 |
$10K |
| 99383 |
|
126 |
91 |
$10K |
| 96127 |
|
4,476 |
3,243 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
1,155 |
926 |
$9K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
138 |
64 |
$8K |
| 82962 |
|
4,117 |
2,880 |
$7K |
| 92552 |
|
602 |
368 |
$7K |
| 90670 |
|
3,704 |
2,318 |
$6K |
| D7140 |
Extraction, erupted tooth or exposed root |
104 |
64 |
$6K |
| D1206 |
Topical application of fluoride varnish |
459 |
411 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
466 |
320 |
$6K |
| 90756 |
|
374 |
221 |
$5K |
| 90474 |
|
1,117 |
694 |
$5K |
| D1120 |
Prophylaxis - child |
351 |
316 |
$5K |
| D0274 |
Bitewings - four radiographic images |
205 |
162 |
$5K |
| 90686 |
|
875 |
624 |
$5K |
| 87210 |
|
1,015 |
720 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
56 |
47 |
$4K |
| 99215 |
Prolong outpt/office vis |
81 |
51 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
164 |
140 |
$3K |
| 90715 |
|
407 |
294 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
462 |
325 |
$3K |
| 90461 |
|
244 |
188 |
$3K |
| 99384 |
|
28 |
26 |
$2K |
| 86703 |
|
567 |
371 |
$2K |
| 98940 |
|
139 |
79 |
$2K |
| 99381 |
|
27 |
24 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
48 |
36 |
$2K |
| D1351 |
Sealant - per tooth |
79 |
13 |
$1K |
| 90688 |
|
231 |
195 |
$1K |
| 90630 |
|
94 |
89 |
$1K |
| 99460 |
|
23 |
16 |
$978.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
84 |
$886.52 |
| J3490 |
Unclassified drugs |
24 |
12 |
$752.75 |
| D0270 |
|
69 |
62 |
$751.64 |
| 96160 |
|
1,147 |
956 |
$726.45 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
23 |
16 |
$688.92 |
| 90658 |
|
132 |
111 |
$537.26 |
| 99173 |
|
605 |
371 |
$500.14 |
| 90647 |
|
1,447 |
1,007 |
$436.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
70 |
$343.06 |
| 90657 |
|
33 |
14 |
$310.50 |
| 99462 |
|
16 |
12 |
$277.06 |
| 90685 |
|
16 |
16 |
$218.06 |
| 97012 |
|
38 |
14 |
$192.00 |
| 82947 |
|
753 |
451 |
$145.25 |
| 90473 |
|
18 |
12 |
$120.00 |
| 90687 |
|
15 |
12 |
$106.05 |
| 81002 |
|
224 |
172 |
$77.90 |
| 0001A |
|
60 |
55 |
$57.93 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
13 |
$45.10 |
| 0002A |
|
38 |
32 |
$40.03 |
| 99241 |
|
12 |
12 |
$26.08 |
| 0012A |
|
42 |
41 |
$20.00 |
| 90710 |
|
1,234 |
741 |
$16.91 |
| 90723 |
|
1,794 |
1,200 |
$0.08 |
| 90633 |
|
1,919 |
1,199 |
$0.05 |
| 90680 |
|
1,245 |
790 |
$0.03 |
| 90698 |
|
63 |
41 |
$0.01 |
| D1310 |
|
738 |
647 |
$0.00 |
| 99441 |
|
232 |
193 |
$0.00 |
| D1330 |
|
931 |
797 |
$0.00 |
| 90716 |
|
42 |
26 |
$0.00 |
| 90697 |
|
312 |
220 |
$0.00 |
| 85018 |
|
14 |
12 |
$0.00 |
| D0603 |
|
259 |
246 |
$0.00 |
| 90696 |
|
119 |
54 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| 90480 |
|
32 |
20 |
$0.00 |
| 0011A |
|
16 |
16 |
$0.00 |
| D9215 |
|
50 |
27 |
$0.00 |
| 0072A |
|
12 |
12 |
$0.00 |
| 90734 |
|
429 |
263 |
$0.00 |
| 90707 |
|
53 |
37 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |
| 90671 |
|
166 |
148 |
$0.00 |
| 99442 |
|
85 |
62 |
$0.00 |
| 91321 |
|
24 |
14 |
$0.00 |
| 0071A |
|
12 |
12 |
$0.00 |