| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
826,552 |
558,431 |
$77.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
326,694 |
272,918 |
$22.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121,371 |
104,064 |
$7.88M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98,713 |
88,671 |
$5.89M |
| D0999 |
Unspecified diagnostic procedure, by report |
44,890 |
40,890 |
$5.84M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53,974 |
53,496 |
$4.50M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50,103 |
48,913 |
$4.36M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40,782 |
40,310 |
$3.47M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28,716 |
28,381 |
$2.31M |
| 90832 |
Psychotherapy, 30 minutes with patient |
27,512 |
17,268 |
$1.98M |
| 99381 |
|
12,288 |
12,093 |
$1.24M |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
1,432 |
1,340 |
$1.00M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
29,472 |
28,039 |
$945K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,719 |
1,689 |
$932K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,108 |
9,724 |
$648K |
| 99383 |
|
6,716 |
6,635 |
$636K |
| 59514 |
|
1,159 |
862 |
$575K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,250 |
6,766 |
$515K |
| 90791 |
Psychiatric diagnostic evaluation |
4,587 |
4,534 |
$444K |
| 99382 |
|
4,562 |
4,500 |
$441K |
| 99384 |
|
4,578 |
4,496 |
$404K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,603 |
5,375 |
$381K |
| 90619 |
|
5,772 |
5,607 |
$316K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,652 |
2,628 |
$245K |
| 90620 |
|
4,985 |
4,897 |
$197K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,183 |
4,083 |
$167K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
362 |
349 |
$163K |
| 99385 |
|
2,250 |
2,127 |
$159K |
| 99215 |
Prolong outpt/office vis |
1,867 |
1,771 |
$152K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,093 |
2,023 |
$140K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,439 |
1,176 |
$137K |
| 90697 |
|
16,146 |
15,776 |
$119K |
| 90686 |
|
31,797 |
31,366 |
$119K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,739 |
2,585 |
$108K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,382 |
1,312 |
$103K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,790 |
2,685 |
$101K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,216 |
2,108 |
$97K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58,944 |
48,142 |
$96K |
| 90834 |
Psychotherapy, 45 minutes with patient |
879 |
675 |
$95K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,504 |
535 |
$72K |
| 95813 |
|
350 |
315 |
$69K |
| 90715 |
|
9,276 |
8,985 |
$60K |
| 90633 |
|
14,024 |
13,753 |
$59K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,575 |
1,159 |
$57K |
| 59025 |
Fetal non-stress test |
2,422 |
1,499 |
$56K |
| 90651 |
|
11,093 |
10,798 |
$53K |
| 90696 |
|
5,787 |
5,675 |
$47K |
| 59430 |
|
4,961 |
4,359 |
$47K |
| 90700 |
|
5,746 |
5,620 |
$44K |
| 69210 |
|
857 |
820 |
$35K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,357 |
1,094 |
$34K |
| 90837 |
Psychotherapy, 53 minutes with patient |
265 |
174 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44,544 |
42,707 |
$33K |
| 11981 |
|
649 |
628 |
$31K |
| 76830 |
Ultrasound, transvaginal |
711 |
682 |
$27K |
| 97032 |
|
2,171 |
490 |
$25K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
240 |
197 |
$25K |
| 90678 |
|
250 |
250 |
$23K |
| 90680 |
|
18,080 |
17,693 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
301 |
286 |
$23K |
| 97162 |
|
205 |
196 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
673 |
623 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
336 |
314 |
$20K |
| 90707 |
|
5,593 |
5,524 |
$18K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
554 |
423 |
$17K |
| 76801 |
|
582 |
552 |
$17K |
| 90698 |
|
3,848 |
3,780 |
$16K |
| 90677 |
|
13,430 |
13,208 |
$16K |
| 99386 |
|
180 |
176 |
$16K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,823 |
365 |
$15K |
| 93000 |
|
537 |
509 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,662 |
1,584 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
120 |
118 |
$12K |
| 91322 |
|
446 |
427 |
$12K |
| 90688 |
|
2,017 |
1,975 |
$11K |
| 87807 |
|
453 |
446 |
$11K |
| 90710 |
|
7,038 |
6,893 |
$11K |
| 11982 |
|
360 |
355 |
$10K |
| 59051 |
|
321 |
263 |
$9K |
| 90670 |
|
13,641 |
13,316 |
$9K |
| 90648 |
|
6,661 |
6,563 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
158 |
122 |
$8K |
| 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 |
226 |
213 |
$7K |
| 17110 |
|
171 |
160 |
$7K |
| 90723 |
|
2,195 |
2,177 |
$7K |
| D0145 |
Oral evaluation for a patient under three years of age |
9,529 |
9,239 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
323 |
314 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
13,438 |
12,918 |
$6K |
| 90744 |
|
1,827 |
1,804 |
$5K |
| 90716 |
|
5,867 |
5,796 |
$3K |
| 58300 |
|
915 |
876 |
$3K |
| 99205 |
Prolong outpt/office vis |
41 |
40 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
164 |
151 |
$3K |
| 86580 |
|
259 |
253 |
$2K |
| 90713 |
|
1,342 |
1,328 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
44 |
43 |
$2K |
| D1120 |
Prophylaxis - child |
9,960 |
9,598 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,573 |
1,500 |
$2K |
| 90682 |
|
72 |
72 |
$2K |
| 20610 |
|
53 |
47 |
$1K |
| 90734 |
|
2,592 |
2,565 |
$1K |
| 90674 |
|
62 |
62 |
$1K |
| 95886 |
|
14 |
14 |
$1K |
| 90480 |
|
69 |
69 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
57 |
57 |
$973.28 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
842 |
820 |
$780.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27,239 |
23,132 |
$732.17 |
| D0272 |
Bitewings - two radiographic images |
6,283 |
6,122 |
$701.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
1,058 |
1,051 |
$624.12 |
| D1206 |
Topical application of fluoride varnish |
15,530 |
14,952 |
$617.40 |
| 99221 |
|
12 |
12 |
$599.20 |
| J2790 |
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) |
25 |
24 |
$561.01 |
| D0220 |
Intraoral - periapical first radiographic image |
7,492 |
6,977 |
$464.72 |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,573 |
5,998 |
$437.38 |
| 94010 |
|
30 |
28 |
$377.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,600 |
7,310 |
$308.84 |
| 58301 |
|
16 |
13 |
$255.60 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$255.45 |
| 92551 |
|
17,605 |
17,421 |
$225.23 |
| 99201 |
|
12 |
12 |
$220.78 |
| 90461 |
|
27,398 |
26,220 |
$204.18 |
| D0274 |
Bitewings - four radiographic images |
2,913 |
2,779 |
$173.05 |
| D1330 |
|
5,499 |
4,948 |
$160.50 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,281 |
1,176 |
$142.63 |
| 90381 |
|
459 |
455 |
$133.13 |
| 90474 |
|
5,157 |
4,969 |
$113.17 |
| 90681 |
|
88 |
88 |
$95.30 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
725 |
485 |
$89.58 |
| 90662 |
|
66 |
62 |
$62.60 |
| 92558 |
|
87 |
86 |
$56.48 |
| D1110 |
Prophylaxis - adult |
4,544 |
4,387 |
$54.88 |
| D0140 |
Limited oral evaluation - problem focused |
971 |
951 |
$18.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
775 |
772 |
$8.14 |
| 92588 |
|
319 |
314 |
$1.46 |
| 90380 |
|
221 |
216 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,074 |
679 |
$0.00 |
| 90687 |
|
339 |
338 |
$0.00 |
| 99173 |
|
18,194 |
17,904 |
$0.00 |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
2,009 |
490 |
$0.00 |
| D1999 |
|
672 |
642 |
$0.00 |
| D0330 |
Panoramic radiographic image |
369 |
359 |
$0.00 |
| 91321 |
|
783 |
780 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
248 |
228 |
$0.00 |
| 90473 |
|
31 |
31 |
$0.00 |
| 81002 |
|
91 |
78 |
$0.00 |
| 90685 |
|
67 |
67 |
$0.00 |
| D1354 |
|
96 |
14 |
$0.00 |
| 90736 |
|
14 |
14 |
$0.00 |
| D1310 |
|
10,570 |
10,243 |
$0.00 |
| D0603 |
|
25,327 |
24,502 |
$0.00 |
| D0601 |
|
170 |
168 |
$0.00 |
| D0602 |
|
675 |
620 |
$0.00 |
| D1351 |
Sealant - per tooth |
4,378 |
1,010 |
$0.00 |
| D9248 |
|
406 |
398 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$0.00 |