| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,284 |
24,544 |
$1.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,957 |
8,519 |
$1.02M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,213 |
1,193 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,511 |
1,420 |
$116K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,032 |
856 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,153 |
1,151 |
$89K |
| D0274 |
Bitewings - four radiographic images |
1,376 |
1,264 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,861 |
1,509 |
$84K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,402 |
1,019 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
964 |
957 |
$76K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,017 |
875 |
$69K |
| D0220 |
Intraoral - periapical first radiographic image |
2,345 |
2,182 |
$68K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,527 |
1,115 |
$62K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
444 |
443 |
$56K |
| D7140 |
Extraction, erupted tooth or exposed root |
298 |
101 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
614 |
607 |
$46K |
| D1110 |
Prophylaxis - adult |
540 |
499 |
$46K |
| 90791 |
Psychiatric diagnostic evaluation |
342 |
325 |
$38K |
| 76801 |
|
206 |
193 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
492 |
478 |
$29K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
618 |
610 |
$19K |
| 81003 |
|
6,014 |
4,495 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
195 |
178 |
$14K |
| 92015 |
Determination of refractive state |
428 |
427 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
92 |
89 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
54 |
52 |
$10K |
| D0330 |
Panoramic radiographic image |
88 |
86 |
$10K |
| 81025 |
|
660 |
620 |
$8K |
| 99215 |
Prolong outpt/office vis |
44 |
44 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
121 |
113 |
$6K |
| 0011A |
|
136 |
119 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
13 |
$4K |
| 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 |
163 |
151 |
$4K |
| 59430 |
|
32 |
30 |
$4K |
| 0012A |
|
92 |
90 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
247 |
242 |
$3K |
| 99384 |
|
44 |
44 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
41 |
$3K |
| 81002 |
|
814 |
647 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$3K |
| 0240U |
|
18 |
17 |
$3K |
| 0001A |
|
60 |
54 |
$2K |
| 59025 |
Fetal non-stress test |
81 |
69 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
93 |
93 |
$2K |
| 0002A |
|
41 |
34 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 83655 |
|
97 |
97 |
$938.96 |
| 99383 |
|
14 |
14 |
$898.66 |
| 99385 |
|
14 |
14 |
$733.88 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$536.72 |
| 0064A |
|
14 |
14 |
$496.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$451.36 |
| 87428 |
|
13 |
13 |
$405.96 |
| 85018 |
|
165 |
163 |
$335.52 |
| 94664 |
|
12 |
12 |
$161.40 |