| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82,493 |
50,697 |
$5.29M |
| 90834 |
Psychotherapy, 45 minutes with patient |
45,982 |
13,583 |
$4.07M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29,073 |
18,289 |
$1.49M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,753 |
9,705 |
$1.33M |
| D0120 |
Periodic oral evaluation - established patient |
24,610 |
16,922 |
$1.17M |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
8,615 |
5,897 |
$658K |
| D1110 |
Prophylaxis - adult |
14,364 |
12,943 |
$656K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
24,705 |
4,765 |
$650K |
| D0140 |
Limited oral evaluation - problem focused |
12,602 |
8,433 |
$518K |
| 76830 |
Ultrasound, transvaginal |
3,615 |
2,587 |
$438K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,079 |
5,317 |
$346K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,925 |
1,629 |
$335K |
| 90785 |
|
24,180 |
5,066 |
$331K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
4,539 |
2,993 |
$295K |
| 90791 |
Psychiatric diagnostic evaluation |
2,311 |
1,871 |
$284K |
| D0220 |
Intraoral - periapical first radiographic image |
20,502 |
19,757 |
$257K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,986 |
5,692 |
$257K |
| 99051 |
|
39,733 |
13,296 |
$244K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,205 |
1,241 |
$242K |
| D9310 |
|
3,072 |
2,127 |
$227K |
| D0274 |
Bitewings - four radiographic images |
9,527 |
9,319 |
$222K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
2,224 |
935 |
$215K |
| 59425 |
|
1,398 |
937 |
$193K |
| D0230 |
Intraoral - periapical each additional radiographic image |
17,518 |
15,852 |
$181K |
| 99215 |
Prolong outpt/office vis |
1,221 |
521 |
$159K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,803 |
1,086 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,329 |
1,471 |
$143K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,121 |
592 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,937 |
1,157 |
$134K |
| D1120 |
Prophylaxis - child |
3,755 |
3,653 |
$133K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,501 |
1,080 |
$123K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,627 |
1,050 |
$122K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,842 |
553 |
$115K |
| D0330 |
Panoramic radiographic image |
3,748 |
3,310 |
$114K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
1,376 |
759 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,163 |
1,512 |
$110K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,154 |
452 |
$104K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,496 |
937 |
$101K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,014 |
588 |
$98K |
| 99441 |
|
3,411 |
3,034 |
$95K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,013 |
1,419 |
$93K |
| D1351 |
Sealant - per tooth |
804 |
444 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
753 |
638 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,238 |
810 |
$68K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,357 |
3,998 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,777 |
5,283 |
$61K |
| 90837 |
Psychotherapy, 53 minutes with patient |
552 |
212 |
$57K |
| D9110 |
|
1,152 |
685 |
$56K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
612 |
576 |
$48K |
| 59426 |
|
357 |
161 |
$47K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,051 |
1,008 |
$44K |
| D2331 |
|
532 |
368 |
$43K |
| D0210 |
Intraoral - complete series of radiographic images |
4,371 |
4,336 |
$42K |
| 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 |
2,634 |
1,048 |
$39K |
| D0272 |
Bitewings - two radiographic images |
2,535 |
2,522 |
$36K |
| 81002 |
|
4,862 |
3,617 |
$33K |
| D2750 |
|
82 |
64 |
$30K |
| D5899 |
|
238 |
141 |
$29K |
| D2954 |
|
237 |
159 |
$27K |
| 92552 |
|
3,575 |
3,558 |
$26K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,235 |
1,226 |
$25K |
| S9442 |
Birthing classes, non-physician provider, per session |
312 |
189 |
$22K |
| 99443 |
|
183 |
137 |
$22K |
| 87428 |
|
319 |
311 |
$22K |
| 99442 |
|
333 |
240 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
99 |
$18K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,089 |
1,078 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
219 |
167 |
$15K |
| D2999 |
|
149 |
85 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,857 |
1,503 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,171 |
4,045 |
$14K |
| 95117 |
|
283 |
86 |
$14K |
| D2330 |
|
180 |
108 |
$14K |
| D0270 |
|
1,250 |
1,231 |
$14K |
| D4341 |
|
133 |
58 |
$14K |
| D2140 |
|
188 |
103 |
$13K |
| 99205 |
Prolong outpt/office vis |
83 |
42 |
$13K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
81 |
51 |
$12K |
| 99201 |
|
129 |
90 |
$10K |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
32 |
31 |
$9K |
| 82962 |
|
1,086 |
767 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,120 |
2,636 |
$8K |
| 11721 |
|
221 |
205 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
82 |
78 |
$8K |
| 0002A |
|
199 |
198 |
$8K |
| 0001A |
|
210 |
210 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
286 |
281 |
$7K |
| D0160 |
|
116 |
68 |
$7K |
| 69210 |
|
156 |
152 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,066 |
995 |
$7K |
| D3320 |
|
33 |
24 |
$7K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
18 |
16 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
74 |
43 |
$6K |
| 90674 |
|
168 |
168 |
$5K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
17 |
17 |
$5K |
| 87430 |
|
1,226 |
1,196 |
$5K |
| 90461 |
|
1,478 |
1,455 |
$4K |
| 97166 |
|
50 |
36 |
$4K |
| 90658 |
|
149 |
122 |
$4K |
| 96150 |
|
441 |
435 |
$4K |
| 0012A |
|
98 |
98 |
$4K |
| 0011A |
|
100 |
100 |
$3K |
| 96127 |
|
1,941 |
1,899 |
$3K |
| 0031A |
|
70 |
70 |
$3K |
| 81025 |
|
556 |
537 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
630 |
584 |
$2K |
| 92015 |
Determination of refractive state |
77 |
47 |
$2K |
| 92225 |
|
59 |
53 |
$2K |
| 90756 |
|
134 |
126 |
$2K |
| 97802 |
|
1,392 |
1,389 |
$2K |
| 97167 |
|
39 |
39 |
$2K |
| 0071A |
|
33 |
33 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
42 |
39 |
$1K |
| 11056 |
|
12 |
12 |
$967.89 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
548 |
545 |
$848.03 |
| 90707 |
|
25 |
25 |
$840.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
79 |
53 |
$832.66 |
| 93000 |
|
53 |
51 |
$796.33 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
189 |
186 |
$692.45 |
| 0064A |
|
16 |
16 |
$602.45 |
| 90688 |
|
30 |
28 |
$566.88 |
| 0004A |
|
14 |
14 |
$520.64 |
| 90686 |
|
744 |
735 |
$516.77 |
| 96160 |
|
140 |
140 |
$488.67 |
| 98960 |
|
422 |
417 |
$470.05 |
| 99173 |
|
115 |
115 |
$403.18 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
34 |
33 |
$340.89 |
| 90734 |
|
106 |
102 |
$322.95 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
26 |
$320.87 |
| 90651 |
|
14 |
13 |
$245.69 |
| 86580 |
|
27 |
27 |
$149.13 |
| 92558 |
|
138 |
138 |
$114.81 |
| 90670 |
|
472 |
469 |
$79.32 |
| 99177 |
|
220 |
220 |
$78.72 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
56 |
37 |
$60.14 |
| 90723 |
|
259 |
257 |
$50.01 |
| 99401 |
|
13 |
13 |
$47.85 |
| 99172 |
|
151 |
151 |
$14.37 |
| 99072 |
|
6,733 |
5,847 |
$0.14 |
| 90648 |
|
322 |
322 |
$0.02 |
| 90633 |
|
37 |
37 |
$0.01 |
| 36410 |
|
37 |
37 |
$0.00 |
| 99000 |
|
188 |
185 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
22 |
14 |
$0.00 |
| 90680 |
|
25 |
24 |
$0.00 |
| 90710 |
|
52 |
52 |
$0.00 |
| 90715 |
|
47 |
46 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |