| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,039 |
56,465 |
$2.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,844 |
12,065 |
$570K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,955 |
4,684 |
$255K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,843 |
1,490 |
$204K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,320 |
2,957 |
$74K |
| 80305 |
|
6,715 |
5,250 |
$68K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,481 |
1,094 |
$67K |
| 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 |
6,026 |
5,419 |
$44K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
487 |
476 |
$44K |
| 90686 |
|
4,116 |
4,078 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
341 |
340 |
$33K |
| 90837 |
Psychotherapy, 53 minutes with patient |
328 |
264 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,185 |
3,153 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
538 |
532 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
437 |
432 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
364 |
353 |
$19K |
| 97803 |
|
501 |
424 |
$17K |
| 90688 |
|
1,114 |
1,106 |
$15K |
| 92552 |
|
1,014 |
1,009 |
$13K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
315 |
220 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
413 |
385 |
$10K |
| 97802 |
|
194 |
192 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
278 |
188 |
$8K |
| 96127 |
|
2,756 |
2,487 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
118 |
$7K |
| 81025 |
|
968 |
861 |
$7K |
| D0330 |
Panoramic radiographic image |
332 |
313 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
366 |
334 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
93 |
$5K |
| D4341 |
|
283 |
160 |
$5K |
| 90480 |
|
161 |
157 |
$5K |
| 91322 |
|
39 |
39 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
751 |
654 |
$4K |
| D1110 |
Prophylaxis - adult |
140 |
132 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
317 |
288 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
67 |
$3K |
| 90670 |
|
226 |
223 |
$3K |
| 90656 |
|
233 |
231 |
$2K |
| 90697 |
|
147 |
147 |
$2K |
| D0274 |
Bitewings - four radiographic images |
273 |
253 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
122 |
102 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
836 |
810 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$2K |
| 90677 |
|
119 |
119 |
$2K |
| 99383 |
|
43 |
43 |
$1K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
78 |
59 |
$1K |
| 90715 |
|
72 |
72 |
$1K |
| D1120 |
Prophylaxis - child |
88 |
72 |
$1K |
| 90651 |
|
148 |
148 |
$1K |
| D0272 |
Bitewings - two radiographic images |
128 |
110 |
$982.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
84 |
$937.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
633 |
437 |
$921.96 |
| D7140 |
Extraction, erupted tooth or exposed root |
42 |
24 |
$853.72 |
| 91321 |
|
95 |
94 |
$740.24 |
| 81002 |
|
242 |
238 |
$689.85 |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$662.25 |
| D2330 |
|
17 |
12 |
$652.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
51 |
$629.14 |
| 90698 |
|
47 |
47 |
$590.70 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
26 |
26 |
$575.80 |
| 90681 |
|
43 |
43 |
$511.94 |
| 90633 |
|
40 |
39 |
$354.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$331.32 |
| 83655 |
|
13 |
13 |
$129.36 |
| 92250 |
|
12 |
12 |
$126.00 |
| 90734 |
|
15 |
15 |
$116.86 |
| 36416 |
|
25 |
25 |
$96.48 |
| 3074F |
|
1,496 |
1,455 |
$47.30 |
| 3080F |
|
90 |
90 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
529 |
460 |
$0.00 |
| 3008F |
|
1,042 |
1,026 |
$0.00 |
| 3075F |
|
155 |
153 |
$0.00 |
| 1036F |
|
136 |
129 |
$0.00 |
| 3079F |
|
682 |
675 |
$0.00 |
| 4010F |
|
20 |
20 |
$0.00 |
| 99406 |
|
41 |
41 |
$0.00 |
| 1034F |
|
47 |
43 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
24 |
23 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3078F |
|
915 |
880 |
$0.00 |
| 1160F |
|
369 |
343 |
$0.00 |
| 3077F |
|
153 |
148 |
$0.00 |
| 1159F |
|
402 |
393 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
109 |
85 |
$0.00 |
| 90662 |
|
112 |
95 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
141 |
129 |
$0.00 |
| 99382 |
|
12 |
12 |
$0.00 |