| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143,213 |
115,196 |
$5.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,536 |
48,595 |
$3.00M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25,191 |
20,867 |
$1.55M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,655 |
15,701 |
$1.25M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45,013 |
39,072 |
$1.02M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,775 |
19,162 |
$798K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,831 |
7,784 |
$600K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45,281 |
37,872 |
$557K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
367 |
342 |
$506K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,906 |
4,240 |
$366K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22,926 |
19,697 |
$358K |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,658 |
8,181 |
$295K |
| 81025 |
|
61,978 |
48,473 |
$263K |
| 96127 |
|
75,878 |
60,661 |
$262K |
| 59426 |
|
467 |
392 |
$230K |
| 96161 |
|
15,222 |
12,038 |
$205K |
| 81003 |
|
133,023 |
91,248 |
$196K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,686 |
5,265 |
$168K |
| 36415 |
Collection of venous blood by venipuncture |
103,300 |
80,660 |
$162K |
| 90791 |
Psychiatric diagnostic evaluation |
2,318 |
1,972 |
$145K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,702 |
1,413 |
$129K |
| 99442 |
|
5,132 |
4,505 |
$113K |
| 92551 |
|
16,645 |
14,180 |
$111K |
| 99460 |
|
1,888 |
1,797 |
$100K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,766 |
1,663 |
$91K |
| 3008F |
|
227,443 |
173,128 |
$88K |
| D1120 |
Prophylaxis - child |
2,643 |
2,495 |
$83K |
| 90474 |
|
9,125 |
7,626 |
$71K |
| 99173 |
|
19,041 |
16,096 |
$71K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,066 |
3,947 |
$67K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
976 |
768 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
2,656 |
2,510 |
$60K |
| 96160 |
|
3,305 |
2,001 |
$59K |
| 99441 |
|
3,841 |
3,330 |
$57K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,494 |
2,371 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
888 |
693 |
$47K |
| 97803 |
|
2,477 |
2,108 |
$46K |
| 99381 |
|
806 |
678 |
$46K |
| 3074F |
|
126,179 |
92,896 |
$45K |
| 90715 |
|
2,616 |
1,984 |
$43K |
| 90688 |
|
4,895 |
3,646 |
$41K |
| 3078F |
|
106,463 |
77,773 |
$41K |
| 90834 |
Psychotherapy, 45 minutes with patient |
967 |
744 |
$41K |
| 59425 |
|
130 |
118 |
$38K |
| 97802 |
|
1,224 |
1,083 |
$37K |
| 3079F |
|
54,878 |
43,102 |
$36K |
| 99384 |
|
337 |
282 |
$26K |
| 82962 |
|
18,395 |
13,196 |
$26K |
| D7140 |
Extraction, erupted tooth or exposed root |
344 |
176 |
$23K |
| 0011A |
|
725 |
522 |
$22K |
| 99383 |
|
333 |
250 |
$22K |
| 59410 |
|
26 |
26 |
$22K |
| D1110 |
Prophylaxis - adult |
529 |
506 |
$21K |
| 0012A |
|
576 |
416 |
$20K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
435 |
414 |
$20K |
| 3077F |
|
20,891 |
16,015 |
$20K |
| 99215 |
Prolong outpt/office vis |
265 |
179 |
$19K |
| 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 |
2,278 |
1,718 |
$19K |
| 90651 |
|
4,448 |
3,685 |
$18K |
| 3075F |
|
24,968 |
19,667 |
$18K |
| 59510 |
|
12 |
12 |
$18K |
| 90756 |
|
1,313 |
1,010 |
$17K |
| 99401 |
|
1,001 |
530 |
$17K |
| 99443 |
|
431 |
387 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
354 |
290 |
$16K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
22 |
18 |
$15K |
| D0210 |
Intraoral - complete series of radiographic images |
309 |
297 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
528 |
512 |
$14K |
| 54150 |
|
125 |
114 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
736 |
507 |
$14K |
| 3080F |
|
9,646 |
7,484 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
181 |
151 |
$12K |
| 90461 |
|
10,554 |
8,408 |
$12K |
| 99243 |
|
245 |
201 |
$11K |
| 85018 |
|
5,240 |
4,395 |
$11K |
| 90677 |
|
3,795 |
3,275 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
994 |
750 |
$10K |
| 59430 |
|
102 |
81 |
$9K |
| 83655 |
|
731 |
605 |
$9K |
| D1206 |
Topical application of fluoride varnish |
432 |
409 |
$8K |
| D0274 |
Bitewings - four radiographic images |
305 |
291 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
870 |
736 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,609 |
1,947 |
$7K |
| D1351 |
Sealant - per tooth |
244 |
89 |
$7K |
| 59025 |
Fetal non-stress test |
210 |
134 |
$7K |
| 90697 |
|
5,554 |
4,424 |
$6K |
| D0272 |
Bitewings - two radiographic images |
376 |
358 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
84 |
55 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
145 |
131 |
$6K |
| 99382 |
|
82 |
56 |
$5K |
| 99463 |
|
75 |
66 |
$5K |
| 90670 |
|
15,932 |
13,343 |
$4K |
| 99495 |
|
37 |
31 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
167 |
164 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
62 |
55 |
$4K |
| 90734 |
|
1,943 |
1,608 |
$3K |
| 90473 |
|
351 |
244 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
90 |
88 |
$3K |
| 99406 |
|
417 |
199 |
$2K |
| 0503F |
|
3,167 |
2,552 |
$2K |
| 90838 |
|
58 |
47 |
$2K |
| 90658 |
|
418 |
408 |
$2K |
| 88141 |
|
166 |
127 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
154 |
151 |
$2K |
| 96150 |
|
123 |
86 |
$1K |
| 36416 |
|
816 |
678 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
14 |
$1K |
| 11981 |
|
16 |
14 |
$1K |
| 1111F |
|
410 |
354 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
82 |
67 |
$1K |
| 0064A |
|
32 |
24 |
$1K |
| 90716 |
|
2,397 |
2,117 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
97 |
$1K |
| 0500F |
|
2,147 |
1,627 |
$865.51 |
| 0111A |
|
23 |
15 |
$863.60 |
| 92250 |
|
22 |
22 |
$863.36 |
| 0081A |
|
22 |
14 |
$857.04 |
| 99462 |
|
31 |
25 |
$819.59 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
50 |
27 |
$713.80 |
| 90674 |
|
631 |
510 |
$708.86 |
| 90707 |
|
2,535 |
2,254 |
$683.44 |
| 87210 |
|
256 |
199 |
$681.46 |
| 93000 |
|
51 |
48 |
$656.53 |
| 99484 |
|
35 |
27 |
$577.90 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
154 |
126 |
$574.44 |
| 90686 |
|
10,273 |
9,221 |
$553.88 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
200 |
117 |
$538.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
60 |
$526.01 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
27 |
$472.17 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$462.23 |
| 0134A |
|
13 |
13 |
$440.00 |
| 90633 |
|
8,223 |
7,163 |
$358.39 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
29 |
25 |
$315.51 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$268.40 |
| 90698 |
|
5,207 |
4,556 |
$254.47 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
13 |
$173.73 |
| 90681 |
|
5,071 |
4,212 |
$149.25 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
37 |
12 |
$141.98 |
| 90680 |
|
4,985 |
4,146 |
$110.63 |
| 92228 |
|
18 |
12 |
$87.88 |
| 90744 |
|
1,920 |
1,702 |
$59.91 |
| 86580 |
|
14 |
12 |
$52.00 |
| G0008 |
Administration of influenza virus vaccine |
123 |
94 |
$39.41 |
| 90661 |
|
689 |
574 |
$37.01 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
24 |
$28.30 |
| 90656 |
|
84 |
84 |
$26.40 |
| 90648 |
|
4,811 |
4,103 |
$23.05 |
| 0502F |
|
60,286 |
38,573 |
$20.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$12.10 |
| 91301 |
|
1,644 |
1,161 |
$3.74 |
| 90671 |
|
761 |
530 |
$2.75 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
14 |
13 |
$2.34 |
| 91308 |
|
88 |
62 |
$0.39 |
| 90723 |
|
2,506 |
2,040 |
$0.18 |
| 90710 |
|
3,093 |
2,654 |
$0.18 |
| 91311 |
|
43 |
30 |
$0.16 |
| 1159F |
|
128,206 |
102,729 |
$0.14 |
| 90380 |
|
146 |
131 |
$0.12 |
| 1160F |
|
129,964 |
101,678 |
$0.12 |
| 90685 |
|
682 |
591 |
$0.09 |
| 90700 |
|
1,113 |
1,007 |
$0.09 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
19 |
13 |
$0.04 |
| 90696 |
|
495 |
425 |
$0.01 |
| 90619 |
|
42 |
35 |
$0.01 |
| 90687 |
|
311 |
294 |
$0.01 |
| 0501F |
|
1,735 |
1,407 |
$0.00 |
| D1330 |
|
4,756 |
4,510 |
$0.00 |
| 99000 |
|
3,591 |
2,749 |
$0.00 |
| 1036F |
|
1,760 |
1,367 |
$0.00 |
| 99024 |
|
84 |
66 |
$0.00 |
| D1310 |
|
117 |
112 |
$0.00 |
| 3044F |
|
320 |
242 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
494 |
423 |
$0.00 |
| 91306 |
|
12 |
12 |
$0.00 |
| 90657 |
|
111 |
111 |
$0.00 |
| 1101F |
|
36 |
13 |
$0.00 |
| 90381 |
|
79 |
72 |
$0.00 |
| 90647 |
|
60 |
59 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
21 |
12 |
$0.00 |
| D0603 |
|
28 |
24 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
37 |
27 |
$0.00 |
| 1170F |
|
34 |
13 |
$0.00 |
| 3016F |
|
1,753 |
1,347 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
32 |
26 |
$0.00 |
| 91313 |
|
13 |
13 |
$0.00 |
| 2028F |
|
74 |
58 |
$0.00 |
| 4013F |
|
47 |
45 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
30 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16 |
15 |
$0.00 |