| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,074 |
45,481 |
$1.50M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
9,502 |
7,321 |
$677K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,758 |
10,683 |
$480K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,209 |
4,100 |
$310K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,964 |
3,710 |
$293K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,748 |
2,696 |
$206K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,974 |
6,327 |
$186K |
| H1000 |
Prenatal care, at-risk assessment |
3,267 |
2,292 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,503 |
1,485 |
$118K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,595 |
3,411 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,905 |
8,255 |
$80K |
| 92552 |
|
3,076 |
3,028 |
$36K |
| 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 |
2,025 |
1,606 |
$24K |
| 87428 |
|
565 |
549 |
$21K |
| 90671 |
|
279 |
274 |
$19K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
224 |
211 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
199 |
191 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
232 |
225 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,326 |
2,182 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
383 |
359 |
$9K |
| 59430 |
|
223 |
205 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,256 |
2,145 |
$9K |
| 81025 |
|
964 |
852 |
$8K |
| 90461 |
|
5,120 |
4,137 |
$6K |
| 90670 |
|
1,318 |
1,287 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
593 |
548 |
$3K |
| 99051 |
|
1,342 |
1,235 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,064 |
1,019 |
$2K |
| 99381 |
|
27 |
26 |
$2K |
| 85018 |
|
2,680 |
2,598 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
425 |
415 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 81002 |
|
2,420 |
1,723 |
$914.92 |
| 90686 |
|
1,460 |
1,388 |
$840.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
155 |
135 |
$708.48 |
| 71046 |
Radiologic examination, chest; 2 views |
83 |
80 |
$676.48 |
| 90723 |
|
892 |
881 |
$520.22 |
| 3074F |
|
248 |
240 |
$450.00 |
| 87430 |
|
138 |
137 |
$375.30 |
| 69210 |
|
25 |
24 |
$371.20 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
19 |
17 |
$356.81 |
| 87807 |
|
33 |
30 |
$200.90 |
| 92551 |
|
512 |
500 |
$164.55 |
| 94760 |
|
5,158 |
4,445 |
$138.43 |
| 99406 |
|
63 |
54 |
$133.09 |
| 90648 |
|
1,075 |
1,040 |
$131.76 |
| 87081 |
|
105 |
94 |
$49.98 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
68 |
$39.00 |
| 90656 |
|
54 |
54 |
$34.81 |
| 90715 |
|
42 |
41 |
$31.87 |
| 86804 |
|
13 |
13 |
$20.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,977 |
1,763 |
$19.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
12 |
$15.40 |
| 90633 |
|
339 |
331 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
304 |
303 |
$0.00 |
| 90734 |
|
70 |
67 |
$0.00 |
| 99177 |
|
7,678 |
7,288 |
$0.00 |
| D1120 |
Prophylaxis - child |
58 |
57 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
286 |
283 |
$0.00 |
| D1110 |
Prophylaxis - adult |
62 |
62 |
$0.00 |
| D0330 |
Panoramic radiographic image |
269 |
265 |
$0.00 |
| D1354 |
|
43 |
14 |
$0.00 |
| 3078F |
|
125 |
122 |
$0.00 |
| 90681 |
|
54 |
53 |
$0.00 |
| 94664 |
|
28 |
26 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |
| 90647 |
|
170 |
166 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
135 |
133 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
391 |
389 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
249 |
245 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
12 |
$0.00 |
| 90651 |
|
163 |
158 |
$0.00 |
| D1310 |
|
221 |
220 |
$0.00 |
| D1351 |
Sealant - per tooth |
502 |
117 |
$0.00 |
| D1330 |
|
260 |
259 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
500 |
498 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
229 |
227 |
$0.00 |
| 96127 |
|
406 |
373 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
304 |
302 |
$0.00 |
| D0603 |
|
337 |
332 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
77 |
77 |
$0.00 |
| 90620 |
|
14 |
12 |
$0.00 |
| D0602 |
|
272 |
271 |
$0.00 |
| 3079F |
|
77 |
76 |
$0.00 |
| D0601 |
|
38 |
38 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| D1320 |
|
19 |
17 |
$0.00 |