| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,334 |
7,475 |
$804K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,709 |
10,245 |
$758K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,116 |
7,753 |
$361K |
| 99215 |
Prolong outpt/office vis |
2,643 |
2,391 |
$321K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,461 |
3,289 |
$318K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,932 |
2,765 |
$248K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,459 |
2,336 |
$229K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,948 |
11,065 |
$203K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,080 |
1,026 |
$110K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,921 |
2,757 |
$80K |
| 97535 |
Self-care/home management training, each 15 minutes |
2,211 |
1,914 |
$44K |
| 94760 |
|
23,555 |
20,386 |
$43K |
| 99354 |
|
538 |
477 |
$39K |
| 97802 |
|
3,572 |
3,082 |
$30K |
| 99173 |
|
4,530 |
4,253 |
$29K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,436 |
2,265 |
$27K |
| 99381 |
|
291 |
272 |
$25K |
| 99383 |
|
237 |
222 |
$23K |
| D1206 |
Topical application of fluoride varnish |
1,285 |
1,213 |
$21K |
| 96127 |
|
1,249 |
1,080 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
372 |
$16K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
491 |
441 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
697 |
667 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
484 |
464 |
$12K |
| 83655 |
|
795 |
746 |
$10K |
| 99382 |
|
92 |
85 |
$9K |
| 94010 |
|
146 |
119 |
$4K |
| 85018 |
|
1,781 |
1,670 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
255 |
246 |
$4K |
| 90651 |
|
340 |
317 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
52 |
41 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
295 |
267 |
$3K |
| 90716 |
|
611 |
594 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
154 |
144 |
$3K |
| 90670 |
|
2,244 |
2,197 |
$3K |
| 36416 |
|
1,776 |
1,667 |
$3K |
| 87430 |
|
370 |
343 |
$2K |
| 96111 |
|
14 |
13 |
$1K |
| 99000 |
|
1,749 |
1,579 |
$1K |
| 90707 |
|
586 |
574 |
$1K |
| 90734 |
|
219 |
210 |
$1K |
| 90723 |
|
1,190 |
1,162 |
$778.32 |
| 94761 |
|
427 |
369 |
$690.96 |
| 90680 |
|
1,378 |
1,340 |
$605.77 |
| 98960 |
|
1,097 |
922 |
$400.00 |
| 97537 |
|
19 |
19 |
$381.78 |
| 90647 |
|
1,699 |
1,656 |
$344.63 |
| 90633 |
|
893 |
867 |
$317.76 |
| H0049 |
Alcohol and/or drug screening |
28 |
27 |
$250.24 |
| 90686 |
|
1,798 |
1,736 |
$209.33 |
| 99071 |
|
1,763 |
1,662 |
$189.00 |
| 90697 |
|
601 |
583 |
$175.00 |
| 94664 |
|
28 |
26 |
$153.35 |
| 87428 |
|
48 |
47 |
$123.76 |
| 96160 |
|
679 |
639 |
$118.71 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
13 |
$106.08 |
| 90715 |
|
80 |
78 |
$99.43 |
| 90685 |
|
440 |
427 |
$89.89 |
| 90696 |
|
90 |
88 |
$66.17 |
| 87280 |
|
47 |
44 |
$38.25 |
| 96161 |
|
532 |
510 |
$34.32 |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
21 |
20 |
$24.50 |
| G0311 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 16-30 mins time (this code is used for medicaid billing purposes) |
82 |
78 |
$21.00 |
| 90672 |
|
234 |
225 |
$0.01 |
| 90700 |
|
71 |
68 |
$0.00 |
| 90710 |
|
519 |
499 |
$0.00 |
| 87400 |
|
46 |
44 |
$0.00 |
| 99072 |
|
19 |
19 |
$0.00 |
| 90677 |
|
452 |
429 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| M1296 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |