| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,070 |
3,582 |
$325K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,991 |
5,040 |
$298K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,230 |
7,146 |
$295K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,056 |
2,753 |
$234K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,115 |
1,847 |
$183K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,230 |
5,671 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,771 |
1,539 |
$127K |
| G0315 |
Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) |
3,959 |
2,930 |
$118K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,360 |
1,176 |
$57K |
| S8301 |
Infection control supplies, not otherwise specified |
13,247 |
11,430 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,713 |
3,483 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,648 |
1,162 |
$35K |
| 92551 |
|
7,721 |
6,819 |
$21K |
| 90461 |
|
3,593 |
2,788 |
$18K |
| 99429 |
|
531 |
493 |
$17K |
| 99050 |
|
1,122 |
1,021 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
576 |
506 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,003 |
876 |
$7K |
| 99381 |
|
97 |
88 |
$6K |
| 90677 |
|
279 |
204 |
$6K |
| 96160 |
|
2,459 |
2,155 |
$4K |
| 90619 |
|
496 |
423 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
184 |
$4K |
| 99383 |
|
20 |
18 |
$2K |
| 99384 |
|
17 |
15 |
$2K |
| 97169 |
|
88 |
85 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
12 |
$1K |
| 99460 |
|
16 |
16 |
$1K |
| 99072 |
|
1,834 |
1,523 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$794.16 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$711.60 |
| 99051 |
|
123 |
109 |
$539.50 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$490.37 |
| 97803 |
|
3,579 |
2,843 |
$375.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
60 |
$153.90 |
| 99173 |
|
7,223 |
6,518 |
$3.50 |
| 90686 |
|
1,233 |
1,215 |
$0.60 |
| 90651 |
|
1,152 |
989 |
$0.52 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,417 |
2,274 |
$0.27 |
| 90674 |
|
18 |
18 |
$0.18 |
| 90697 |
|
25 |
24 |
$0.04 |
| 90672 |
|
134 |
128 |
$0.03 |
| 90715 |
|
377 |
312 |
$0.02 |
| 90633 |
|
914 |
831 |
$0.01 |
| 90670 |
|
1,251 |
1,182 |
$0.01 |
| 90734 |
|
354 |
330 |
$0.01 |
| 90648 |
|
838 |
758 |
$0.00 |
| 90700 |
|
86 |
75 |
$0.00 |
| 90707 |
|
1,013 |
897 |
$0.00 |
| 90685 |
|
75 |
71 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
3,213 |
2,712 |
$0.00 |
| 90680 |
|
819 |
746 |
$0.00 |
| 90716 |
|
1,010 |
896 |
$0.00 |
| 90696 |
|
290 |
276 |
$0.00 |
| 90723 |
|
374 |
347 |
$0.00 |
| 90698 |
|
150 |
141 |
$0.00 |
| 96161 |
|
42 |
41 |
$0.00 |