| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,657 |
6,050 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,481 |
2,159 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
418 |
407 |
$12K |
| 92551 |
|
1,839 |
1,838 |
$12K |
| 90686 |
|
1,778 |
1,776 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,003 |
996 |
$4K |
| 99406 |
|
3,345 |
3,303 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
700 |
679 |
$4K |
| G9920 |
Screening performed and negative |
2,088 |
2,078 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
954 |
954 |
$3K |
| 86580 |
|
293 |
260 |
$2K |
| 90648 |
|
383 |
382 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
869 |
858 |
$1K |
| 90670 |
|
353 |
352 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
201 |
201 |
$1K |
| 97803 |
|
3,601 |
3,431 |
$1K |
| 90677 |
|
68 |
68 |
$667.38 |
| 90680 |
|
126 |
125 |
$593.25 |
| 90723 |
|
146 |
145 |
$582.29 |
| 90651 |
|
55 |
55 |
$312.00 |
| 90480 |
|
122 |
121 |
$301.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,199 |
2,096 |
$286.52 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
366 |
366 |
$212.29 |
| 90633 |
|
39 |
39 |
$207.00 |
| 99401 |
|
2,484 |
2,239 |
$153.62 |
| 90707 |
|
48 |
48 |
$111.00 |
| 90716 |
|
48 |
48 |
$111.00 |
| 81002 |
|
1,607 |
1,583 |
$106.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$59.14 |
| 90656 |
|
240 |
240 |
$36.00 |
| 97802 |
|
31 |
29 |
$30.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,283 |
2,241 |
$9.00 |
| 99173 |
|
1,932 |
1,931 |
$0.00 |
| 96160 |
|
740 |
738 |
$0.00 |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
241 |
241 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
29 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |
| 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) |
16 |
16 |
$0.00 |
| 3008F |
|
5,228 |
4,933 |
$0.00 |
| 96161 |
|
115 |
107 |
$0.00 |
| 91319 |
|
14 |
14 |
$0.00 |
| 91318 |
|
12 |
12 |
$0.00 |