| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,453 |
14,253 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,054 |
12,101 |
$798K |
| 99401 |
|
10,437 |
9,617 |
$328K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,805 |
1,704 |
$235K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,609 |
1,548 |
$154K |
| 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) |
4,954 |
4,448 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,282 |
1,226 |
$113K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
857 |
824 |
$88K |
| 96127 |
|
4,596 |
4,408 |
$65K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,463 |
3,338 |
$37K |
| 99215 |
Prolong outpt/office vis |
285 |
265 |
$34K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,059 |
1,024 |
$25K |
| 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) |
752 |
705 |
$24K |
| 96112 |
|
271 |
267 |
$22K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
516 |
488 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
525 |
467 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
429 |
418 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
76 |
$7K |
| 99402 |
|
94 |
82 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
268 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
193 |
186 |
$3K |
| 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) |
74 |
74 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
64 |
57 |
$2K |
| 99406 |
|
260 |
241 |
$2K |
| 93000 |
|
108 |
100 |
$2K |
| 99000 |
|
1,138 |
1,081 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
86 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
95 |
89 |
$686.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
28 |
$596.26 |
| 82044 |
|
56 |
52 |
$255.43 |
| 81025 |
|
40 |
25 |
$223.73 |
| 81002 |
|
97 |
87 |
$177.81 |
| 81003 |
|
12 |
12 |
$22.73 |
| 3074F |
|
112 |
106 |
$0.00 |
| 3008F |
|
12,650 |
11,186 |
$0.00 |
| 1111F |
|
141 |
137 |
$0.00 |
| 1125F |
|
61 |
59 |
$0.00 |
| 3079F |
|
62 |
59 |
$0.00 |
| 90656 |
|
33 |
30 |
$0.00 |
| 3017F |
|
14 |
13 |
$0.00 |
| 1159F |
|
5,968 |
5,362 |
$0.00 |
| 3078F |
|
69 |
65 |
$0.00 |
| 99072 |
|
76 |
74 |
$0.00 |