| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,518 |
14,529 |
$1.00M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,129 |
15,513 |
$670K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,187 |
5,713 |
$596K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,006 |
5,603 |
$520K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,279 |
5,031 |
$484K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,146 |
3,975 |
$380K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,335 |
10,912 |
$181K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,752 |
1,657 |
$173K |
| 99173 |
|
10,379 |
9,941 |
$84K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,727 |
5,346 |
$61K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,959 |
1,926 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,312 |
1,227 |
$52K |
| D0190 |
|
3,213 |
3,113 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,922 |
2,771 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,142 |
2,080 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
504 |
470 |
$22K |
| 90651 |
|
820 |
786 |
$20K |
| 90670 |
|
2,645 |
2,579 |
$18K |
| 94760 |
|
5,673 |
5,383 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
906 |
475 |
$14K |
| 99174 |
|
1,004 |
962 |
$12K |
| 85018 |
|
4,134 |
3,965 |
$10K |
| 0072A |
|
172 |
167 |
$10K |
| D1206 |
Topical application of fluoride varnish |
579 |
568 |
$9K |
| 90461 |
|
8,615 |
8,313 |
$9K |
| 0071A |
|
161 |
154 |
$9K |
| 36416 |
|
7,140 |
6,697 |
$9K |
| 99000 |
|
4,363 |
4,013 |
$7K |
| 83655 |
|
522 |
505 |
$7K |
| 90671 |
|
1,232 |
1,175 |
$4K |
| 90680 |
|
1,991 |
1,938 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,151 |
1,070 |
$3K |
| 99070 |
|
398 |
369 |
$3K |
| 90480 |
|
91 |
88 |
$3K |
| 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) |
87 |
84 |
$3K |
| 90688 |
|
1,596 |
1,579 |
$3K |
| 90686 |
|
4,166 |
3,953 |
$2K |
| 80061 |
Lipid panel |
167 |
164 |
$2K |
| 90698 |
|
1,027 |
1,001 |
$2K |
| 96127 |
|
148 |
147 |
$2K |
| 0124A |
|
30 |
30 |
$2K |
| 90697 |
|
928 |
898 |
$2K |
| 90734 |
|
37 |
37 |
$1K |
| 90656 |
|
537 |
535 |
$1K |
| 99381 |
|
15 |
14 |
$1K |
| 90619 |
|
117 |
114 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
25 |
14 |
$896.00 |
| 0001A |
|
16 |
16 |
$880.00 |
| 0052A |
|
13 |
13 |
$796.24 |
| 90715 |
|
97 |
96 |
$658.36 |
| 90633 |
|
545 |
526 |
$608.61 |
| 90710 |
|
25 |
25 |
$594.64 |
| 0054A |
|
12 |
12 |
$494.16 |
| 90473 |
|
25 |
24 |
$447.61 |
| 90723 |
|
144 |
142 |
$391.87 |
| 90672 |
|
176 |
166 |
$363.05 |
| 90687 |
|
606 |
599 |
$322.00 |
| 81002 |
|
137 |
108 |
$305.39 |
| 90648 |
|
267 |
263 |
$204.49 |
| H0049 |
Alcohol and/or drug screening |
33 |
33 |
$178.05 |
| 90716 |
|
28 |
26 |
$174.32 |
| 90744 |
|
303 |
296 |
$115.47 |
| 90696 |
|
14 |
14 |
$61.80 |
| 90660 |
|
29 |
29 |
$57.60 |
| 90707 |
|
14 |
14 |
$24.60 |
| 91307 |
|
401 |
362 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 91305 |
|
42 |
40 |
$0.00 |
| 91300 |
|
46 |
45 |
$0.00 |
| 91308 |
|
107 |
98 |
$0.00 |
| 91312 |
|
43 |
42 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |