| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,056 |
24,711 |
$1.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,954 |
7,080 |
$683K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,049 |
19,386 |
$679K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,582 |
7,754 |
$674K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,081 |
6,602 |
$596K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,582 |
4,988 |
$447K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,583 |
13,496 |
$219K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,630 |
1,504 |
$138K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12,346 |
11,267 |
$100K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,648 |
1,565 |
$79K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,462 |
2,291 |
$73K |
| 96127 |
|
5,447 |
4,993 |
$64K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
759 |
661 |
$63K |
| 90837 |
Psychotherapy, 53 minutes with patient |
631 |
337 |
$57K |
| 90461 |
|
9,059 |
8,412 |
$46K |
| 99215 |
Prolong outpt/office vis |
492 |
405 |
$41K |
| 90670 |
|
2,239 |
2,142 |
$34K |
| 90832 |
Psychotherapy, 30 minutes with patient |
614 |
545 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,453 |
1,313 |
$32K |
| T1017 |
Targeted case management, each 15 minutes |
2,044 |
1,504 |
$27K |
| D0190 |
|
1,848 |
1,765 |
$27K |
| 87631 |
|
105 |
102 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
391 |
343 |
$12K |
| 90686 |
|
5,099 |
4,800 |
$12K |
| 90651 |
|
318 |
276 |
$11K |
| H0049 |
Alcohol and/or drug screening |
1,358 |
1,233 |
$10K |
| 0071A |
|
210 |
153 |
$9K |
| 99460 |
|
123 |
119 |
$8K |
| 87634 |
|
126 |
115 |
$8K |
| 0072A |
|
127 |
125 |
$7K |
| 92587 |
|
276 |
224 |
$7K |
| 0001A |
|
212 |
197 |
$6K |
| 83655 |
|
491 |
476 |
$6K |
| 90480 |
|
174 |
163 |
$5K |
| 90698 |
|
657 |
630 |
$5K |
| 0002A |
|
108 |
107 |
$4K |
| 99174 |
|
286 |
267 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
87 |
80 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
124 |
$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) |
124 |
101 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
77 |
$3K |
| 90671 |
|
270 |
258 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
162 |
138 |
$3K |
| 90680 |
|
517 |
498 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
41 |
30 |
$3K |
| 90697 |
|
209 |
200 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
37 |
$2K |
| 36416 |
|
1,623 |
1,502 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
30 |
24 |
$2K |
| 90633 |
|
228 |
211 |
$1K |
| 99000 |
|
637 |
590 |
$1K |
| 85018 |
|
459 |
422 |
$1K |
| 90685 |
|
503 |
479 |
$1K |
| 90734 |
|
65 |
54 |
$1K |
| 99173 |
|
189 |
153 |
$1K |
| 99050 |
|
138 |
133 |
$957.56 |
| 90672 |
|
196 |
182 |
$884.77 |
| 0081A |
|
25 |
13 |
$824.78 |
| 91321 |
|
59 |
56 |
$770.40 |
| 90619 |
|
42 |
37 |
$704.47 |
| 90656 |
|
332 |
309 |
$506.32 |
| 90744 |
|
122 |
116 |
$340.60 |
| 90674 |
|
47 |
40 |
$295.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$267.48 |
| 90715 |
|
45 |
42 |
$255.68 |
| A4258 |
Spring-powered device for lancet, each |
1,607 |
1,462 |
$231.28 |
| 90660 |
|
31 |
29 |
$89.65 |
| 98970 |
|
46 |
43 |
$75.00 |
| 96160 |
|
26 |
24 |
$72.84 |
| 99070 |
|
144 |
138 |
$72.12 |
| 81003 |
|
15 |
15 |
$25.87 |
| 91322 |
|
12 |
12 |
$0.00 |
| 91300 |
|
321 |
300 |
$0.00 |
| 99421 |
|
12 |
12 |
$0.00 |
| 91307 |
|
199 |
103 |
$0.00 |