| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,180 |
9,534 |
$841K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,321 |
4,637 |
$279K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,034 |
1,829 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,035 |
945 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
875 |
681 |
$49K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,510 |
1,377 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
488 |
435 |
$32K |
| 92551 |
|
2,354 |
2,097 |
$20K |
| 90686 |
|
1,770 |
1,457 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
643 |
580 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
196 |
179 |
$14K |
| 90671 |
|
258 |
231 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,041 |
890 |
$11K |
| 96160 |
|
7,040 |
6,147 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,048 |
4,347 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,163 |
907 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,500 |
1,336 |
$9K |
| 90670 |
|
74 |
69 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
129 |
112 |
$4K |
| 99000 |
|
1,618 |
1,407 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
28 |
$4K |
| 96127 |
|
724 |
644 |
$3K |
| 90461 |
|
1,819 |
1,452 |
$3K |
| 0002A |
|
83 |
76 |
$3K |
| 0001A |
|
92 |
70 |
$3K |
| 99381 |
|
56 |
40 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
30 |
28 |
$2K |
| 99173 |
|
1,299 |
1,134 |
$2K |
| 99174 |
|
411 |
392 |
$2K |
| 90651 |
|
46 |
42 |
$2K |
| 90619 |
|
47 |
41 |
$2K |
| 90633 |
|
120 |
112 |
$2K |
| 90656 |
|
118 |
116 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
132 |
$1K |
| 87807 |
|
84 |
73 |
$965.52 |
| 90697 |
|
48 |
43 |
$944.68 |
| 99051 |
|
1,727 |
1,541 |
$850.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,198 |
932 |
$785.61 |
| 99070 |
|
72 |
67 |
$720.00 |
| 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) |
235 |
221 |
$660.00 |
| 85018 |
|
246 |
194 |
$411.40 |
| 97802 |
|
49 |
46 |
$390.00 |
| 94760 |
|
952 |
868 |
$340.81 |
| 90698 |
|
12 |
12 |
$309.66 |
| 99072 |
|
1,966 |
1,580 |
$309.40 |
| 90680 |
|
20 |
13 |
$296.76 |
| 99188 |
|
13 |
12 |
$228.69 |
| 96161 |
|
192 |
159 |
$187.04 |
| 90681 |
|
16 |
16 |
$154.00 |
| 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) |
19 |
19 |
$88.00 |
| 36416 |
|
293 |
251 |
$20.60 |