| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
28,698 |
24,660 |
$903K |
| 99214 |
|
10,052 |
8,499 |
$520K |
| 87426 |
|
6,032 |
5,322 |
$229K |
| 87804 |
|
11,001 |
6,790 |
$162K |
| 99393 |
|
2,098 |
1,890 |
$107K |
| 99394 |
|
2,060 |
1,845 |
$101K |
| 87880 |
|
7,256 |
6,620 |
$83K |
| 99392 |
|
1,192 |
1,056 |
$59K |
| 95115 |
|
5,538 |
1,821 |
$40K |
| 99202 |
|
909 |
810 |
$35K |
| 99203 |
|
548 |
470 |
$28K |
| 99391 |
|
465 |
442 |
$27K |
| 87807 |
|
1,347 |
1,224 |
$16K |
| 85014 |
|
5,849 |
5,252 |
$16K |
| 85018 |
|
5,848 |
5,258 |
$16K |
| 87811 |
|
342 |
321 |
$12K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
478 |
438 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
509 |
452 |
$9K |
| 81002 |
|
3,989 |
3,559 |
$9K |
| 0002A |
|
74 |
74 |
$6K |
| 0001A |
|
89 |
85 |
$6K |
| 90734 |
|
440 |
417 |
$5K |
| 81025 |
|
668 |
603 |
$5K |
| 95165 |
|
53 |
47 |
$5K |
| 0071A |
|
41 |
38 |
$4K |
| 80061 |
|
273 |
253 |
$4K |
| 90677 |
|
285 |
280 |
$4K |
| 90686 |
|
311 |
263 |
$3K |
| 99309 |
|
104 |
66 |
$3K |
| 71046 |
|
154 |
134 |
$3K |
| 92551 |
|
388 |
359 |
$3K |
| 90697 |
|
195 |
193 |
$3K |
| 85025 |
|
428 |
378 |
$3K |
| 90651 |
|
274 |
256 |
$3K |
| 99211 |
|
191 |
182 |
$3K |
| 90756 |
|
266 |
231 |
$2K |
| 99308 |
|
120 |
111 |
$2K |
| 90715 |
|
175 |
163 |
$2K |
| 90680 |
|
142 |
141 |
$2K |
| 96110 |
|
270 |
266 |
$2K |
| 81003 |
|
1,154 |
1,047 |
$2K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
1,071 |
873 |
$2K |
| 82570 |
|
380 |
345 |
$1K |
| 96127 |
|
382 |
377 |
$1K |
| 0072A |
|
12 |
12 |
$1K |
| 90661 |
|
60 |
59 |
$1K |
| 82947 |
|
228 |
209 |
$958.48 |
| 90670 |
|
81 |
78 |
$955.68 |
| 0011A |
|
46 |
40 |
$940.00 |
| 90833 |
|
23 |
20 |
$914.77 |
| 90710 |
|
66 |
65 |
$840.96 |
| 99349 |
|
27 |
15 |
$762.03 |
| 90633 |
|
65 |
63 |
$758.58 |
| 99173 |
|
163 |
160 |
$738.23 |
| 99381 |
|
12 |
12 |
$732.12 |
| 99395 |
|
13 |
13 |
$671.11 |
| 80053 |
|
67 |
63 |
$626.16 |
| 82044 |
|
435 |
396 |
$612.81 |
| 90696 |
|
35 |
34 |
$433.62 |
| 93000 |
|
27 |
27 |
$431.67 |
| 83036 |
|
83 |
77 |
$416.66 |
| 90688 |
|
34 |
34 |
$335.25 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
355 |
275 |
$329.73 |
| D1206 |
|
36 |
30 |
$299.25 |
| 0012A |
|
22 |
22 |
$240.00 |
| 99188 |
|
40 |
30 |
$239.40 |
| 90674 |
|
13 |
13 |
$237.36 |
| 94010 |
|
23 |
17 |
$226.62 |
| 99406 |
|
17 |
14 |
$202.22 |
| 87420 |
|
15 |
14 |
$193.05 |
| 90460 |
|
1,534 |
1,281 |
$187.12 |
| 99307 |
|
13 |
13 |
$149.80 |
| 99490 |
Ccm add 20min |
13 |
12 |
$101.00 |
| 96372 |
|
321 |
287 |
$92.68 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
128 |
115 |
$38.34 |
| 82043 |
|
16 |
14 |
$35.59 |
| 90471 |
|
31 |
29 |
$26.28 |
| 90472 |
|
14 |
12 |
$13.14 |
| 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) |
33 |
19 |
$12.21 |
| 36415 |
|
86 |
79 |
$9.06 |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$4.65 |
| 90473 |
|
136 |
135 |
$0.00 |
| 90461 |
|
686 |
631 |
$0.00 |
| 99177 |
|
247 |
242 |
$0.00 |
| 3078F |
|
15 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
14 |
$0.00 |
| 99497 |
|
29 |
27 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
12 |
$0.00 |
| 3008F |
|
41 |
38 |
$0.00 |
| 3074F |
|
17 |
15 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |