| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
249,238 |
97,158 |
$1.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,171 |
25,969 |
$1.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,219 |
11,120 |
$1.23M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
5,344 |
4,549 |
$724K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,529 |
3,146 |
$310K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,758 |
2,447 |
$236K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,058 |
1,806 |
$203K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,869 |
8,706 |
$192K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,727 |
4,166 |
$172K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,420 |
4,626 |
$156K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,768 |
1,574 |
$147K |
| 99401 |
|
4,080 |
3,009 |
$107K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,442 |
9,986 |
$103K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,581 |
6,164 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,139 |
1,843 |
$81K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,535 |
2,169 |
$63K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,543 |
4,893 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,154 |
5,464 |
$56K |
| 94664 |
|
2,890 |
2,607 |
$31K |
| 99070 |
|
4,034 |
3,252 |
$24K |
| D0145 |
Oral evaluation for a patient under three years of age |
568 |
526 |
$18K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
284 |
185 |
$17K |
| 83718 |
|
1,677 |
1,478 |
$16K |
| 90474 |
|
576 |
521 |
$12K |
| 96127 |
|
2,134 |
1,755 |
$11K |
| 82465 |
|
1,675 |
1,476 |
$9K |
| 92551 |
|
8,292 |
7,229 |
$8K |
| D1206 |
Topical application of fluoride varnish |
559 |
526 |
$8K |
| 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) |
268 |
256 |
$8K |
| 90686 |
|
3,469 |
3,031 |
$4K |
| 99173 |
|
8,752 |
7,648 |
$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) |
279 |
244 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
56 |
53 |
$3K |
| 90734 |
|
107 |
86 |
$3K |
| 0071A |
|
61 |
41 |
$3K |
| 81002 |
|
907 |
780 |
$2K |
| 81003 |
|
708 |
590 |
$2K |
| 0001A |
|
32 |
28 |
$2K |
| 0002A |
|
43 |
22 |
$1K |
| 90651 |
|
52 |
47 |
$1K |
| 0072A |
|
21 |
15 |
$995.00 |
| 90480 |
|
36 |
31 |
$859.92 |
| 90619 |
|
171 |
143 |
$647.26 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
27 |
$346.12 |
| 90716 |
|
458 |
385 |
$335.38 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$245.40 |
| 80061 |
Lipid panel |
13 |
12 |
$208.32 |
| 36416 |
|
12,241 |
10,598 |
$123.65 |
| 90656 |
|
270 |
243 |
$61.60 |
| 90715 |
|
30 |
26 |
$43.25 |
| 82962 |
|
15 |
14 |
$40.46 |
| 91300 |
|
209 |
139 |
$34.65 |
| 90723 |
|
295 |
255 |
$0.00 |
| 90677 |
|
193 |
187 |
$0.00 |
| 90680 |
|
584 |
527 |
$0.00 |
| 2015F |
|
33 |
33 |
$0.00 |
| 3044F |
|
238 |
215 |
$0.00 |
| 3074F |
|
504 |
463 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
157 |
150 |
$0.00 |
| 90698 |
|
26 |
24 |
$0.00 |
| 91307 |
|
27 |
19 |
$0.00 |
| 90696 |
|
22 |
14 |
$0.00 |
| 90633 |
|
486 |
425 |
$0.00 |
| 90670 |
|
1,324 |
1,170 |
$0.00 |
| 3078F |
|
478 |
439 |
$0.00 |
| 90685 |
|
73 |
68 |
$0.00 |
| 90648 |
|
792 |
692 |
$0.00 |
| 90707 |
|
397 |
326 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
55 |
52 |
$0.00 |
| 1160F |
|
670 |
610 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
33 |
31 |
$0.00 |
| 90700 |
|
43 |
38 |
$0.00 |