| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,650 |
4,120 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,692 |
3,338 |
$135K |
| 92551 |
|
1,913 |
1,814 |
$24K |
| 3008F |
|
2,578 |
2,464 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
323 |
308 |
$19K |
| 99173 |
|
934 |
884 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
188 |
175 |
$10K |
| 90686 |
|
2,055 |
1,949 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
117 |
113 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
96 |
$6K |
| 81002 |
|
1,772 |
1,650 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
54 |
53 |
$2K |
| 99000 |
|
528 |
458 |
$2K |
| 85018 |
|
733 |
683 |
$2K |
| 36416 |
|
691 |
629 |
$2K |
| 90656 |
|
82 |
80 |
$1K |
| 0071A |
|
14 |
14 |
$514.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
16 |
$497.74 |
| 96127 |
|
125 |
115 |
$465.13 |
| 83655 |
|
25 |
24 |
$318.29 |
| 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) |
29 |
28 |
$231.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$199.82 |
| 80061 |
Lipid panel |
19 |
15 |
$199.69 |
| 90670 |
|
28 |
24 |
$99.72 |
| 90648 |
|
29 |
26 |
$97.96 |
| 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) |
20 |
20 |
$82.84 |
| 90688 |
|
14 |
12 |
$47.94 |
| 96161 |
|
15 |
12 |
$45.95 |
| 90685 |
|
13 |
12 |
$40.69 |
| 91307 |
|
120 |
108 |
$0.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,409 |
1,300 |
$0.00 |
| 99072 |
|
279 |
256 |
$0.00 |
| 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) |
177 |
162 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,401 |
2,296 |
$0.00 |