| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,368 |
13,009 |
$1.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,319 |
15,711 |
$1.12M |
| 99199 |
Unlisted special service, procedure or report |
128,056 |
86,860 |
$698K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,499 |
1,249 |
$339K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,319 |
7,992 |
$174K |
| 99401 |
|
4,613 |
3,759 |
$160K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,487 |
1,339 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,183 |
987 |
$108K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,628 |
2,246 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
529 |
483 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,565 |
3,248 |
$47K |
| 96127 |
|
11,176 |
9,632 |
$46K |
| 99215 |
Prolong outpt/office vis |
209 |
185 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,017 |
707 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,028 |
915 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
214 |
$9K |
| 99051 |
|
363 |
340 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
80 |
$8K |
| 96160 |
|
1,325 |
1,108 |
$4K |
| 81003 |
|
1,849 |
1,659 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,000 |
908 |
$3K |
| 90686 |
|
2,346 |
2,051 |
$2K |
| 69210 |
|
34 |
27 |
$1K |
| 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) |
34 |
31 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
28 |
26 |
$927.02 |
| 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) |
23 |
21 |
$707.71 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
42 |
$620.98 |
| D1206 |
Topical application of fluoride varnish |
28 |
26 |
$422.36 |
| 90651 |
|
33 |
24 |
$420.48 |
| 99173 |
|
2,358 |
2,019 |
$301.01 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
27 |
$220.34 |
| 92551 |
|
1,894 |
1,643 |
$211.38 |
| 94664 |
|
13 |
12 |
$144.69 |
| 96161 |
|
13 |
12 |
$47.16 |
| 90656 |
|
215 |
201 |
$39.11 |
| 90670 |
|
35 |
26 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |