| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,745 |
6,061 |
$472K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,653 |
2,435 |
$208K |
| 99401 |
|
2,683 |
2,545 |
$171K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,528 |
1,491 |
$156K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,587 |
1,490 |
$136K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,257 |
1,229 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,157 |
1,012 |
$97K |
| 92552 |
|
3,847 |
3,660 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,973 |
3,756 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
664 |
594 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,228 |
1,854 |
$9K |
| 99188 |
|
1,147 |
1,083 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
50 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,786 |
705 |
$7K |
| 90461 |
|
1,248 |
988 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,532 |
1,401 |
$6K |
| 99490 |
Ccm add 20min |
92 |
86 |
$4K |
| 99173 |
|
3,839 |
3,567 |
$1K |
| 96161 |
|
1,145 |
907 |
$800.14 |
| 87807 |
|
93 |
81 |
$651.75 |
| 99072 |
|
579 |
501 |
$372.51 |
| 86580 |
|
42 |
39 |
$201.98 |
| 90710 |
|
79 |
77 |
$200.00 |
| 90686 |
|
942 |
898 |
$161.86 |
| 90633 |
|
599 |
583 |
$50.00 |
| 96160 |
|
1,758 |
1,516 |
$20.95 |
| 90671 |
|
113 |
96 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90670 |
|
298 |
278 |
$0.00 |
| 90648 |
|
53 |
50 |
$0.00 |
| 90734 |
|
128 |
124 |
$0.00 |
| 90715 |
|
93 |
90 |
$0.00 |
| 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) |
188 |
50 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 96127 |
|
1,795 |
1,585 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
225 |
202 |
$0.00 |
| 90651 |
|
313 |
303 |
$0.00 |
| 3008F |
|
545 |
518 |
$0.00 |
| 97802 |
|
69 |
60 |
$0.00 |
| 90697 |
|
29 |
24 |
$0.00 |
| 90619 |
|
55 |
55 |
$0.00 |
| 90688 |
|
106 |
103 |
$0.00 |
| 90674 |
|
14 |
13 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |