| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,406 |
8,984 |
$977K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,971 |
4,397 |
$320K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,444 |
6,046 |
$273K |
| 99215 |
Prolong outpt/office vis |
266 |
248 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
314 |
283 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
295 |
272 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,671 |
1,507 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
231 |
193 |
$19K |
| 87430 |
|
825 |
741 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
80 |
$9K |
| 87081 |
|
585 |
527 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
324 |
292 |
$3K |
| 81002 |
|
1,085 |
1,026 |
$3K |
| 90686 |
|
1,696 |
1,636 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
82 |
$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) |
74 |
69 |
$3K |
| 94760 |
|
646 |
534 |
$1K |
| 87428 |
|
16 |
13 |
$924.59 |
| 90656 |
|
251 |
250 |
$814.69 |
| 90700 |
|
178 |
152 |
$528.66 |
| 90671 |
|
17 |
12 |
$518.30 |
| 99173 |
|
89 |
89 |
$218.24 |
| 90713 |
|
43 |
36 |
$196.28 |
| 86580 |
|
27 |
26 |
$169.03 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
14 |
$139.98 |
| 90734 |
|
12 |
12 |
$116.30 |
| 90648 |
|
32 |
26 |
$67.74 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
39 |
38 |
$0.00 |
| 90670 |
|
12 |
12 |
$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) |
28 |
26 |
$0.00 |
| 90685 |
|
56 |
54 |
$0.00 |