| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,766 |
12,846 |
$1.11M |
| 92587 |
|
7,024 |
6,595 |
$452K |
| 92015 |
Determination of refractive state |
5,309 |
5,152 |
$174K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,742 |
1,639 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,770 |
1,723 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,222 |
1,188 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
912 |
883 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
360 |
342 |
$20K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
107 |
100 |
$12K |
| 90670 |
|
693 |
685 |
$8K |
| 90648 |
|
616 |
608 |
$7K |
| 94664 |
|
340 |
304 |
$5K |
| 92586 |
|
59 |
58 |
$5K |
| 90723 |
|
351 |
345 |
$4K |
| 92650 |
|
122 |
118 |
$3K |
| 90680 |
|
260 |
253 |
$3K |
| 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) |
115 |
111 |
$1K |
| 90658 |
|
106 |
99 |
$984.68 |
| 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) |
82 |
79 |
$927.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
62 |
57 |
$806.60 |
| 90686 |
|
45 |
45 |
$679.80 |
| 99381 |
|
13 |
13 |
$676.92 |
| 94760 |
|
48 |
40 |
$672.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
64 |
$457.60 |
| 90647 |
|
25 |
25 |
$386.25 |
| 90677 |
|
12 |
12 |
$157.68 |
| 90688 |
|
14 |
14 |
$133.84 |
| 90657 |
|
14 |
14 |
$133.84 |
| 90710 |
|
12 |
12 |
$105.16 |