| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,820 |
18,958 |
$842K |
| S8301 |
Infection control supplies, not otherwise specified |
21,042 |
14,988 |
$485K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,265 |
6,922 |
$389K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,818 |
2,656 |
$210K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,333 |
2,175 |
$175K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,239 |
2,095 |
$160K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,506 |
1,037 |
$155K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,736 |
3,058 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,868 |
5,061 |
$100K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,815 |
1,603 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,237 |
1,152 |
$83K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,527 |
2,496 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,090 |
4,513 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,341 |
2,176 |
$53K |
| 92588 |
|
2,289 |
2,091 |
$52K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,607 |
6,340 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
799 |
705 |
$32K |
| 99429 |
|
678 |
656 |
$22K |
| 87428 |
|
458 |
410 |
$19K |
| 87807 |
|
1,731 |
1,476 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
198 |
179 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,156 |
773 |
$9K |
| 90461 |
|
1,435 |
1,126 |
$8K |
| 99050 |
|
1,187 |
1,062 |
$8K |
| 92567 |
|
729 |
637 |
$8K |
| 0071A |
|
185 |
172 |
$7K |
| 0001A |
|
157 |
153 |
$6K |
| 0072A |
|
128 |
125 |
$5K |
| 0002A |
|
130 |
123 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
333 |
303 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$2K |
| 0003A |
|
53 |
52 |
$2K |
| 81002 |
|
670 |
582 |
$2K |
| 0073A |
|
45 |
41 |
$1K |
| 0124A |
|
34 |
34 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$947.51 |
| 96160 |
|
560 |
522 |
$893.99 |
| 99381 |
|
13 |
12 |
$874.29 |
| 99051 |
|
1,428 |
1,235 |
$791.82 |
| 0154A |
|
12 |
12 |
$370.00 |
| 97169 |
|
14 |
13 |
$255.00 |
| 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) |
14 |
14 |
$233.82 |
| 97802 |
|
1,759 |
1,638 |
$180.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$44.88 |
| 91300 |
|
168 |
142 |
$40.10 |
| 96161 |
|
121 |
115 |
$7.59 |
| 90686 |
|
2,368 |
2,279 |
$1.30 |
| 90671 |
|
440 |
414 |
$0.60 |
| 90651 |
|
303 |
280 |
$0.22 |
| 90620 |
|
166 |
163 |
$0.06 |
| 90715 |
|
120 |
106 |
$0.02 |
| 90734 |
|
428 |
400 |
$0.01 |
| 90670 |
|
678 |
647 |
$0.00 |
| 90633 |
|
438 |
421 |
$0.00 |
| 90648 |
|
370 |
359 |
$0.00 |
| 90710 |
|
228 |
218 |
$0.00 |
| 90681 |
|
98 |
95 |
$0.00 |
| 90700 |
|
37 |
36 |
$0.00 |
| 91312 |
|
31 |
31 |
$0.00 |
| 90696 |
|
60 |
59 |
$0.00 |
| 90697 |
|
254 |
243 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,748 |
1,627 |
$0.00 |
| 90680 |
|
251 |
238 |
$0.00 |
| 90656 |
|
23 |
16 |
$0.00 |
| 90723 |
|
126 |
119 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 91315 |
|
15 |
14 |
$0.00 |