| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,295 |
13,171 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,011 |
13,670 |
$958K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,830 |
2,792 |
$245K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,487 |
5,165 |
$210K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,695 |
2,644 |
$168K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,921 |
1,885 |
$162K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,883 |
2,723 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,007 |
999 |
$109K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,912 |
6,578 |
$77K |
| 90461 |
|
1,466 |
1,444 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
855 |
837 |
$65K |
| 99401 |
|
3,103 |
2,999 |
$57K |
| 90670 |
|
537 |
530 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,614 |
5,514 |
$43K |
| 90686 |
|
1,503 |
1,484 |
$28K |
| 87081 |
|
4,010 |
3,820 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,078 |
1,018 |
$22K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
869 |
653 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
480 |
468 |
$13K |
| 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) |
419 |
403 |
$11K |
| 99215 |
Prolong outpt/office vis |
56 |
53 |
$8K |
| 90698 |
|
204 |
203 |
$7K |
| 90716 |
|
82 |
80 |
$7K |
| 99177 |
|
395 |
391 |
$7K |
| 90680 |
|
195 |
194 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
174 |
171 |
$4K |
| 90707 |
|
69 |
68 |
$3K |
| 87634 |
|
70 |
69 |
$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) |
245 |
233 |
$3K |
| 90633 |
|
73 |
72 |
$2K |
| 90656 |
|
89 |
87 |
$2K |
| 90700 |
|
78 |
78 |
$2K |
| 90744 |
|
88 |
88 |
$2K |
| 0072A |
|
47 |
47 |
$2K |
| 90685 |
|
69 |
66 |
$1K |
| 87807 |
|
121 |
115 |
$1K |
| 90734 |
|
12 |
12 |
$1K |
| 92551 |
|
66 |
66 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$949.00 |
| 0002A |
|
24 |
24 |
$750.95 |
| 96127 |
|
120 |
113 |
$643.11 |
| 0001A |
|
36 |
36 |
$599.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$466.15 |
| 90648 |
|
25 |
25 |
$370.86 |
| 0071A |
|
20 |
19 |
$332.04 |
| 99173 |
|
62 |
62 |
$290.00 |
| 90715 |
|
14 |
13 |
$265.76 |
| 36416 |
|
134 |
128 |
$219.15 |
| 99050 |
|
17 |
12 |
$167.44 |
| 81003 |
|
48 |
43 |
$101.20 |
| 85018 |
|
68 |
67 |
$62.92 |
| 99080 |
|
8,028 |
7,405 |
$0.01 |
| 91307 |
|
69 |
64 |
$0.00 |
| 1111F |
|
14 |
14 |
$0.00 |
| 91300 |
|
115 |
103 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
149 |
146 |
$0.00 |