| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,939 |
7,746 |
$667K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,092 |
2,796 |
$295K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,758 |
1,706 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,159 |
1,152 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
539 |
537 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
803 |
798 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
296 |
283 |
$13K |
| 99051 |
|
2,301 |
2,107 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,604 |
1,554 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
293 |
220 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
381 |
360 |
$5K |
| 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) |
123 |
123 |
$3K |
| 99177 |
|
1,072 |
1,071 |
$3K |
| 36416 |
|
537 |
513 |
$2K |
| 96161 |
|
880 |
853 |
$1K |
| 96127 |
|
239 |
238 |
$632.31 |
| D0190 |
|
38 |
38 |
$568.06 |
| 99174 |
|
775 |
774 |
$489.60 |
| 99000 |
|
143 |
138 |
$356.43 |
| 99188 |
|
51 |
51 |
$345.86 |
| 96380 |
|
13 |
13 |
$291.34 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
26 |
$271.75 |
| 88720 |
|
79 |
37 |
$180.56 |
| 99050 |
|
62 |
55 |
$180.00 |
| 96160 |
|
72 |
72 |
$131.44 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$66.52 |
| 81003 |
|
12 |
12 |
$22.44 |
| 90686 |
|
25 |
25 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,438 |
1,436 |
$0.00 |
| 90680 |
|
173 |
173 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
696 |
680 |
$0.00 |
| 90697 |
|
230 |
230 |
$0.00 |
| 90660 |
|
32 |
32 |
$0.00 |
| 91307 |
|
18 |
16 |
$0.00 |
| 99072 |
|
269 |
256 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
153 |
153 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| 99173 |
|
144 |
141 |
$0.00 |
| 90671 |
|
326 |
326 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90661 |
|
59 |
59 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| 90672 |
|
55 |
55 |
$0.00 |