| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,713 |
20,856 |
$1.89M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,056 |
27,258 |
$1.62M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,622 |
5,441 |
$329K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,284 |
4,175 |
$233K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,297 |
13,751 |
$185K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,486 |
8,162 |
$177K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,375 |
4,220 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,068 |
2,000 |
$112K |
| 99215 |
Prolong outpt/office vis |
680 |
627 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,383 |
1,314 |
$74K |
| 90686 |
|
3,789 |
3,677 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,474 |
1,417 |
$67K |
| 90723 |
|
3,057 |
2,962 |
$58K |
| 90670 |
|
3,007 |
2,898 |
$57K |
| 90647 |
|
2,761 |
2,690 |
$51K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,554 |
1,518 |
$41K |
| 90680 |
|
1,694 |
1,633 |
$32K |
| 87807 |
|
2,859 |
2,751 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,608 |
1,548 |
$28K |
| 90671 |
|
1,408 |
1,390 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
275 |
259 |
$26K |
| 87428 |
|
522 |
511 |
$26K |
| 99173 |
|
7,532 |
7,215 |
$25K |
| 90461 |
|
456 |
448 |
$21K |
| 96127 |
|
6,311 |
6,121 |
$20K |
| 90633 |
|
1,031 |
1,000 |
$19K |
| 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) |
1,469 |
1,396 |
$17K |
| 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) |
574 |
535 |
$17K |
| 90651 |
|
457 |
433 |
$10K |
| 90656 |
|
453 |
452 |
$9K |
| 90734 |
|
297 |
283 |
$6K |
| 69210 |
|
243 |
166 |
$6K |
| 82272 |
|
1,295 |
1,084 |
$4K |
| 90715 |
|
160 |
159 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
81 |
$3K |
| 90710 |
|
105 |
101 |
$3K |
| 36416 |
|
984 |
906 |
$2K |
| 83655 |
|
155 |
155 |
$2K |
| 92551 |
|
439 |
429 |
$2K |
| 90696 |
|
102 |
98 |
$2K |
| 90681 |
|
80 |
80 |
$2K |
| 90716 |
|
64 |
64 |
$1K |
| 90707 |
|
63 |
63 |
$1K |
| 0072A |
|
29 |
29 |
$1K |
| 90620 |
|
61 |
58 |
$1K |
| 0071A |
|
26 |
24 |
$1K |
| 99460 |
|
16 |
16 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$1K |
| 90380 |
|
48 |
46 |
$910.34 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$830.04 |
| 90381 |
|
32 |
32 |
$633.28 |
| 81003 |
|
185 |
173 |
$526.32 |
| 90700 |
|
24 |
24 |
$474.96 |
| 90685 |
|
13 |
13 |
$257.27 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
56 |
56 |
$246.30 |
| G0313 |
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, 16-30 mins time (this code is used for medicaid billing purposes) |
21 |
16 |
$195.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
40 |
39 |
$96.24 |
| 94760 |
|
477 |
439 |
$63.29 |
| 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) |
13 |
13 |
$0.00 |