| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,500 |
30,916 |
$2.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,463 |
11,981 |
$1.29M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,526 |
5,348 |
$369K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,685 |
5,477 |
$358K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,075 |
4,649 |
$340K |
| 87428 |
|
4,574 |
4,311 |
$223K |
| 99401 |
|
7,778 |
6,862 |
$222K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,927 |
13,894 |
$195K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,966 |
2,845 |
$182K |
| 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) |
4,825 |
4,427 |
$141K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
686 |
611 |
$96K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,494 |
1,294 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,907 |
3,569 |
$80K |
| 99460 |
|
1,017 |
885 |
$76K |
| 90670 |
|
3,196 |
3,156 |
$62K |
| 90648 |
|
2,671 |
2,638 |
$52K |
| 90680 |
|
2,438 |
2,399 |
$47K |
| 90723 |
|
2,411 |
2,372 |
$47K |
| 92551 |
|
10,721 |
10,176 |
$46K |
| 99462 |
|
1,123 |
744 |
$38K |
| 99173 |
|
7,955 |
7,526 |
$35K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,189 |
1,115 |
$34K |
| 90633 |
|
1,642 |
1,619 |
$32K |
| 90686 |
|
1,655 |
1,610 |
$32K |
| 87807 |
|
2,571 |
2,416 |
$27K |
| Q3014 |
Telehealth originating site facility fee |
1,262 |
1,158 |
$22K |
| 90651 |
|
1,101 |
1,083 |
$21K |
| 90710 |
|
978 |
952 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,677 |
1,525 |
$16K |
| 94664 |
|
1,793 |
1,625 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
287 |
270 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
177 |
149 |
$15K |
| 90734 |
|
733 |
723 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,413 |
1,385 |
$14K |
| D0145 |
Oral evaluation for a patient under three years of age |
740 |
716 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
100 |
$10K |
| 90698 |
|
467 |
453 |
$9K |
| 90620 |
|
410 |
403 |
$8K |
| 54150 |
|
53 |
45 |
$7K |
| 90696 |
|
392 |
381 |
$7K |
| 90677 |
|
352 |
335 |
$7K |
| 90716 |
|
287 |
287 |
$6K |
| 92567 |
|
397 |
360 |
$5K |
| 90707 |
|
215 |
215 |
$4K |
| 36416 |
|
1,640 |
1,565 |
$4K |
| 90700 |
|
191 |
190 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
37 |
31 |
$4K |
| 90715 |
|
188 |
185 |
$4K |
| 90647 |
|
184 |
174 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
408 |
367 |
$3K |
| 17110 |
|
55 |
51 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
29 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
13 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
41 |
$2K |
| 90744 |
|
80 |
77 |
$2K |
| 90748 |
|
78 |
74 |
$1K |
| 99177 |
|
136 |
130 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
617 |
574 |
$787.50 |
| 90461 |
|
16 |
14 |
$652.68 |
| 90685 |
|
32 |
32 |
$633.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
33 |
$627.00 |
| 96127 |
|
126 |
122 |
$559.17 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
532 |
506 |
$486.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
13 |
$452.48 |
| 90381 |
|
23 |
22 |
$435.38 |
| 90380 |
|
13 |
12 |
$217.69 |
| 81002 |
|
30 |
27 |
$87.00 |
| 81003 |
|
13 |
12 |
$38.30 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$28.00 |
| 85018 |
|
340 |
334 |
$24.00 |
| 84030 |
|
330 |
303 |
$0.00 |
| 96111 |
|
15 |
14 |
$0.00 |