| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,147 |
2,099 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,017 |
927 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
927 |
920 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,096 |
1,069 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
627 |
623 |
$50K |
| 92551 |
|
1,258 |
1,252 |
$50K |
| 90723 |
|
436 |
431 |
$13K |
| 99188 |
|
785 |
780 |
$12K |
| 83655 |
|
1,227 |
1,219 |
$12K |
| 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) |
432 |
428 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$5K |
| D1206 |
Topical application of fluoride varnish |
361 |
353 |
$5K |
| 90674 |
|
606 |
599 |
$4K |
| 90710 |
|
158 |
158 |
$4K |
| 90670 |
|
576 |
569 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
182 |
178 |
$3K |
| 85018 |
|
1,547 |
1,535 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
91 |
85 |
$3K |
| 90647 |
|
431 |
429 |
$3K |
| 90480 |
|
55 |
55 |
$2K |
| 99051 |
|
127 |
123 |
$1K |
| 90686 |
|
196 |
196 |
$1K |
| 90633 |
|
174 |
174 |
$998.99 |
| 90681 |
|
144 |
144 |
$803.04 |
| 91321 |
|
12 |
12 |
$778.02 |
| 90671 |
|
95 |
94 |
$766.65 |
| 90672 |
|
81 |
80 |
$648.23 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$510.48 |
| 90461 |
|
14 |
13 |
$309.12 |
| 90696 |
|
14 |
14 |
$285.39 |
| 80061 |
Lipid panel |
24 |
24 |
$257.04 |
| 90700 |
|
12 |
12 |
$192.60 |
| 90660 |
|
16 |
16 |
$85.60 |
| 99173 |
|
54 |
54 |
$67.50 |
| 90651 |
|
12 |
12 |
$64.20 |