| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,681 |
8,885 |
$445K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,378 |
3,889 |
$169K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,422 |
2,133 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,952 |
1,815 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,991 |
1,746 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,430 |
1,330 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,368 |
3,090 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
971 |
860 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,859 |
1,581 |
$40K |
| 96127 |
|
2,988 |
2,506 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,788 |
1,470 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
129 |
121 |
$10K |
| 92551 |
|
1,338 |
1,218 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
247 |
226 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
579 |
361 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
269 |
231 |
$8K |
| 99173 |
|
1,568 |
1,414 |
$7K |
| 99381 |
|
92 |
80 |
$6K |
| 99401 |
|
247 |
177 |
$3K |
| 90651 |
|
230 |
199 |
$2K |
| 81002 |
|
1,134 |
949 |
$2K |
| 90734 |
|
245 |
219 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,081 |
944 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
268 |
231 |
$2K |
| 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) |
145 |
122 |
$2K |
| 90670 |
|
1,358 |
1,230 |
$2K |
| 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) |
105 |
94 |
$1K |
| 87420 |
|
78 |
72 |
$788.33 |
| 99442 |
|
41 |
23 |
$759.83 |
| 90710 |
|
155 |
139 |
$500.00 |
| 90633 |
|
445 |
380 |
$447.46 |
| 90688 |
|
474 |
442 |
$347.38 |
| 90715 |
|
79 |
67 |
$250.00 |
| 90723 |
|
998 |
943 |
$219.96 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$195.59 |
| 90681 |
|
221 |
212 |
$160.00 |
| 90647 |
|
1,052 |
957 |
$138.30 |
| 36416 |
|
25 |
24 |
$36.85 |
| 90686 |
|
90 |
88 |
$23.06 |
| 90687 |
|
266 |
242 |
$22.00 |
| 90677 |
|
150 |
146 |
$0.00 |
| 90716 |
|
54 |
43 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 90707 |
|
55 |
44 |
$0.00 |