| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,200 |
17,166 |
$1.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,746 |
17,150 |
$1.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,136 |
4,089 |
$275K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,623 |
3,541 |
$242K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,562 |
3,519 |
$233K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,459 |
5,315 |
$210K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,128 |
2,089 |
$138K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,500 |
2,290 |
$128K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,341 |
11,194 |
$114K |
| 99215 |
Prolong outpt/office vis |
871 |
779 |
$100K |
| 90461 |
|
2,916 |
2,864 |
$85K |
| 90700 |
|
4,346 |
4,286 |
$74K |
| 87428 |
|
1,436 |
1,385 |
$69K |
| D1206 |
Topical application of fluoride varnish |
2,985 |
2,954 |
$60K |
| 90713 |
|
3,498 |
3,443 |
$60K |
| 90648 |
|
3,439 |
3,375 |
$58K |
| 90670 |
|
2,864 |
2,816 |
$53K |
| 92551 |
|
7,641 |
7,529 |
$43K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,415 |
966 |
$41K |
| 90680 |
|
2,068 |
2,032 |
$35K |
| 90686 |
|
1,741 |
1,725 |
$32K |
| 96127 |
|
8,347 |
8,141 |
$29K |
| 99173 |
|
6,461 |
6,361 |
$28K |
| 90633 |
|
1,392 |
1,365 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,812 |
1,766 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,089 |
1,045 |
$23K |
| 96132 |
|
253 |
235 |
$22K |
| 90744 |
|
1,291 |
1,262 |
$22K |
| 99401 |
|
921 |
883 |
$19K |
| 90716 |
|
1,014 |
1,006 |
$18K |
| 90707 |
|
1,012 |
1,004 |
$18K |
| 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) |
1,169 |
1,150 |
$15K |
| D0145 |
Oral evaluation for a patient under three years of age |
648 |
641 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
207 |
149 |
$11K |
| 90651 |
|
439 |
431 |
$8K |
| 90671 |
|
595 |
592 |
$6K |
| 96138 |
|
257 |
237 |
$6K |
| 90685 |
|
279 |
279 |
$5K |
| 90688 |
|
330 |
322 |
$5K |
| 96119 |
|
114 |
110 |
$4K |
| 90619 |
|
258 |
249 |
$4K |
| 90734 |
|
204 |
203 |
$4K |
| 0072A |
|
96 |
96 |
$4K |
| 0071A |
|
90 |
90 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
89 |
73 |
$3K |
| 96120 |
|
114 |
110 |
$3K |
| 90672 |
|
172 |
170 |
$3K |
| 99381 |
|
39 |
39 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
493 |
478 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
98 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
166 |
165 |
$3K |
| E0570 |
Nebulizer, with compressor |
45 |
45 |
$3K |
| 94664 |
|
263 |
250 |
$2K |
| 96161 |
|
814 |
772 |
$2K |
| 90715 |
|
101 |
101 |
$2K |
| 99383 |
|
27 |
27 |
$2K |
| 69210 |
|
73 |
38 |
$2K |
| 0002A |
|
34 |
34 |
$1K |
| 99461 |
|
13 |
13 |
$1K |
| 80305 |
|
293 |
270 |
$1K |
| 87807 |
|
107 |
106 |
$1K |
| 0001A |
|
30 |
30 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
46 |
$1K |
| 94010 |
|
25 |
25 |
$552.00 |
| 90658 |
|
45 |
42 |
$512.85 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
59 |
56 |
$478.80 |
| 99152 |
|
45 |
41 |
$453.88 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
79 |
77 |
$441.94 |
| 99490 |
Ccm add 20min |
130 |
125 |
$186.61 |
| 81002 |
|
51 |
49 |
$149.61 |
| 99153 |
Mod sedat endo service >5yrs |
33 |
28 |
$125.10 |
| 81025 |
|
25 |
24 |
$72.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
106 |
78 |
$34.97 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
47 |
41 |
$17.91 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
75 |
41 |
$3.77 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
20 |
$0.15 |
| 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) |
35 |
32 |
$0.00 |
| 91300 |
|
58 |
51 |
$0.00 |
| 99072 |
|
12 |
12 |
$0.00 |
| 97802 |
|
70 |
69 |
$0.00 |
| 96146 |
|
13 |
13 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 99406 |
|
15 |
13 |
$0.00 |