| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,245 |
6,718 |
$381K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,809 |
5,676 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,581 |
1,505 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,223 |
1,216 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
697 |
683 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
442 |
438 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
455 |
447 |
$34K |
| 96160 |
|
3,371 |
3,077 |
$8K |
| 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) |
185 |
185 |
$5K |
| 0071A |
|
51 |
47 |
$4K |
| 0072A |
|
50 |
49 |
$4K |
| 0002A |
|
35 |
35 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
124 |
$2K |
| 0001A |
|
41 |
41 |
$2K |
| 96127 |
|
296 |
289 |
$1K |
| 90461 |
|
48 |
43 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
52 |
$747.43 |
| 90480 |
|
24 |
24 |
$584.44 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
23 |
12 |
$447.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$400.13 |
| 97802 |
|
12 |
12 |
$334.43 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$220.00 |
| 90686 |
|
1,770 |
1,553 |
$32.35 |
| 96161 |
|
12 |
12 |
$28.43 |
| 90633 |
|
42 |
37 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
163 |
155 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90670 |
|
229 |
207 |
$0.00 |
| 90685 |
|
60 |
55 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
43 |
41 |
$0.00 |
| 90651 |
|
112 |
101 |
$0.00 |
| 90680 |
|
52 |
50 |
$0.00 |
| 90647 |
|
79 |
73 |
$0.00 |
| 90723 |
|
68 |
64 |
$0.00 |