| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,644 |
5,215 |
$511K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,793 |
2,668 |
$179K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,101 |
1,085 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
688 |
686 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
688 |
684 |
$56K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
316 |
292 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
471 |
456 |
$38K |
| 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) |
1,212 |
1,168 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
802 |
783 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
956 |
939 |
$19K |
| 90686 |
|
2,289 |
2,256 |
$17K |
| 85018 |
|
3,480 |
3,420 |
$7K |
| 82465 |
|
1,646 |
1,617 |
$6K |
| 92558 |
|
135 |
133 |
$6K |
| 81003 |
|
2,021 |
1,980 |
$4K |
| 83655 |
|
247 |
246 |
$3K |
| 90723 |
|
70 |
70 |
$2K |
| 90670 |
|
283 |
283 |
$2K |
| 90656 |
|
200 |
199 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
38 |
38 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90647 |
|
90 |
90 |
$609.37 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$404.24 |
| 90651 |
|
38 |
38 |
$242.22 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$208.84 |
| 99188 |
|
12 |
12 |
$208.84 |
| 90734 |
|
24 |
24 |
$154.16 |
| 90633 |
|
12 |
12 |
$76.28 |
| 90681 |
|
12 |
12 |
$74.68 |
| G9920 |
Screening performed and negative |
484 |
438 |
$4.44 |