| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,398 |
41,191 |
$2.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,822 |
15,174 |
$1.21M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29,047 |
20,121 |
$972K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45,049 |
30,066 |
$717K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,336 |
7,916 |
$671K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,713 |
7,382 |
$663K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,892 |
6,501 |
$465K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,192 |
3,810 |
$381K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,154 |
6,291 |
$205K |
| 92551 |
|
23,180 |
14,278 |
$126K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,177 |
2,421 |
$123K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,119 |
14,688 |
$112K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,322 |
9,945 |
$104K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,410 |
4,074 |
$55K |
| 99173 |
|
16,791 |
10,305 |
$53K |
| 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) |
897 |
677 |
$33K |
| 81002 |
|
20,287 |
12,521 |
$31K |
| 99401 |
|
2,407 |
1,095 |
$28K |
| 36416 |
|
31,612 |
20,112 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,610 |
1,488 |
$24K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,986 |
1,948 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
333 |
219 |
$20K |
| 3008F |
|
24,832 |
15,361 |
$19K |
| 90651 |
|
2,197 |
1,305 |
$18K |
| 90677 |
|
1,008 |
768 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
122 |
$17K |
| 96127 |
|
4,807 |
3,401 |
$16K |
| 85018 |
|
10,296 |
5,645 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
524 |
412 |
$13K |
| 90670 |
|
6,057 |
4,596 |
$9K |
| 99383 |
|
115 |
81 |
$8K |
| 90716 |
|
3,428 |
2,287 |
$7K |
| 90734 |
|
1,647 |
979 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
162 |
98 |
$5K |
| 99381 |
|
165 |
94 |
$5K |
| 96161 |
|
1,746 |
971 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
299 |
254 |
$4K |
| 90707 |
|
3,357 |
2,236 |
$4K |
| 90723 |
|
4,997 |
3,929 |
$3K |
| 99382 |
|
45 |
31 |
$3K |
| 87807 |
|
376 |
280 |
$3K |
| 90681 |
|
2,348 |
1,750 |
$3K |
| 90686 |
|
9,587 |
7,209 |
$2K |
| 96160 |
|
743 |
435 |
$2K |
| 99384 |
|
24 |
12 |
$2K |
| 92552 |
|
117 |
50 |
$1K |
| 90715 |
|
487 |
298 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
19 |
$958.58 |
| 90633 |
|
2,739 |
1,991 |
$926.41 |
| 99188 |
|
1,144 |
441 |
$841.02 |
| 99460 |
|
20 |
14 |
$696.95 |
| 90648 |
|
6,707 |
5,236 |
$637.81 |
| 90620 |
|
297 |
202 |
$627.44 |
| 90696 |
|
593 |
383 |
$547.12 |
| 94664 |
|
52 |
44 |
$525.51 |
| 90672 |
|
277 |
205 |
$336.52 |
| 99050 |
|
17 |
17 |
$320.56 |
| 36415 |
Collection of venous blood by venipuncture |
241 |
158 |
$292.27 |
| 90473 |
|
474 |
370 |
$248.95 |
| 82270 |
|
76 |
37 |
$112.74 |
| 99177 |
|
47 |
23 |
$107.82 |
| 81025 |
|
23 |
14 |
$72.43 |
| 90685 |
|
238 |
224 |
$61.42 |
| 90700 |
|
255 |
183 |
$33.33 |
| 90461 |
|
35 |
13 |
$11.26 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
228 |
196 |
$9.78 |
| 94760 |
|
60 |
54 |
$6.28 |
| 99000 |
|
9,716 |
6,872 |
$5.00 |