| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,377 |
19,665 |
$795K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,276 |
7,257 |
$538K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,648 |
3,135 |
$180K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,586 |
2,908 |
$174K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,257 |
1,841 |
$105K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,913 |
1,669 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
868 |
736 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,041 |
1,768 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,859 |
1,654 |
$20K |
| 90680 |
|
1,630 |
1,486 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
464 |
425 |
$18K |
| 90670 |
|
1,348 |
1,224 |
$16K |
| 90633 |
|
1,170 |
1,088 |
$14K |
| 90648 |
|
937 |
868 |
$13K |
| 90698 |
|
830 |
751 |
$11K |
| 99381 |
|
257 |
164 |
$9K |
| 90723 |
|
759 |
693 |
$9K |
| 90671 |
|
850 |
682 |
$9K |
| 90697 |
|
567 |
545 |
$8K |
| 90686 |
|
558 |
512 |
$8K |
| 90707 |
|
471 |
435 |
$6K |
| 90744 |
|
479 |
432 |
$6K |
| 90677 |
|
421 |
407 |
$5K |
| 90716 |
|
454 |
420 |
$5K |
| 87807 |
|
287 |
229 |
$3K |
| 90656 |
|
168 |
165 |
$2K |
| 90696 |
|
157 |
132 |
$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) |
833 |
386 |
$2K |
| 90619 |
|
89 |
84 |
$1K |
| 90651 |
|
125 |
111 |
$1K |
| 90710 |
|
126 |
105 |
$1K |
| 90734 |
|
102 |
94 |
$1K |
| 90700 |
|
43 |
42 |
$538.74 |
| 90715 |
|
29 |
24 |
$315.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
14 |
$123.20 |
| 90461 |
|
78 |
69 |
$0.00 |
| 86328 |
|
46 |
38 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98 |
86 |
$0.00 |