| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,296 |
9,941 |
$344K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
11,234 |
845 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
911 |
849 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
698 |
650 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
578 |
534 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,771 |
1,311 |
$15K |
| 99205 |
Prolong outpt/office vis |
310 |
119 |
$14K |
| 99221 |
|
1,812 |
529 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
276 |
$13K |
| 90670 |
|
778 |
550 |
$5K |
| 90648 |
|
821 |
537 |
$5K |
| 90658 |
|
614 |
472 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
97 |
81 |
$4K |
| 99215 |
Prolong outpt/office vis |
58 |
48 |
$3K |
| 90707 |
|
309 |
271 |
$3K |
| 90723 |
|
406 |
270 |
$3K |
| 90716 |
|
303 |
245 |
$2K |
| 90734 |
|
234 |
217 |
$2K |
| 90700 |
|
293 |
205 |
$2K |
| 90651 |
|
206 |
171 |
$2K |
| 90633 |
|
227 |
130 |
$1K |
| 90715 |
|
92 |
68 |
$626.12 |
| 90713 |
|
43 |
40 |
$449.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$305.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
19 |
$297.50 |
| 90680 |
|
30 |
28 |
$267.68 |
| 90657 |
|
21 |
19 |
$181.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
12 |
$17.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
18 |
$0.00 |
| 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) |
258 |
146 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
30 |
$0.00 |