| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,330 |
9,793 |
$399K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,145 |
5,510 |
$352K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,890 |
4,135 |
$165K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
887 |
663 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,163 |
907 |
$73K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,029 |
1,867 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
928 |
731 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
361 |
333 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
262 |
238 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
358 |
308 |
$15K |
| 92552 |
|
907 |
825 |
$14K |
| 99177 |
|
1,300 |
1,147 |
$10K |
| 99050 |
|
451 |
410 |
$9K |
| 96161 |
|
609 |
469 |
$8K |
| 99383 |
|
76 |
71 |
$7K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
988 |
867 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
68 |
$5K |
| 96127 |
|
1,094 |
970 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$5K |
| 99381 |
|
76 |
63 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
248 |
238 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
148 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 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) |
40 |
27 |
$760.19 |
| 83655 |
|
42 |
38 |
$495.52 |
| 36416 |
|
298 |
257 |
$472.70 |
| 87807 |
|
45 |
42 |
$386.16 |
| 85018 |
|
139 |
120 |
$315.11 |
| 96381 |
|
23 |
14 |
$288.37 |
| 90671 |
|
156 |
114 |
$253.56 |
| 99051 |
|
654 |
598 |
$248.06 |
| 81002 |
|
13 |
12 |
$36.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$20.29 |
| 99072 |
|
123 |
111 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
14 |
12 |
$0.00 |
| 90661 |
|
17 |
17 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 90677 |
|
165 |
136 |
$0.00 |
| 99000 |
|
203 |
184 |
$0.00 |
| 90680 |
|
223 |
167 |
$0.00 |
| 90744 |
|
62 |
49 |
$0.00 |
| 90698 |
|
160 |
130 |
$0.00 |
| 90697 |
|
104 |
72 |
$0.00 |
| 90686 |
|
20 |
15 |
$0.00 |