| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,115 |
12,542 |
$510K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,418 |
6,767 |
$493K |
| 0240U |
|
1,558 |
1,337 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,564 |
2,353 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,513 |
2,277 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,841 |
1,658 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,709 |
1,569 |
$89K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
781 |
577 |
$80K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,354 |
1,137 |
$56K |
| 87428 |
|
431 |
350 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
214 |
204 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
591 |
530 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
753 |
676 |
$16K |
| 90686 |
|
1,090 |
1,017 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,194 |
1,142 |
$14K |
| 90670 |
|
1,014 |
988 |
$11K |
| 99215 |
Prolong outpt/office vis |
100 |
98 |
$10K |
| 90647 |
|
705 |
680 |
$9K |
| 87631 |
|
86 |
80 |
$7K |
| 90723 |
|
572 |
557 |
$7K |
| 90680 |
|
504 |
488 |
$6K |
| 83655 |
|
317 |
302 |
$5K |
| 90688 |
|
288 |
284 |
$5K |
| 87420 |
|
207 |
192 |
$2K |
| 90651 |
|
221 |
216 |
$2K |
| 87807 |
|
267 |
202 |
$2K |
| 96127 |
|
743 |
373 |
$2K |
| 90734 |
|
157 |
148 |
$2K |
| 90633 |
|
149 |
147 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
54 |
$1K |
| 85018 |
|
460 |
439 |
$1K |
| 90671 |
|
135 |
101 |
$1K |
| 90656 |
|
112 |
61 |
$896.10 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$842.28 |
| 99188 |
|
38 |
38 |
$728.10 |
| 90620 |
|
54 |
43 |
$551.88 |
| 87430 |
|
64 |
44 |
$514.80 |
| 95115 |
|
52 |
24 |
$506.92 |
| 90700 |
|
34 |
31 |
$286.80 |
| 90619 |
|
16 |
16 |
$210.24 |
| 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) |
179 |
114 |
$183.15 |
| 90713 |
|
20 |
20 |
$181.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
18 |
$149.60 |
| 90715 |
|
14 |
14 |
$133.84 |
| 81003 |
|
122 |
116 |
$105.60 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
34 |
31 |
$52.80 |