| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,422 |
22,734 |
$1.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,353 |
13,187 |
$1.36M |
| 99199 |
Unlisted special service, procedure or report |
172,684 |
103,722 |
$1.05M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,958 |
8,546 |
$396K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,122 |
2,793 |
$258K |
| 99401 |
|
5,914 |
5,410 |
$188K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,762 |
13,721 |
$175K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,856 |
1,657 |
$152K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,856 |
1,493 |
$140K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,037 |
1,727 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,350 |
1,168 |
$112K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,194 |
6,379 |
$96K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,884 |
1,687 |
$90K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,509 |
2,287 |
$47K |
| 92552 |
|
8,899 |
7,884 |
$44K |
| 81002 |
|
16,215 |
14,172 |
$37K |
| 96127 |
|
7,818 |
6,614 |
$32K |
| D0145 |
Oral evaluation for a patient under three years of age |
698 |
669 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
675 |
648 |
$18K |
| 99050 |
|
442 |
408 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
506 |
451 |
$10K |
| D1206 |
Topical application of fluoride varnish |
697 |
669 |
$10K |
| 94760 |
|
11,568 |
9,517 |
$6K |
| 99173 |
|
7,693 |
6,860 |
$5K |
| 99460 |
|
73 |
66 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
75 |
67 |
$4K |
| 90686 |
|
4,027 |
3,586 |
$4K |
| 90651 |
|
164 |
151 |
$4K |
| 0001A |
|
63 |
57 |
$4K |
| 80061 |
Lipid panel |
208 |
200 |
$3K |
| 0072A |
|
58 |
46 |
$3K |
| 85018 |
|
1,734 |
1,524 |
$3K |
| 83655 |
|
205 |
199 |
$3K |
| 90734 |
|
152 |
136 |
$2K |
| 94200 |
|
114 |
104 |
$2K |
| 0002A |
|
33 |
28 |
$2K |
| 0071A |
|
38 |
26 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
164 |
159 |
$2K |
| 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) |
51 |
51 |
$2K |
| 96161 |
|
320 |
290 |
$1K |
| 90670 |
|
658 |
602 |
$870.64 |
| 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) |
13 |
13 |
$400.01 |
| 2015F |
|
254 |
205 |
$280.00 |
| 90473 |
|
15 |
14 |
$268.08 |
| 2014F |
|
185 |
171 |
$240.00 |
| 90710 |
|
185 |
176 |
$205.39 |
| 94664 |
|
17 |
16 |
$189.21 |
| 36416 |
|
3,777 |
3,312 |
$154.84 |
| 90688 |
|
16 |
14 |
$97.22 |
| 90633 |
|
202 |
198 |
$96.66 |
| 90715 |
|
16 |
16 |
$43.25 |
| 90656 |
|
192 |
177 |
$41.02 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
13 |
$0.67 |
| 99000 |
|
8,465 |
7,109 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
797 |
697 |
$0.00 |
| 90680 |
|
246 |
236 |
$0.00 |
| 90698 |
|
269 |
249 |
$0.00 |
| 1005F |
|
397 |
368 |
$0.00 |
| 90647 |
|
82 |
80 |
$0.00 |
| 90660 |
|
21 |
20 |
$0.00 |
| 91307 |
|
120 |
93 |
$0.00 |
| 97802 |
|
71 |
71 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90744 |
|
132 |
122 |
$0.00 |
| 90677 |
|
16 |
12 |
$0.00 |
| 90620 |
|
13 |
12 |
$0.00 |
| 90700 |
|
191 |
184 |
$0.00 |
| Q4093 |
|
116 |
113 |
$0.00 |
| 91300 |
|
156 |
130 |
$0.00 |
| 90713 |
|
62 |
56 |
$0.00 |