| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,338 |
35,966 |
$2.40M |
| 99199 |
Unlisted special service, procedure or report |
334,644 |
209,801 |
$1.93M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,015 |
18,804 |
$1.85M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,383 |
10,264 |
$970K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,273 |
9,706 |
$913K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,453 |
6,695 |
$638K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,981 |
11,631 |
$580K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,916 |
19,561 |
$406K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,631 |
9,522 |
$373K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,900 |
3,418 |
$358K |
| D0145 |
Oral evaluation for a patient under three years of age |
8,956 |
8,157 |
$305K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19,469 |
17,364 |
$181K |
| D1206 |
Topical application of fluoride varnish |
8,836 |
8,074 |
$133K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,582 |
2,824 |
$109K |
| 96160 |
|
27,884 |
24,680 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,070 |
6,470 |
$90K |
| 96127 |
|
17,963 |
15,542 |
$74K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,882 |
2,524 |
$73K |
| 99051 |
|
2,481 |
2,300 |
$60K |
| 99070 |
|
6,743 |
6,111 |
$52K |
| 99215 |
Prolong outpt/office vis |
480 |
411 |
$48K |
| 92587 |
|
7,194 |
6,605 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,328 |
1,877 |
$39K |
| 90651 |
|
1,833 |
1,655 |
$29K |
| 96161 |
|
6,399 |
5,615 |
$22K |
| 99381 |
|
252 |
198 |
$19K |
| 0072A |
|
231 |
170 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
312 |
268 |
$11K |
| 83655 |
|
639 |
587 |
$10K |
| 0071A |
|
168 |
136 |
$9K |
| 90686 |
|
12,818 |
11,540 |
$8K |
| 99401 |
|
302 |
245 |
$7K |
| 90474 |
|
340 |
294 |
$6K |
| 90734 |
|
614 |
533 |
$5K |
| 85018 |
|
3,334 |
2,970 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,210 |
2,034 |
$5K |
| 99383 |
|
62 |
54 |
$5K |
| 99173 |
|
21,687 |
19,241 |
$5K |
| 0081A |
|
56 |
41 |
$3K |
| 90473 |
|
148 |
145 |
$3K |
| 0082A |
|
48 |
38 |
$3K |
| 99382 |
|
33 |
25 |
$3K |
| 87807 |
|
219 |
176 |
$3K |
| 90620 |
|
171 |
155 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
232 |
197 |
$2K |
| 90480 |
|
64 |
43 |
$2K |
| 81003 |
|
562 |
506 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
107 |
$1K |
| 90715 |
|
279 |
259 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
13 |
$976.91 |
| 92558 |
|
6,599 |
5,772 |
$960.88 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
37 |
36 |
$884.00 |
| 90672 |
|
261 |
248 |
$730.44 |
| 83718 |
|
61 |
60 |
$606.00 |
| 90380 |
|
30 |
12 |
$509.85 |
| 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) |
19 |
18 |
$461.55 |
| 69210 |
|
12 |
12 |
$378.96 |
| 82465 |
|
60 |
59 |
$316.24 |
| 90633 |
|
2,049 |
1,796 |
$215.23 |
| 96380 |
|
15 |
13 |
$205.68 |
| 90656 |
|
1,548 |
1,510 |
$129.61 |
| 90723 |
|
5,091 |
4,495 |
$97.04 |
| 90647 |
|
5,069 |
4,465 |
$20.00 |
| 90670 |
|
6,266 |
5,508 |
$0.00 |
| 90681 |
|
2,006 |
1,711 |
$0.00 |
| 90671 |
|
1,507 |
1,412 |
$0.00 |
| 90710 |
|
174 |
163 |
$0.00 |
| 90685 |
|
556 |
527 |
$0.00 |
| 90707 |
|
286 |
251 |
$0.00 |
| 90700 |
|
165 |
146 |
$0.00 |
| 91308 |
|
159 |
117 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 91300 |
|
24 |
15 |
$0.00 |
| 90696 |
|
186 |
174 |
$0.00 |
| 90716 |
|
152 |
139 |
$0.00 |
| 91307 |
|
581 |
418 |
$0.00 |
| 91305 |
|
23 |
13 |
$0.00 |