| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,290 |
56,942 |
$2.53M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27,234 |
24,187 |
$1.16M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,474 |
6,410 |
$505K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,143 |
5,845 |
$477K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,971 |
4,907 |
$371K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23,100 |
10,611 |
$312K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,421 |
12,329 |
$265K |
| 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) |
7,072 |
6,987 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,366 |
4,225 |
$215K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,625 |
2,592 |
$193K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,185 |
13,312 |
$192K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,029 |
7,496 |
$189K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,235 |
22,473 |
$161K |
| 99429 |
|
4,403 |
4,368 |
$139K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,975 |
1,943 |
$110K |
| 99383 |
|
847 |
837 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
854 |
825 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,204 |
5,886 |
$59K |
| 17110 |
|
615 |
573 |
$54K |
| 99381 |
|
635 |
626 |
$50K |
| 99382 |
|
502 |
500 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
952 |
945 |
$38K |
| 99384 |
|
439 |
427 |
$38K |
| 90461 |
|
6,229 |
4,966 |
$27K |
| 87807 |
|
2,511 |
2,311 |
$27K |
| 0001A |
|
585 |
579 |
$23K |
| 0002A |
|
515 |
513 |
$20K |
| 0071A |
|
515 |
511 |
$20K |
| 0072A |
|
425 |
423 |
$17K |
| 99000 |
|
1,654 |
1,604 |
$17K |
| 83655 |
|
1,065 |
1,059 |
$11K |
| 99051 |
|
2,837 |
2,612 |
$11K |
| 96160 |
|
5,910 |
5,802 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,068 |
1,058 |
$10K |
| S9441 |
Asthma education, non-physician provider, per session |
1,065 |
1,022 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
627 |
609 |
$8K |
| 97170 |
|
190 |
187 |
$5K |
| 0003A |
|
124 |
123 |
$5K |
| 81003 |
|
2,503 |
2,388 |
$5K |
| 86318 |
|
302 |
281 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
294 |
278 |
$3K |
| 97802 |
|
17,548 |
17,157 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
34 |
$2K |
| 97169 |
|
111 |
110 |
$2K |
| 0081A |
|
31 |
30 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
105 |
102 |
$847.34 |
| 93000 |
|
65 |
64 |
$783.00 |
| 86580 |
|
50 |
49 |
$343.68 |
| 81025 |
|
39 |
39 |
$281.97 |
| 94760 |
|
29 |
27 |
$13.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$9.69 |
| 90686 |
|
4,113 |
4,064 |
$2.88 |
| 90651 |
|
2,058 |
2,038 |
$1.46 |
| 90620 |
|
1,268 |
1,257 |
$0.87 |
| 90671 |
|
509 |
506 |
$0.65 |
| 90677 |
|
438 |
437 |
$0.41 |
| 90656 |
|
816 |
812 |
$0.02 |
| 90715 |
|
936 |
926 |
$0.01 |
| 90734 |
|
1,732 |
1,714 |
$0.01 |
| 90723 |
|
561 |
558 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
17,216 |
16,840 |
$0.00 |
| 90680 |
|
1,368 |
1,362 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
166 |
162 |
$0.00 |
| 90698 |
|
457 |
456 |
$0.00 |
| 90696 |
|
666 |
663 |
$0.00 |
| 90697 |
|
638 |
635 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
122 |
116 |
$0.00 |
| 91307 |
|
1,006 |
929 |
$0.00 |
| 90716 |
|
69 |
69 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
66 |
65 |
$0.00 |
| 96127 |
|
26 |
25 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
33 |
32 |
$0.00 |
| 94664 |
|
1,077 |
1,037 |
$0.00 |
| 90648 |
|
1,384 |
1,378 |
$0.00 |
| 90670 |
|
1,549 |
1,541 |
$0.00 |
| 90700 |
|
654 |
651 |
$0.00 |
| 90710 |
|
1,410 |
1,404 |
$0.00 |
| 90707 |
|
67 |
67 |
$0.00 |
| 90633 |
|
1,538 |
1,530 |
$0.00 |
| 91300 |
|
1,272 |
1,176 |
$0.00 |
| 90681 |
|
91 |
91 |
$0.00 |
| 91308 |
|
34 |
31 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
34 |
33 |
$0.00 |