| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
7,666 |
6,472 |
$898K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,575 |
3,154 |
$321K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,865 |
1,495 |
$174K |
| 99401 |
|
3,148 |
2,772 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,129 |
1,104 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
977 |
948 |
$64K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,156 |
934 |
$48K |
| 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) |
1,632 |
1,455 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,198 |
1,135 |
$44K |
| 92551 |
|
2,678 |
2,553 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,525 |
2,380 |
$41K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,127 |
1,688 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
514 |
498 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,836 |
1,572 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,945 |
1,642 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
536 |
257 |
$24K |
| 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) |
1,570 |
1,408 |
$19K |
| 94664 |
|
2,006 |
1,736 |
$19K |
| 90670 |
|
692 |
673 |
$18K |
| 90686 |
|
876 |
846 |
$16K |
| 90461 |
|
383 |
367 |
$16K |
| 96127 |
|
2,299 |
2,172 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
247 |
225 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
229 |
211 |
$14K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
378 |
275 |
$12K |
| 99173 |
|
2,591 |
2,469 |
$11K |
| 90648 |
|
565 |
547 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
367 |
346 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
325 |
226 |
$8K |
| 96160 |
|
2,861 |
2,677 |
$8K |
| 90723 |
|
339 |
335 |
$7K |
| 99000 |
|
2,264 |
1,857 |
$7K |
| 87634 |
|
146 |
138 |
$6K |
| 90680 |
|
297 |
293 |
$6K |
| 87430 |
|
486 |
458 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
39 |
$6K |
| 90633 |
|
239 |
235 |
$5K |
| 90651 |
|
125 |
116 |
$5K |
| 90707 |
|
217 |
210 |
$5K |
| 90716 |
|
168 |
163 |
$4K |
| 87807 |
|
407 |
373 |
$4K |
| G0314 |
Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 16-30 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) |
109 |
106 |
$3K |
| 90734 |
|
82 |
75 |
$2K |
| G0313 |
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, 16-30 mins time (this code is used for medicaid billing purposes) |
108 |
105 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$491.00 |
| 96161 |
|
162 |
149 |
$441.31 |
| 90715 |
|
28 |
25 |
$440.90 |
| 90672 |
|
17 |
16 |
$330.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
13 |
$228.00 |
| 90696 |
|
12 |
12 |
$217.69 |
| 81002 |
|
70 |
67 |
$186.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$120.00 |
| Q0247 |
Injection, sotrovimab, 500 mg |
119 |
68 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |