| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,541 |
6,314 |
$385K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,320 |
1,268 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,342 |
1,314 |
$119K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,943 |
3,650 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
984 |
946 |
$87K |
| 99401 |
|
3,536 |
3,133 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,677 |
1,572 |
$55K |
| 97802 |
|
4,184 |
3,943 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
446 |
417 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
271 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,117 |
751 |
$21K |
| 92587 |
|
1,329 |
1,270 |
$16K |
| 90461 |
|
970 |
903 |
$13K |
| 96136 |
|
458 |
428 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
712 |
681 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
315 |
286 |
$7K |
| 90670 |
|
341 |
315 |
$7K |
| 90651 |
|
480 |
462 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
68 |
$7K |
| H0049 |
Alcohol and/or drug screening |
506 |
485 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,583 |
1,464 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
414 |
374 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
41 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,873 |
1,788 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,412 |
1,353 |
$3K |
| 97803 |
|
141 |
133 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
901 |
830 |
$3K |
| 90619 |
|
74 |
73 |
$3K |
| 0071A |
|
104 |
83 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
396 |
372 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
103 |
96 |
$2K |
| 99383 |
|
24 |
24 |
$2K |
| 0072A |
|
69 |
57 |
$2K |
| 90716 |
|
264 |
255 |
$2K |
| 91300 |
|
120 |
107 |
$2K |
| 99188 |
|
204 |
189 |
$2K |
| 90633 |
|
555 |
527 |
$1K |
| 0002A |
|
57 |
56 |
$1K |
| 90707 |
|
62 |
60 |
$1K |
| D1330 |
|
767 |
702 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
377 |
356 |
$1K |
| 90671 |
|
38 |
37 |
$886.45 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,477 |
1,364 |
$767.53 |
| 90734 |
|
187 |
177 |
$708.56 |
| 90686 |
|
1,978 |
1,861 |
$688.19 |
| 0001A |
|
52 |
51 |
$567.44 |
| 99050 |
|
183 |
169 |
$557.72 |
| 86328 |
|
133 |
117 |
$520.12 |
| S9452 |
Nutrition classes, non-physician provider, per session |
74 |
71 |
$509.28 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
385 |
345 |
$491.70 |
| 0003A |
|
21 |
14 |
$484.98 |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
60 |
53 |
$420.00 |
| 90713 |
|
631 |
585 |
$413.17 |
| 90656 |
|
239 |
230 |
$366.56 |
| 92567 |
|
119 |
89 |
$313.99 |
| 92558 |
|
115 |
100 |
$299.54 |
| 90648 |
|
380 |
352 |
$256.54 |
| S9441 |
Asthma education, non-physician provider, per session |
44 |
40 |
$230.00 |
| 99173 |
|
3,353 |
3,145 |
$215.87 |
| 90700 |
|
727 |
685 |
$150.94 |
| 92557 |
|
20 |
20 |
$150.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,068 |
982 |
$150.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
204 |
182 |
$140.00 |
| 90621 |
|
27 |
25 |
$130.11 |
| 99058 |
|
31 |
28 |
$126.84 |
| 92551 |
|
2,103 |
1,949 |
$108.63 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
112 |
109 |
$80.00 |
| 99000 |
|
1,812 |
1,686 |
$40.00 |
| 90680 |
|
55 |
55 |
$10.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
485 |
448 |
$0.00 |
| 99072 |
|
176 |
150 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
42 |
42 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
344 |
321 |
$0.00 |
| 90715 |
|
34 |
33 |
$0.00 |
| D1310 |
|
755 |
702 |
$0.00 |
| 96127 |
|
1,543 |
1,443 |
$0.00 |
| 91307 |
|
162 |
114 |
$0.00 |
| 95117 |
|
274 |
54 |
$0.00 |
| 90744 |
|
44 |
43 |
$0.00 |
| 99484 |
|
15 |
13 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
24 |
$0.00 |
| 94760 |
|
16 |
12 |
$0.00 |