| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,857 |
10,396 |
$615K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,646 |
5,438 |
$431K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,376 |
4,347 |
$356K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,730 |
3,707 |
$293K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,491 |
3,415 |
$285K |
| 92551 |
|
6,771 |
6,672 |
$246K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,176 |
5,897 |
$236K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,963 |
2,920 |
$226K |
| 92587 |
|
3,104 |
3,076 |
$92K |
| 90723 |
|
2,378 |
2,361 |
$78K |
| 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) |
1,450 |
1,447 |
$37K |
| 83655 |
|
3,003 |
2,985 |
$29K |
| 97802 |
|
1,209 |
1,192 |
$26K |
| 99381 |
|
376 |
371 |
$26K |
| 90686 |
|
3,728 |
3,694 |
$24K |
| 90648 |
|
3,413 |
3,384 |
$23K |
| 90707 |
|
1,161 |
1,157 |
$22K |
| 90670 |
|
2,610 |
2,586 |
$17K |
| 99383 |
|
209 |
208 |
$16K |
| 94664 |
|
1,083 |
1,062 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
862 |
832 |
$14K |
| 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) |
491 |
486 |
$12K |
| 90651 |
|
1,418 |
1,396 |
$9K |
| 90480 |
|
323 |
317 |
$9K |
| 90633 |
|
1,413 |
1,401 |
$9K |
| 90696 |
|
350 |
349 |
$8K |
| 99382 |
|
96 |
96 |
$8K |
| 85018 |
|
3,997 |
3,972 |
$7K |
| 99460 |
|
109 |
108 |
$7K |
| 90716 |
|
1,131 |
1,126 |
$7K |
| 90715 |
|
375 |
373 |
$7K |
| 0071A |
|
173 |
168 |
$7K |
| 90734 |
|
998 |
990 |
$6K |
| 0001A |
|
170 |
162 |
$6K |
| 90700 |
|
352 |
348 |
$6K |
| 0002A |
|
160 |
154 |
$6K |
| 90681 |
|
866 |
857 |
$5K |
| 95012 |
|
427 |
410 |
$5K |
| 99384 |
|
59 |
57 |
$5K |
| 90620 |
|
711 |
697 |
$5K |
| 90677 |
|
538 |
534 |
$4K |
| 0072A |
|
107 |
107 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
267 |
184 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,487 |
1,431 |
$4K |
| 81003 |
|
2,150 |
2,068 |
$4K |
| 90656 |
|
447 |
446 |
$3K |
| 0003A |
|
89 |
88 |
$3K |
| 99173 |
|
1,431 |
1,410 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
61 |
61 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
210 |
192 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
51 |
$2K |
| 81025 |
|
346 |
332 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
124 |
$2K |
| 90671 |
|
159 |
159 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$694.80 |
| 0151A |
|
20 |
18 |
$641.64 |
| 90461 |
|
29 |
24 |
$510.72 |
| 90710 |
|
15 |
15 |
$505.82 |
| 0081A |
|
13 |
13 |
$480.00 |
| 0121A |
|
16 |
14 |
$478.08 |
| 91319 |
|
44 |
44 |
$430.74 |
| 96161 |
|
71 |
66 |
$189.36 |
| 91320 |
|
17 |
17 |
$143.67 |
| 91318 |
|
16 |
15 |
$101.70 |
| G9920 |
Screening performed and negative |
553 |
547 |
$86.81 |
| 90381 |
|
12 |
12 |
$84.75 |
| 36416 |
|
29 |
26 |
$75.00 |
| 96127 |
|
20 |
16 |
$15.45 |
| S9451 |
Exercise classes, non-physician provider, per session |
57 |
54 |
$0.00 |
| 0154A |
|
14 |
14 |
$0.00 |
| 1000F |
|
16 |
14 |
$0.00 |
| 0124A |
|
34 |
33 |
$0.00 |
| 91300 |
|
122 |
110 |
$0.00 |