| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,924 |
14,279 |
$1.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,315 |
16,638 |
$1.01M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,397 |
5,157 |
$318K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,409 |
4,196 |
$255K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,510 |
3,166 |
$197K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,571 |
2,462 |
$129K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,568 |
11,130 |
$97K |
| 96127 |
|
29,375 |
17,024 |
$92K |
| 90686 |
|
4,061 |
3,829 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,545 |
3,172 |
$68K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,777 |
2,578 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,001 |
932 |
$59K |
| 99401 |
|
2,263 |
2,123 |
$58K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
288 |
266 |
$54K |
| 90670 |
|
1,916 |
1,813 |
$35K |
| 90688 |
|
1,905 |
1,852 |
$34K |
| 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) |
1,002 |
963 |
$31K |
| 90461 |
|
615 |
586 |
$30K |
| 99173 |
|
9,490 |
8,979 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,377 |
2,181 |
$28K |
| 90698 |
|
1,061 |
1,003 |
$19K |
| 92551 |
|
3,506 |
3,321 |
$17K |
| 90633 |
|
699 |
662 |
$13K |
| 90680 |
|
685 |
644 |
$12K |
| 99177 |
|
609 |
588 |
$10K |
| 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) |
582 |
552 |
$7K |
| 90707 |
|
365 |
352 |
$7K |
| 90716 |
|
369 |
355 |
$7K |
| 90744 |
|
284 |
276 |
$5K |
| 0002A |
|
151 |
148 |
$5K |
| 90651 |
|
125 |
113 |
$5K |
| 90671 |
|
274 |
250 |
$5K |
| 0001A |
|
139 |
137 |
$4K |
| 0072A |
|
106 |
104 |
$4K |
| 90656 |
|
197 |
192 |
$4K |
| 0071A |
|
104 |
97 |
$4K |
| 99051 |
|
664 |
623 |
$2K |
| 83655 |
|
140 |
129 |
$2K |
| 90685 |
|
85 |
79 |
$2K |
| 96161 |
|
1,706 |
1,603 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
59 |
55 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
111 |
$994.21 |
| D1206 |
Topical application of fluoride varnish |
57 |
57 |
$965.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$941.60 |
| 96160 |
|
1,491 |
1,444 |
$899.64 |
| 0011A |
|
22 |
20 |
$760.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$616.00 |
| 0012A |
|
15 |
15 |
$600.00 |
| 99050 |
|
37 |
35 |
$382.72 |
| 90734 |
|
13 |
12 |
$217.69 |
| 85018 |
|
194 |
184 |
$102.58 |
| 81002 |
|
37 |
37 |
$96.65 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$93.60 |
| 36416 |
|
25 |
25 |
$53.50 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,829 |
2,581 |
$13.11 |
| 99000 |
|
27 |
26 |
$5.52 |
| 99072 |
|
110 |
106 |
$0.00 |
| 99188 |
|
15 |
15 |
$0.00 |