| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,056 |
30,005 |
$1.24M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,412 |
7,284 |
$582K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,079 |
5,922 |
$475K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37,727 |
17,552 |
$406K |
| S8301 |
Infection control supplies, not otherwise specified |
18,098 |
15,757 |
$338K |
| 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) |
9,168 |
8,254 |
$329K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,821 |
3,743 |
$322K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,402 |
5,106 |
$275K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,690 |
6,580 |
$189K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,854 |
3,663 |
$170K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,650 |
1,621 |
$153K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16,971 |
14,296 |
$135K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,913 |
5,677 |
$81K |
| 99381 |
|
852 |
832 |
$72K |
| 99000 |
|
5,218 |
4,956 |
$54K |
| 90461 |
|
9,575 |
8,323 |
$46K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,157 |
4,028 |
$29K |
| 99383 |
|
232 |
226 |
$22K |
| 92551 |
|
7,371 |
7,214 |
$21K |
| 87807 |
|
1,750 |
1,676 |
$19K |
| 99429 |
|
515 |
500 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
527 |
511 |
$13K |
| 99050 |
|
914 |
878 |
$13K |
| 99382 |
|
94 |
94 |
$9K |
| 99384 |
|
64 |
64 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
90 |
$6K |
| 96160 |
|
2,205 |
2,147 |
$5K |
| 90651 |
|
826 |
808 |
$4K |
| 90619 |
|
397 |
380 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
153 |
$3K |
| 99072 |
|
1,067 |
975 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
222 |
221 |
$2K |
| 90686 |
|
3,811 |
3,755 |
$2K |
| 81002 |
|
637 |
587 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
59 |
51 |
$620.37 |
| 99441 |
|
23 |
23 |
$570.55 |
| 90677 |
|
1,152 |
1,068 |
$511.29 |
| 94760 |
|
2,194 |
1,970 |
$393.27 |
| 90734 |
|
342 |
340 |
$324.18 |
| 97169 |
|
12 |
12 |
$120.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
19 |
15 |
$106.77 |
| 90744 |
|
2,301 |
2,248 |
$54.08 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
37 |
28 |
$32.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
40 |
$14.14 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
59 |
51 |
$13.96 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,986 |
8,906 |
$5.32 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
626 |
609 |
$0.14 |
| 99173 |
|
7,620 |
7,504 |
$0.10 |
| 90713 |
|
561 |
558 |
$0.00 |
| 90670 |
|
4,087 |
4,070 |
$0.00 |
| 90633 |
|
2,350 |
2,300 |
$0.00 |
| 90707 |
|
2,192 |
2,160 |
$0.00 |
| 90648 |
|
735 |
723 |
$0.00 |
| 90715 |
|
472 |
462 |
$0.00 |
| 90700 |
|
1,718 |
1,694 |
$0.00 |
| 90698 |
|
3,943 |
3,855 |
$0.00 |
| 90680 |
|
3,386 |
3,315 |
$0.00 |
| 90716 |
|
2,217 |
2,184 |
$0.00 |
| 90696 |
|
232 |
217 |
$0.00 |
| 96127 |
|
144 |
142 |
$0.00 |
| 97802 |
|
26 |
26 |
$0.00 |
| 94761 |
|
13 |
13 |
$0.00 |