| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,704 |
7,483 |
$329K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,607 |
4,199 |
$256K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,944 |
1,909 |
$164K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,521 |
3,984 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,563 |
1,498 |
$123K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
867 |
848 |
$78K |
| 99000 |
|
5,759 |
5,229 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,887 |
2,340 |
$57K |
| 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) |
1,086 |
1,077 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,102 |
2,910 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,552 |
2,537 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
497 |
475 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
220 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
159 |
$15K |
| 92551 |
|
1,876 |
1,815 |
$15K |
| 99383 |
|
142 |
135 |
$13K |
| 99382 |
|
135 |
134 |
$13K |
| 99381 |
|
193 |
178 |
$12K |
| 90461 |
|
2,387 |
2,036 |
$7K |
| S8301 |
Infection control supplies, not otherwise specified |
1,788 |
1,539 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
482 |
469 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
517 |
503 |
$6K |
| 99384 |
|
42 |
42 |
$4K |
| 90670 |
|
1,197 |
1,172 |
$3K |
| 96160 |
|
1,380 |
720 |
$2K |
| 97803 |
|
1,668 |
1,644 |
$1K |
| 90710 |
|
109 |
109 |
$1K |
| 99050 |
|
60 |
60 |
$917.91 |
| 90723 |
|
1,171 |
1,146 |
$883.80 |
| 90677 |
|
400 |
395 |
$762.25 |
| 99429 |
|
16 |
16 |
$526.18 |
| 90480 |
|
16 |
15 |
$478.50 |
| 83655 |
|
73 |
73 |
$453.70 |
| 90633 |
|
963 |
940 |
$398.53 |
| 90648 |
|
1,550 |
1,524 |
$255.78 |
| 87807 |
|
23 |
21 |
$196.51 |
| 81002 |
|
46 |
39 |
$121.50 |
| 90686 |
|
883 |
832 |
$38.74 |
| 90700 |
|
276 |
273 |
$0.00 |
| 90707 |
|
269 |
265 |
$0.00 |
| 99173 |
|
1,579 |
1,546 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,077 |
1,072 |
$0.00 |
| 90734 |
|
43 |
43 |
$0.00 |
| 36416 |
|
1,985 |
1,891 |
$0.00 |
| 90656 |
|
293 |
288 |
$0.00 |
| 90680 |
|
962 |
944 |
$0.00 |
| 90716 |
|
287 |
282 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,122 |
1,113 |
$0.00 |
| 90651 |
|
58 |
57 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |