| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,310 |
1,939 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
301 |
285 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
301 |
283 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
188 |
$13K |
| 92552 |
|
957 |
681 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,232 |
650 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
732 |
662 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
71 |
$5K |
| 99188 |
|
358 |
342 |
$4K |
| 99401 |
|
932 |
287 |
$2K |
| 97802 |
|
76 |
70 |
$1K |
| 90461 |
|
424 |
251 |
$696.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
80 |
$483.90 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$51.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
15 |
$49.65 |
| 90656 |
|
12 |
12 |
$18.13 |
| 99173 |
|
1,201 |
918 |
$0.00 |
| 99072 |
|
84 |
70 |
$0.00 |
| 96160 |
|
229 |
195 |
$0.00 |
| 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) |
48 |
14 |
$0.00 |
| 96161 |
|
210 |
188 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
27 |
$0.00 |
| 3008F |
|
127 |
122 |
$0.00 |
| 96127 |
|
225 |
187 |
$0.00 |
| 90686 |
|
136 |
29 |
$0.00 |
| 90677 |
|
20 |
18 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
14 |
$0.00 |