| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,989 |
7,759 |
$339K |
| 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) |
4,199 |
3,480 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,934 |
2,669 |
$159K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,288 |
1,277 |
$123K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,386 |
3,886 |
$115K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,518 |
2,351 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
973 |
953 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,885 |
3,229 |
$77K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,268 |
1,183 |
$63K |
| 95117 |
|
6,880 |
2,650 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,289 |
3,773 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
615 |
600 |
$50K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
166 |
84 |
$37K |
| 95180 |
|
97 |
38 |
$22K |
| 87807 |
|
1,579 |
1,494 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
448 |
408 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
480 |
464 |
$12K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
334 |
314 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,309 |
1,285 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
141 |
137 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
29 |
29 |
$10K |
| 95028 |
|
29 |
29 |
$7K |
| 90674 |
|
221 |
219 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
360 |
339 |
$6K |
| 90461 |
|
739 |
573 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
408 |
323 |
$4K |
| 90619 |
|
152 |
152 |
$4K |
| 0071A |
|
107 |
107 |
$4K |
| 90620 |
|
269 |
266 |
$4K |
| 0072A |
|
84 |
84 |
$4K |
| 96160 |
|
1,867 |
1,847 |
$3K |
| 0001A |
|
73 |
72 |
$3K |
| 0002A |
|
68 |
68 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
39 |
$2K |
| 99383 |
|
27 |
27 |
$2K |
| 87430 |
|
246 |
226 |
$2K |
| 90480 |
|
78 |
76 |
$2K |
| 90651 |
|
481 |
476 |
$1K |
| 99050 |
|
83 |
82 |
$1K |
| 90677 |
|
61 |
61 |
$871.95 |
| 81002 |
|
277 |
252 |
$824.75 |
| 90671 |
|
38 |
38 |
$661.02 |
| 90686 |
|
1,399 |
1,370 |
$621.66 |
| 99429 |
|
27 |
27 |
$613.75 |
| 90734 |
|
120 |
120 |
$474.41 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
27 |
$431.17 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
154 |
119 |
$2.65 |
| 91307 |
|
209 |
192 |
$0.33 |
| 91300 |
|
202 |
195 |
$0.02 |
| 90715 |
|
71 |
71 |
$0.00 |
| 90670 |
|
190 |
187 |
$0.00 |
| 90685 |
|
56 |
52 |
$0.00 |
| 90648 |
|
142 |
137 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90633 |
|
43 |
43 |
$0.00 |
| 90672 |
|
33 |
32 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |