| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,782 |
17,313 |
$897K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,638 |
12,062 |
$689K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,481 |
6,643 |
$504K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,945 |
5,410 |
$465K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,850 |
4,336 |
$372K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,037 |
4,412 |
$345K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,585 |
7,413 |
$293K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,963 |
2,682 |
$251K |
| 92552 |
|
11,382 |
10,124 |
$188K |
| 99173 |
|
10,081 |
8,978 |
$80K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,645 |
1,528 |
$63K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,099 |
1,445 |
$40K |
| 96161 |
|
1,517 |
1,336 |
$36K |
| 96127 |
|
6,811 |
6,173 |
$31K |
| 81003 |
|
13,394 |
11,792 |
$30K |
| 85014 |
|
8,913 |
7,899 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
7,364 |
6,578 |
$21K |
| 99401 |
|
854 |
450 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,486 |
1,304 |
$18K |
| 36416 |
|
6,161 |
5,375 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,166 |
996 |
$10K |
| 99381 |
|
131 |
116 |
$10K |
| 95930 |
|
237 |
225 |
$9K |
| 90670 |
|
4,118 |
3,696 |
$8K |
| 90651 |
|
1,269 |
1,121 |
$7K |
| 3008F |
|
1,024 |
792 |
$6K |
| 87807 |
|
316 |
285 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
87 |
$3K |
| 99441 |
|
253 |
184 |
$3K |
| 90461 |
|
12,043 |
2,812 |
$3K |
| 94760 |
|
2,702 |
2,349 |
$2K |
| 90620 |
|
270 |
248 |
$2K |
| 90734 |
|
506 |
438 |
$2K |
| 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) |
61 |
50 |
$2K |
| 90723 |
|
2,451 |
2,211 |
$2K |
| 90619 |
|
285 |
256 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$1K |
| 90716 |
|
1,266 |
1,116 |
$1K |
| 82947 |
|
142 |
133 |
$825.63 |
| 90680 |
|
788 |
683 |
$800.83 |
| 90696 |
|
221 |
188 |
$762.67 |
| 90707 |
|
1,226 |
1,073 |
$727.52 |
| 90677 |
|
698 |
660 |
$648.04 |
| 90710 |
|
167 |
159 |
$627.86 |
| 90633 |
|
1,737 |
1,609 |
$517.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
18 |
$469.74 |
| 90648 |
|
2,490 |
2,249 |
$329.21 |
| 90715 |
|
181 |
156 |
$217.60 |
| 90686 |
|
419 |
337 |
$111.25 |
| 90658 |
|
203 |
177 |
$91.72 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
20 |
16 |
$3.75 |
| 99000 |
|
6,427 |
5,605 |
$0.65 |
| 90756 |
|
36 |
31 |
$0.00 |
| 90681 |
|
136 |
130 |
$0.00 |
| 90697 |
|
426 |
381 |
$0.00 |
| 90656 |
|
30 |
28 |
$0.00 |
| 90688 |
|
447 |
421 |
$0.00 |
| 90698 |
|
77 |
64 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |