| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,372 |
20,038 |
$898K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,460 |
10,775 |
$721K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,695 |
9,527 |
$307K |
| 99051 |
|
6,647 |
6,285 |
$141K |
| 90834 |
Psychotherapy, 45 minutes with patient |
979 |
712 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
866 |
841 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,861 |
3,630 |
$48K |
| 99215 |
Prolong outpt/office vis |
459 |
426 |
$41K |
| 92552 |
|
2,735 |
2,633 |
$31K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
437 |
320 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
535 |
515 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
464 |
441 |
$26K |
| 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) |
872 |
823 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
676 |
663 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
209 |
194 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
39 |
38 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
51 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
67 |
62 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
55 |
41 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
142 |
55 |
$2K |
| 99177 |
|
183 |
178 |
$2K |
| 99173 |
|
684 |
656 |
$2K |
| 96127 |
|
340 |
309 |
$1K |
| 90633 |
|
14 |
12 |
$804.00 |
| 99401 |
|
38 |
36 |
$798.08 |
| 90688 |
|
1,445 |
1,385 |
$766.78 |
| 90661 |
|
193 |
190 |
$687.66 |
| 90677 |
|
12 |
12 |
$613.96 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$283.20 |
| 36416 |
|
77 |
63 |
$278.13 |
| 90698 |
|
38 |
38 |
$175.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$112.94 |
| 90785 |
|
24 |
22 |
$99.68 |
| 90686 |
|
209 |
198 |
$69.29 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
12 |
12 |
$31.37 |
| 97802 |
|
4,691 |
4,525 |
$26.30 |
| 90687 |
|
189 |
178 |
$19.93 |
| 91307 |
|
27 |
27 |
$0.27 |
| 90461 |
|
2,280 |
1,628 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
3,387 |
3,224 |
$0.00 |
| 99072 |
|
2,107 |
2,001 |
$0.00 |
| 90670 |
|
51 |
50 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,530 |
3,372 |
$0.00 |
| 99000 |
|
1,220 |
1,138 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |