| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,059 |
5,039 |
$549K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,142 |
6,113 |
$534K |
| 92552 |
|
14,637 |
14,593 |
$466K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,026 |
5,892 |
$449K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,838 |
3,113 |
$441K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,287 |
3,156 |
$234K |
| 99188 |
|
7,119 |
6,980 |
$188K |
| 90686 |
|
8,652 |
8,609 |
$154K |
| 87428 |
|
2,328 |
2,292 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,489 |
28,329 |
$126K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,327 |
4,323 |
$106K |
| 99173 |
|
14,556 |
14,520 |
$91K |
| G9920 |
Screening performed and negative |
1,603 |
1,602 |
$68K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,766 |
3,750 |
$51K |
| 90670 |
|
2,874 |
2,779 |
$50K |
| 90651 |
|
1,194 |
1,185 |
$32K |
| 90647 |
|
1,848 |
1,788 |
$32K |
| 90723 |
|
1,794 |
1,739 |
$31K |
| 96127 |
|
2,919 |
2,911 |
$20K |
| 85018 |
|
10,296 |
10,134 |
$19K |
| 90734 |
|
956 |
953 |
$17K |
| 90633 |
|
933 |
900 |
$16K |
| 90710 |
|
796 |
768 |
$14K |
| 90620 |
|
612 |
612 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
64 |
64 |
$11K |
| 0072A |
|
261 |
261 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
274 |
268 |
$10K |
| 83655 |
|
970 |
927 |
$10K |
| 0071A |
|
237 |
237 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,993 |
1,929 |
$9K |
| 99381 |
|
98 |
96 |
$8K |
| 90681 |
|
385 |
380 |
$7K |
| 90480 |
|
136 |
136 |
$5K |
| 90656 |
|
301 |
301 |
$5K |
| 94010 |
|
250 |
249 |
$5K |
| 81000 |
|
1,815 |
1,793 |
$5K |
| 94664 |
|
301 |
299 |
$4K |
| 90715 |
|
167 |
167 |
$3K |
| H0049 |
Alcohol and/or drug screening |
155 |
155 |
$3K |
| 92551 |
|
128 |
128 |
$3K |
| 86580 |
|
458 |
451 |
$3K |
| 0124A |
|
49 |
49 |
$2K |
| 90672 |
|
109 |
109 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
91 |
$2K |
| 0004A |
|
38 |
38 |
$1K |
| 90700 |
|
78 |
76 |
$1K |
| 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) |
197 |
197 |
$1K |
| 91322 |
|
46 |
46 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
140 |
$1K |
| 90696 |
|
56 |
55 |
$999.00 |
| 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) |
112 |
112 |
$776.00 |
| 90677 |
|
42 |
42 |
$738.00 |
| 94760 |
|
97 |
93 |
$685.01 |
| 99000 |
|
182 |
181 |
$658.53 |
| 0002A |
|
12 |
12 |
$480.00 |
| 0154A |
|
12 |
12 |
$480.00 |
| 81002 |
|
201 |
194 |
$421.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
253 |
246 |
$418.20 |
| 99070 |
|
307 |
276 |
$326.65 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
55 |
$310.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
464 |
459 |
$167.21 |
| 91321 |
|
39 |
39 |
$145.92 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
70 |
68 |
$2.81 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 99499 |
|
67 |
67 |
$0.00 |