| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,878 |
12,940 |
$1.27M |
| 99199 |
Unlisted special service, procedure or report |
168,757 |
86,256 |
$1.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,644 |
8,121 |
$536K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,561 |
8,077 |
$370K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,651 |
1,614 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,658 |
1,583 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,239 |
1,165 |
$106K |
| 99401 |
|
2,343 |
2,219 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
724 |
685 |
$71K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,749 |
1,639 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,657 |
2,473 |
$51K |
| 99215 |
Prolong outpt/office vis |
313 |
292 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,802 |
2,744 |
$29K |
| 92552 |
|
3,053 |
2,875 |
$19K |
| 96127 |
|
3,026 |
2,870 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
874 |
425 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
893 |
851 |
$8K |
| 90686 |
|
5,193 |
4,830 |
$7K |
| 0002A |
|
101 |
91 |
$7K |
| 90480 |
|
174 |
160 |
$7K |
| 0071A |
|
102 |
101 |
$7K |
| 0072A |
|
87 |
84 |
$6K |
| 0001A |
|
84 |
79 |
$5K |
| 99173 |
|
3,201 |
3,060 |
$4K |
| 87428 |
|
68 |
66 |
$4K |
| 90651 |
|
46 |
44 |
$2K |
| 99051 |
|
39 |
38 |
$1K |
| 0082A |
|
14 |
14 |
$906.40 |
| 85018 |
|
276 |
274 |
$774.25 |
| 90734 |
|
40 |
37 |
$752.90 |
| 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) |
25 |
25 |
$707.71 |
| 96161 |
|
206 |
177 |
$672.05 |
| 90620 |
|
12 |
12 |
$579.15 |
| 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) |
17 |
17 |
$492.32 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$393.12 |
| 99050 |
|
12 |
12 |
$317.76 |
| 99441 |
|
13 |
12 |
$164.64 |
| 90656 |
|
353 |
348 |
$138.77 |
| 94760 |
|
2,616 |
2,464 |
$4.14 |
| 90723 |
|
240 |
224 |
$0.11 |
| 90680 |
|
187 |
171 |
$0.10 |
| 90670 |
|
661 |
629 |
$0.01 |
| 99000 |
|
205 |
190 |
$0.00 |
| 92558 |
|
201 |
196 |
$0.00 |
| 36416 |
|
899 |
860 |
$0.00 |
| 90677 |
|
65 |
64 |
$0.00 |
| 90647 |
|
27 |
27 |
$0.00 |
| 91307 |
|
321 |
271 |
$0.00 |
| 91318 |
|
20 |
16 |
$0.00 |
| 90648 |
|
621 |
590 |
$0.00 |
| 90653 |
|
25 |
25 |
$0.00 |
| 91300 |
|
253 |
212 |
$0.00 |
| 99177 |
|
60 |
58 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 91308 |
|
39 |
36 |
$0.00 |