| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,431 |
11,348 |
$564K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,216 |
10,629 |
$512K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,105 |
5,726 |
$465K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,414 |
4,944 |
$368K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,156 |
11,480 |
$337K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,826 |
3,591 |
$280K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,138 |
1,084 |
$92K |
| 96160 |
|
9,895 |
9,092 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
741 |
659 |
$52K |
| 88738 |
|
7,884 |
7,452 |
$40K |
| 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) |
2,155 |
1,996 |
$26K |
| 92587 |
|
1,121 |
1,047 |
$23K |
| 99401 |
|
1,552 |
1,378 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,099 |
1,891 |
$16K |
| 92551 |
|
1,940 |
1,812 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,144 |
518 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
113 |
110 |
$10K |
| 99177 |
|
1,526 |
1,438 |
$9K |
| 96161 |
|
1,443 |
1,336 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
219 |
204 |
$8K |
| D1206 |
Topical application of fluoride varnish |
579 |
401 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
442 |
436 |
$6K |
| 90670 |
|
3,001 |
2,857 |
$6K |
| 96127 |
|
1,254 |
1,154 |
$5K |
| 99174 |
|
731 |
675 |
$5K |
| D0190 |
|
723 |
502 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
458 |
419 |
$5K |
| 36416 |
|
2,487 |
2,209 |
$4K |
| 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) |
353 |
298 |
$3K |
| 81002 |
|
1,046 |
965 |
$3K |
| 3008F |
|
326 |
295 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
159 |
124 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
67 |
$2K |
| 99173 |
|
592 |
551 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
25 |
$1K |
| 99460 |
|
28 |
26 |
$1K |
| 90480 |
|
31 |
30 |
$1K |
| 90716 |
|
428 |
381 |
$1K |
| 90473 |
|
70 |
70 |
$904.28 |
| 90672 |
|
906 |
867 |
$862.51 |
| 99462 |
|
34 |
25 |
$818.94 |
| 90671 |
|
564 |
445 |
$807.82 |
| 90651 |
|
153 |
142 |
$787.54 |
| 90723 |
|
1,931 |
1,796 |
$710.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
17 |
$682.17 |
| 83655 |
|
44 |
38 |
$579.02 |
| 0071A |
|
14 |
14 |
$560.00 |
| 90707 |
|
426 |
381 |
$555.01 |
| 90688 |
|
1,008 |
951 |
$506.64 |
| 90633 |
|
661 |
606 |
$477.00 |
| 90677 |
|
97 |
83 |
$321.78 |
| A4617 |
Mouth piece |
156 |
123 |
$255.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$252.95 |
| 90647 |
|
1,255 |
1,184 |
$234.71 |
| 90674 |
|
244 |
227 |
$181.65 |
| 90734 |
|
61 |
57 |
$157.35 |
| 99051 |
|
41 |
36 |
$137.00 |
| 90698 |
|
25 |
24 |
$122.57 |
| 90715 |
|
13 |
12 |
$50.29 |
| 90700 |
|
28 |
27 |
$35.33 |
| 90686 |
|
917 |
850 |
$22.27 |
| 99000 |
|
1,062 |
975 |
$7.44 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
46 |
36 |
$5.67 |
| 91321 |
|
15 |
14 |
$0.15 |
| 90681 |
|
677 |
649 |
$0.00 |
| 90687 |
|
224 |
216 |
$0.00 |
| 90685 |
|
108 |
101 |
$0.00 |
| 1005F |
|
1,400 |
1,239 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
150 |
135 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 91307 |
|
89 |
89 |
$0.00 |
| 99070 |
|
53 |
51 |
$0.00 |