| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,907 |
4,401 |
$425K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,884 |
5,402 |
$407K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,204 |
2,182 |
$175K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,048 |
2,033 |
$160K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,769 |
1,719 |
$124K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,186 |
5,039 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,050 |
1,048 |
$89K |
| D0190 |
|
2,641 |
2,600 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,783 |
2,767 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,665 |
1,620 |
$22K |
| 92551 |
|
2,779 |
2,765 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
954 |
919 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
286 |
281 |
$11K |
| 81000 |
|
3,535 |
3,477 |
$11K |
| 99000 |
|
4,084 |
3,975 |
$10K |
| 92579 |
|
471 |
459 |
$10K |
| 99406 |
|
1,424 |
1,421 |
$10K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
77 |
76 |
$9K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$6K |
| 97803 |
|
1,256 |
1,253 |
$5K |
| 90671 |
|
58 |
56 |
$4K |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
177 |
176 |
$4K |
| 83655 |
|
359 |
357 |
$4K |
| 99188 |
|
473 |
471 |
$4K |
| 87110 |
|
345 |
345 |
$3K |
| 0071A |
|
71 |
71 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
153 |
153 |
$2K |
| 99058 |
|
2,073 |
1,877 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
65 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
44 |
42 |
$2K |
| 99051 |
|
677 |
658 |
$2K |
| 0072A |
|
42 |
42 |
$1K |
| 96127 |
|
475 |
475 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
64 |
$1K |
| 85018 |
|
456 |
452 |
$845.10 |
| 36415 |
Collection of venous blood by venipuncture |
391 |
384 |
$837.38 |
| 36416 |
|
334 |
319 |
$778.28 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,214 |
1,210 |
$585.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
74 |
$486.85 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,304 |
1,299 |
$235.00 |
| 87807 |
|
16 |
15 |
$113.39 |
| 96161 |
|
31 |
27 |
$42.63 |
| 90461 |
|
1,390 |
1,377 |
$40.00 |
| 90686 |
|
1,136 |
1,134 |
$19.58 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,072 |
3,067 |
$2.16 |
| 99173 |
|
2,267 |
2,240 |
$2.10 |
| 3074F |
|
3,709 |
3,702 |
$0.17 |
| 3078F |
|
3,714 |
3,706 |
$0.17 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
92 |
92 |
$0.06 |
| 90744 |
|
199 |
198 |
$0.00 |
| 90698 |
|
619 |
607 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
219 |
219 |
$0.00 |
| 3351F |
|
252 |
252 |
$0.00 |
| 90656 |
|
63 |
63 |
$0.00 |
| 91307 |
|
99 |
88 |
$0.00 |
| 90651 |
|
126 |
126 |
$0.00 |
| 90680 |
|
341 |
331 |
$0.00 |
| 90619 |
|
35 |
35 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 3725F |
|
676 |
675 |
$0.00 |
| 90670 |
|
949 |
925 |
$0.00 |
| 90633 |
|
353 |
348 |
$0.00 |
| 90715 |
|
31 |
31 |
$0.00 |
| 90734 |
|
133 |
133 |
$0.00 |
| 99401 |
|
42 |
42 |
$0.00 |