| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,180 |
21,048 |
$1.04M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,412 |
19,004 |
$1.02M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,049 |
9,435 |
$755K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,625 |
9,120 |
$657K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,030 |
8,902 |
$648K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19,535 |
16,730 |
$542K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,462 |
3,763 |
$302K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,158 |
3,569 |
$114K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,712 |
11,226 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,220 |
1,006 |
$88K |
| 96161 |
|
6,418 |
5,761 |
$85K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,079 |
974 |
$57K |
| 54150 |
|
387 |
351 |
$53K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,083 |
977 |
$52K |
| 92551 |
|
5,919 |
4,926 |
$46K |
| 96127 |
|
9,420 |
7,580 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,629 |
1,506 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,092 |
2,768 |
$31K |
| 96160 |
|
1,992 |
1,589 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
736 |
682 |
$25K |
| 3008F |
|
18,370 |
15,261 |
$22K |
| 36416 |
|
14,074 |
11,500 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,066 |
1,004 |
$14K |
| 99177 |
|
2,268 |
1,900 |
$12K |
| 83655 |
|
702 |
594 |
$7K |
| 90670 |
|
6,222 |
5,602 |
$7K |
| 99173 |
|
1,397 |
1,185 |
$6K |
| 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) |
198 |
178 |
$5K |
| 90698 |
|
7,436 |
6,659 |
$5K |
| 99401 |
|
395 |
236 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
187 |
167 |
$4K |
| 90686 |
|
6,089 |
5,277 |
$3K |
| 90680 |
|
4,115 |
3,746 |
$2K |
| 81003 |
|
1,258 |
1,052 |
$2K |
| 90677 |
|
1,138 |
1,007 |
$2K |
| 90716 |
|
1,130 |
954 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
132 |
117 |
$2K |
| D1206 |
Topical application of fluoride varnish |
79 |
79 |
$2K |
| 90707 |
|
1,096 |
929 |
$1K |
| 87428 |
|
24 |
24 |
$1K |
| D0190 |
|
91 |
91 |
$1K |
| 96380 |
|
52 |
42 |
$946.71 |
| 90651 |
|
144 |
120 |
$867.67 |
| 90619 |
|
128 |
93 |
$647.67 |
| 90633 |
|
1,582 |
1,362 |
$435.64 |
| 87807 |
|
48 |
40 |
$424.14 |
| 90744 |
|
2,483 |
2,237 |
$396.55 |
| 90620 |
|
16 |
12 |
$259.78 |
| 90661 |
|
680 |
600 |
$199.34 |
| 90696 |
|
111 |
101 |
$189.34 |
| 90672 |
|
214 |
166 |
$188.16 |
| 82465 |
|
66 |
56 |
$139.46 |
| 85014 |
|
36 |
30 |
$78.24 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
33 |
$72.35 |
| 99000 |
|
4,916 |
3,989 |
$16.32 |
| 94760 |
|
15 |
13 |
$7.79 |
| 90381 |
|
32 |
24 |
$0.04 |
| 90632 |
|
29 |
25 |
$0.01 |
| 90685 |
|
467 |
437 |
$0.00 |
| 99072 |
|
311 |
285 |
$0.00 |
| 5250F |
|
74 |
52 |
$0.00 |
| 90715 |
|
38 |
24 |
$0.00 |
| 90674 |
|
17 |
16 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |