| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
29,542 |
16,872 |
$1.75M |
| 59410 |
|
1,604 |
1,408 |
$1.47M |
| 59515 |
|
1,147 |
993 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,667 |
12,498 |
$570K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,353 |
2,202 |
$370K |
| 93975 |
|
1,921 |
1,684 |
$365K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,337 |
4,083 |
$326K |
| 76830 |
Ultrasound, transvaginal |
4,826 |
4,397 |
$324K |
| 59430 |
|
1,977 |
1,702 |
$242K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,969 |
2,810 |
$232K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,895 |
4,589 |
$195K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
237 |
221 |
$163K |
| 99385 |
|
1,473 |
1,392 |
$119K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
601 |
581 |
$49K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
348 |
56 |
$46K |
| 58300 |
|
487 |
446 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,154 |
1,078 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
209 |
$27K |
| 99386 |
|
262 |
249 |
$27K |
| 76801 |
|
307 |
289 |
$25K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
324 |
276 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
263 |
247 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
249 |
234 |
$15K |
| 99459 |
|
744 |
714 |
$12K |
| 58100 |
|
163 |
156 |
$10K |
| 58662 |
|
72 |
60 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
56 |
47 |
$9K |
| 58301 |
|
76 |
75 |
$6K |
| 57454 |
|
41 |
38 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
115 |
80 |
$5K |
| 57425 |
|
18 |
15 |
$4K |
| 58558 |
|
14 |
13 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
54 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
14 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
19 |
15 |
$704.70 |
| 99403 |
|
15 |
12 |
$704.58 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
10,961 |
8,633 |
$643.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
61 |
$600.22 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
4,065 |
3,099 |
$158.74 |
| G8421 |
Bmi not documented and no reason is given |
250 |
200 |
$0.00 |
| 99001 |
|
49 |
39 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,406 |
1,130 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
74 |
42 |
$0.00 |