| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84,139 |
64,807 |
$555K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,601 |
2,149 |
$429K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,065 |
5,103 |
$317K |
| Z1034 |
|
4,936 |
3,716 |
$271K |
| Z1032 |
|
1,037 |
1,037 |
$159K |
| J3490 |
Unclassified drugs |
1,383 |
1,139 |
$148K |
| Z6500 |
|
1,111 |
1,111 |
$137K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,871 |
4,763 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,507 |
3,594 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,942 |
7,862 |
$65K |
| 99381 |
|
624 |
582 |
$55K |
| A4267 |
Contraceptive supply, condom, male, each |
4,667 |
4,660 |
$50K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
848 |
848 |
$49K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
102 |
102 |
$37K |
| Z6400 |
|
2,395 |
2,152 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,852 |
9,710 |
$34K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,057 |
2,057 |
$26K |
| Z6406 |
|
1,432 |
1,297 |
$20K |
| 99383 |
|
262 |
255 |
$20K |
| 92551 |
|
25,416 |
25,143 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,196 |
7,110 |
$19K |
| Z6204 |
|
1,429 |
1,290 |
$17K |
| 99201 |
|
182 |
90 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,577 |
1,569 |
$13K |
| 81025 |
|
5,071 |
4,913 |
$11K |
| Z6410 |
|
558 |
479 |
$11K |
| 99402 |
|
346 |
342 |
$11K |
| Z6304 |
|
1,033 |
927 |
$10K |
| 96156 |
|
2,159 |
2,127 |
$10K |
| 99384 |
|
67 |
67 |
$9K |
| 83655 |
|
2,088 |
2,076 |
$8K |
| Z6412 |
|
539 |
470 |
$8K |
| 85018 |
|
29,702 |
29,369 |
$7K |
| Z1038 |
|
120 |
120 |
$7K |
| 90713 |
|
1,222 |
1,208 |
$6K |
| 99401 |
|
289 |
287 |
$6K |
| 99382 |
|
66 |
62 |
$5K |
| 90744 |
|
1,999 |
1,979 |
$5K |
| 90700 |
|
1,896 |
1,885 |
$5K |
| S0197 |
Prenatal vitamins, 30-day supply |
3,049 |
1,682 |
$5K |
| 90670 |
|
3,422 |
3,380 |
$4K |
| 90648 |
|
1,458 |
1,447 |
$4K |
| 99173 |
|
26,173 |
25,840 |
$4K |
| Z6404 |
|
366 |
356 |
$4K |
| Z6202 |
|
349 |
334 |
$4K |
| 81000 |
|
20,222 |
19,945 |
$3K |
| 90716 |
|
2,510 |
2,480 |
$3K |
| 90680 |
|
2,294 |
2,267 |
$3K |
| 90633 |
|
2,680 |
2,658 |
$3K |
| 90707 |
|
2,194 |
2,172 |
$2K |
| 90651 |
|
3,444 |
3,382 |
$2K |
| 92552 |
|
174 |
163 |
$2K |
| 81002 |
|
811 |
791 |
$2K |
| G9920 |
Screening performed and negative |
247 |
242 |
$1K |
| 83026 |
|
397 |
384 |
$976.17 |
| 90686 |
|
10,099 |
10,025 |
$944.91 |
| 90734 |
|
1,964 |
1,956 |
$909.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
16 |
$746.56 |
| 96150 |
|
355 |
355 |
$697.83 |
| 90715 |
|
1,135 |
1,116 |
$683.36 |
| 86580 |
|
362 |
357 |
$579.05 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,638 |
3,618 |
$455.02 |
| 90698 |
|
2,019 |
1,989 |
$261.00 |
| 90696 |
|
363 |
358 |
$153.00 |
| 90685 |
|
17 |
17 |
$153.00 |
| 99000 |
|
27,085 |
25,745 |
$130.72 |
| Z6302 |
|
16 |
16 |
$121.88 |
| 90714 |
|
60 |
59 |
$117.00 |
| 90620 |
|
1,381 |
1,370 |
$108.00 |
| 96127 |
|
20,880 |
19,734 |
$69.68 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17,375 |
16,962 |
$45.68 |
| 90672 |
|
191 |
183 |
$27.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
4,726 |
4,158 |
$25.38 |
| 90461 |
|
1,430 |
1,361 |
$15.40 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
45 |
44 |
$4.76 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,964 |
1,979 |
$0.00 |
| 90677 |
|
584 |
581 |
$0.00 |
| 4000F |
|
45 |
45 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
56 |
41 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
58 |
56 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,066 |
4,342 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
78 |
77 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
75 |
73 |
$0.00 |
| 1111F |
|
42 |
42 |
$0.00 |
| 99385 |
|
69 |
68 |
$0.00 |
| 86592 |
|
97 |
94 |
$0.00 |
| 90632 |
|
12 |
12 |
$0.00 |
| 90656 |
|
101 |
101 |
$0.00 |
| 0001A |
|
24 |
24 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
339 |
338 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
201 |
200 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
313 |
312 |
$0.00 |
| 87070 |
|
29 |
28 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
326 |
325 |
$0.00 |
| 96161 |
|
87 |
87 |
$0.00 |
| 3074F |
|
27 |
13 |
$0.00 |
| 92556 |
|
78 |
78 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17 |
17 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
52 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
32 |
$0.00 |
| 87110 |
|
29 |
28 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,894 |
1,184 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
506 |
505 |
$0.00 |
| 99188 |
|
1,763 |
1,750 |
$0.00 |
| 0502F |
|
1,486 |
1,042 |
$0.00 |
| 3078F |
|
88 |
69 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
177 |
177 |
$0.00 |
| 3077F |
|
49 |
36 |
$0.00 |
| 59425 |
|
88 |
62 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
62 |
60 |
$0.00 |
| 90661 |
|
350 |
350 |
$0.00 |
| 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 |
32 |
32 |
$0.00 |
| 82947 |
|
65 |
65 |
$0.00 |
| 69209 |
|
13 |
13 |
$0.00 |
| 90681 |
|
62 |
61 |
$0.00 |
| 80061 |
Lipid panel |
373 |
372 |
$0.00 |
| 90746 |
|
13 |
13 |
$0.00 |
| 86703 |
|
66 |
64 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
14 |
14 |
$0.00 |