| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
427 |
426 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
923 |
846 |
$1K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
98 |
98 |
$407.49 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
748 |
553 |
$201.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,836 |
4,738 |
$192.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,171 |
2,135 |
$72.94 |
| 96156 |
|
88 |
88 |
$58.89 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
154 |
154 |
$25.23 |
| 99401 |
|
36 |
36 |
$25.23 |
| 97803 |
|
34 |
34 |
$16.82 |
| 90686 |
|
42 |
41 |
$9.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,001 |
997 |
$0.00 |
| 2001F |
|
4,726 |
4,619 |
$0.00 |
| 3008F |
|
4,725 |
4,618 |
$0.00 |
| 3049F |
|
207 |
197 |
$0.00 |
| 3074F |
|
3,107 |
3,045 |
$0.00 |
| 92551 |
|
71 |
71 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
144 |
137 |
$0.00 |
| 1036F |
|
1,430 |
1,386 |
$0.00 |
| 3080F |
|
118 |
112 |
$0.00 |
| 3079F |
|
588 |
578 |
$0.00 |
| 3048F |
|
354 |
351 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,847 |
1,795 |
$0.00 |
| 85018 |
|
189 |
189 |
$0.00 |
| 90656 |
|
56 |
56 |
$0.00 |
| 1034F |
|
41 |
40 |
$0.00 |
| 3075F |
|
243 |
238 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,642 |
1,596 |
$0.00 |
| 3050F |
|
149 |
146 |
$0.00 |
| 3078F |
|
2,972 |
2,910 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
316 |
306 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
159 |
158 |
$0.00 |
| 98940 |
|
196 |
164 |
$0.00 |
| 0502F |
|
540 |
512 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
34 |
33 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
59 |
$0.00 |
| 3077F |
|
343 |
333 |
$0.00 |
| 81025 |
|
28 |
28 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 99173 |
|
83 |
83 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |