| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,021 |
941 |
$928K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,218 |
8,716 |
$873K |
| 0502F |
|
10,202 |
5,808 |
$549K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,996 |
4,456 |
$340K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,457 |
2,155 |
$186K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,218 |
1,187 |
$104K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,734 |
2,315 |
$101K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,442 |
1,645 |
$82K |
| 99460 |
|
1,414 |
1,214 |
$66K |
| 0500F |
|
447 |
404 |
$44K |
| 59430 |
|
311 |
282 |
$43K |
| 90670 |
|
2,730 |
2,371 |
$39K |
| 99222 |
Initial hospital care, per day, moderate complexity |
453 |
390 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
364 |
338 |
$28K |
| 90723 |
|
2,050 |
1,759 |
$22K |
| 90648 |
|
2,119 |
1,861 |
$22K |
| 90680 |
|
1,792 |
1,581 |
$21K |
| 81002 |
|
8,055 |
4,151 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
233 |
230 |
$18K |
| H1000 |
Prenatal care, at-risk assessment |
1,172 |
1,092 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
718 |
627 |
$12K |
| 96160 |
|
309 |
280 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
415 |
402 |
$4K |
| 90710 |
|
355 |
294 |
$4K |
| 90698 |
|
268 |
231 |
$3K |
| 81025 |
|
542 |
483 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$2K |
| 90686 |
|
208 |
183 |
$2K |
| 90633 |
|
191 |
169 |
$2K |
| 90677 |
|
98 |
86 |
$2K |
| 90744 |
|
61 |
50 |
$765.45 |
| 90656 |
|
20 |
20 |
$334.20 |
| 86580 |
|
27 |
27 |
$108.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
365 |
360 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
52 |
51 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
73 |
$0.00 |