| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
11,270 |
7,709 |
$682K |
| Z1032 |
|
2,015 |
2,015 |
$308K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,044 |
1,043 |
$291K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,746 |
16,697 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,901 |
8,377 |
$190K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
119 |
119 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,457 |
6,430 |
$132K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,344 |
3,256 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,688 |
5,662 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,825 |
4,815 |
$118K |
| Z6500 |
|
937 |
937 |
$115K |
| 99381 |
|
927 |
927 |
$103K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
448 |
448 |
$80K |
| 90686 |
|
10,698 |
10,641 |
$74K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
966 |
966 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,632 |
1,629 |
$59K |
| 96156 |
|
1,988 |
1,987 |
$57K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,919 |
1,254 |
$54K |
| 92551 |
|
10,617 |
10,606 |
$37K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,099 |
1,095 |
$35K |
| 11981 |
|
120 |
120 |
$33K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
298 |
298 |
$33K |
| 97802 |
|
2,758 |
2,758 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
712 |
691 |
$28K |
| Z1038 |
|
475 |
475 |
$26K |
| 76801 |
|
456 |
456 |
$22K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,602 |
1,602 |
$20K |
| 90680 |
|
2,442 |
2,350 |
$20K |
| 90633 |
|
2,304 |
2,286 |
$18K |
| 90651 |
|
2,416 |
2,412 |
$18K |
| Z6400 |
|
1,212 |
1,198 |
$17K |
| 0002A |
|
493 |
408 |
$16K |
| 0001A |
|
537 |
409 |
$16K |
| 90697 |
|
1,902 |
1,820 |
$15K |
| 90734 |
|
2,021 |
2,012 |
$15K |
| 90710 |
|
1,868 |
1,853 |
$14K |
| 90670 |
|
1,817 |
1,812 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,416 |
1,414 |
$14K |
| 76813 |
|
255 |
164 |
$13K |
| 81025 |
|
2,438 |
2,397 |
$12K |
| 90647 |
|
1,433 |
1,415 |
$11K |
| 90620 |
|
1,470 |
1,462 |
$11K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,092 |
1,092 |
$10K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,239 |
4,237 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
209 |
209 |
$10K |
| 90677 |
|
1,141 |
1,141 |
$9K |
| 90715 |
|
1,038 |
1,038 |
$8K |
| 99383 |
|
78 |
78 |
$8K |
| 99384 |
|
76 |
76 |
$7K |
| 90723 |
|
859 |
851 |
$7K |
| 97803 |
|
667 |
666 |
$6K |
| 90671 |
|
659 |
657 |
$5K |
| 90700 |
|
614 |
613 |
$5K |
| 90696 |
|
633 |
633 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
74 |
$4K |
| Z6410 |
|
196 |
193 |
$3K |
| 99000 |
|
940 |
918 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
94 |
94 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
265 |
260 |
$3K |
| 83655 |
|
413 |
413 |
$3K |
| 85018 |
|
2,669 |
2,663 |
$2K |
| Z6406 |
|
159 |
157 |
$2K |
| Z6414 |
|
149 |
148 |
$2K |
| 90716 |
|
234 |
234 |
$2K |
| 96127 |
|
4,578 |
4,575 |
$2K |
| Z6204 |
|
160 |
158 |
$2K |
| Z6304 |
|
159 |
157 |
$2K |
| Z6308 |
|
163 |
162 |
$1K |
| Z6208 |
|
162 |
161 |
$1K |
| 90713 |
|
118 |
118 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
96 |
91 |
$866.23 |
| 90744 |
|
85 |
85 |
$735.75 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$732.61 |
| 0003A |
|
23 |
16 |
$600.00 |
| 93000 |
|
154 |
154 |
$583.19 |
| 99402 |
|
13 |
13 |
$413.27 |
| A4267 |
Contraceptive supply, condom, male, each |
66 |
65 |
$347.10 |
| 76810 |
|
15 |
15 |
$325.71 |
| 99201 |
|
24 |
20 |
$241.92 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
258 |
258 |
$211.11 |
| 99188 |
|
364 |
363 |
$180.00 |
| 81002 |
|
1,772 |
1,762 |
$127.33 |
| 90707 |
|
14 |
14 |
$126.00 |
| 99215 |
Prolong outpt/office vis |
212 |
206 |
$114.40 |
| 90714 |
|
13 |
13 |
$108.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,046 |
1,046 |
$102.16 |
| 1036F |
|
19,572 |
17,816 |
$59.88 |
| 81000 |
|
67 |
67 |
$40.80 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
378 |
374 |
$39.56 |
| 99401 |
|
280 |
273 |
$8.41 |
| 82947 |
|
528 |
452 |
$4.76 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,687 |
6,391 |
$0.00 |
| 3080F |
|
251 |
238 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
110 |
106 |
$0.00 |
| 3079F |
|
514 |
491 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
19,847 |
18,060 |
$0.00 |
| 3074F |
|
937 |
877 |
$0.00 |
| 3008F |
|
18,958 |
17,689 |
$0.00 |
| 3353F |
|
314 |
314 |
$0.00 |
| 3279F |
|
428 |
428 |
$0.00 |
| 1125F |
|
875 |
818 |
$0.00 |
| 3351F |
|
344 |
344 |
$0.00 |
| 3044F |
|
146 |
145 |
$0.00 |
| 3075F |
|
385 |
371 |
$0.00 |
| 36416 |
|
508 |
435 |
$0.00 |
| 3014F |
|
39 |
38 |
$0.00 |
| 3017F |
|
66 |
64 |
$0.00 |
| 99386 |
|
45 |
45 |
$0.00 |
| 0503F |
|
187 |
187 |
$0.00 |
| 3049F |
|
46 |
45 |
$0.00 |
| 1126F |
|
218 |
212 |
$0.00 |
| 1170F |
|
715 |
689 |
$0.00 |
| 99385 |
|
16 |
16 |
$0.00 |
| 3061F |
|
19 |
19 |
$0.00 |
| 4010F |
|
49 |
42 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 3352F |
|
75 |
75 |
$0.00 |
| 0500F |
|
41 |
41 |
$0.00 |
| 3048F |
|
16 |
16 |
$0.00 |
| 92228 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,344 |
6,157 |
$0.00 |
| 3077F |
|
491 |
461 |
$0.00 |
| 0521F |
|
772 |
722 |
$0.00 |
| 99080 |
|
145 |
144 |
$0.00 |
| 1160F |
|
1,810 |
1,640 |
$0.00 |
| 0502F |
|
1,693 |
1,169 |
$0.00 |
| 1159F |
|
1,708 |
1,538 |
$0.00 |
| 3280F |
|
620 |
619 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
173 |
173 |
$0.00 |
| 4120F |
|
1,348 |
1,327 |
$0.00 |
| 3725F |
|
166 |
166 |
$0.00 |
| 3078F |
|
1,034 |
964 |
$0.00 |
| 1033F |
|
220 |
215 |
$0.00 |
| 92081 |
|
560 |
556 |
$0.00 |
| 3050F |
|
80 |
79 |
$0.00 |
| 99408 |
|
25 |
25 |
$0.00 |