| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,052 |
2,486 |
$93K |
| H1000 |
Prenatal care, at-risk assessment |
1,119 |
621 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,902 |
1,312 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,149 |
1,717 |
$39K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
169 |
130 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
144 |
144 |
$11K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
187 |
67 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
64 |
$6K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
309 |
111 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
87 |
54 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
501 |
474 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
237 |
227 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
697 |
631 |
$1K |
| 90686 |
|
203 |
177 |
$718.80 |
| 99385 |
|
86 |
41 |
$592.08 |
| 81002 |
|
398 |
264 |
$274.71 |
| 2001F |
|
7,473 |
5,285 |
$265.98 |
| 81025 |
|
41 |
35 |
$92.01 |
| 3044F |
|
814 |
637 |
$89.03 |
| 85018 |
|
80 |
80 |
$41.58 |
| 3008F |
|
5,610 |
4,011 |
$0.02 |
| 3078F |
|
2,605 |
1,875 |
$0.00 |
| 99177 |
|
174 |
153 |
$0.00 |
| 1160F |
|
609 |
526 |
$0.00 |
| 3077F |
|
94 |
57 |
$0.00 |
| 1159F |
|
610 |
527 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
14 |
$0.00 |
| 3074F |
|
3,236 |
2,376 |
$0.00 |
| 1126F |
|
207 |
194 |
$0.00 |
| 1220F |
|
3,466 |
2,525 |
$0.00 |
| 4000F |
|
760 |
602 |
$0.00 |
| 3075F |
|
26 |
25 |
$0.00 |
| 1000F |
|
4,584 |
3,101 |
$0.00 |
| 3079F |
|
994 |
616 |
$0.00 |
| 2000F |
|
4,889 |
3,378 |
$0.00 |
| 92551 |
|
104 |
89 |
$0.00 |
| 3080F |
|
26 |
13 |
$0.00 |