| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,438 |
3,924 |
$150K |
| Z1034 |
|
1,799 |
1,340 |
$111K |
| 99381 |
|
1,040 |
1,009 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,278 |
3,009 |
$100K |
| 59425 |
|
2,625 |
1,875 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
708 |
662 |
$59K |
| J3490 |
Unclassified drugs |
669 |
578 |
$58K |
| Z1032 |
|
297 |
297 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
698 |
673 |
$23K |
| Z6500 |
|
145 |
145 |
$18K |
| 76801 |
|
271 |
269 |
$17K |
| 99215 |
Prolong outpt/office vis |
233 |
232 |
$16K |
| S9083 |
Global fee urgent care centers |
226 |
200 |
$12K |
| Z6410 |
|
1,274 |
917 |
$10K |
| 81025 |
|
3,456 |
3,255 |
$8K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,909 |
1,364 |
$8K |
| 92551 |
|
587 |
587 |
$6K |
| 90670 |
|
593 |
592 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
61 |
61 |
$5K |
| 99000 |
|
1,884 |
1,777 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
493 |
493 |
$5K |
| 90647 |
|
542 |
541 |
$5K |
| 99384 |
|
39 |
27 |
$5K |
| 99383 |
|
49 |
37 |
$5K |
| 90680 |
|
455 |
455 |
$4K |
| 90723 |
|
418 |
418 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
30 |
$4K |
| S0197 |
Prenatal vitamins, 30-day supply |
2,725 |
1,518 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
28 |
$3K |
| Z6400 |
|
141 |
141 |
$2K |
| 82947 |
|
903 |
826 |
$2K |
| 88141 |
|
244 |
240 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
56 |
55 |
$2K |
| 81002 |
|
1,085 |
1,000 |
$2K |
| 90677 |
|
88 |
88 |
$1K |
| 85014 |
|
742 |
678 |
$1K |
| 99401 |
|
80 |
80 |
$1K |
| 90633 |
|
126 |
126 |
$1K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
80 |
55 |
$970.20 |
| 93000 |
|
47 |
47 |
$878.13 |
| Z6200 |
|
53 |
53 |
$819.56 |
| Z6300 |
|
53 |
53 |
$819.56 |
| Z6402 |
|
53 |
53 |
$819.56 |
| 90713 |
|
81 |
81 |
$729.00 |
| 90688 |
|
44 |
44 |
$665.18 |
| Z6406 |
|
81 |
81 |
$626.85 |
| Z6304 |
|
70 |
70 |
$542.82 |
| Z6204 |
|
70 |
70 |
$542.82 |
| 85018 |
|
245 |
210 |
$525.65 |
| 90734 |
|
51 |
51 |
$459.00 |
| 90715 |
|
50 |
50 |
$450.00 |
| 90700 |
|
41 |
41 |
$369.00 |
| 0502F |
|
151 |
126 |
$350.00 |
| 90658 |
|
30 |
29 |
$346.83 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
17 |
17 |
$216.24 |
| 90651 |
|
17 |
17 |
$153.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$142.54 |
| 90710 |
|
12 |
12 |
$108.00 |
| 96127 |
|
15 |
15 |
$71.40 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 3078F |
|
23 |
23 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 3008F |
|
152 |
151 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
25 |
25 |
$0.00 |
| 3074F |
|
22 |
22 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
730 |
612 |
$0.00 |
| 2001F |
|
40 |
40 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |