| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
19,646 |
18,531 |
$1.50M |
| G9001 |
Coordinated care fee, initial rate |
13,644 |
13,477 |
$593K |
| H1000 |
Prenatal care, at-risk assessment |
1,839 |
1,827 |
$155K |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,292 |
1,286 |
$135K |
| 36416 |
|
17,013 |
15,773 |
$131K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,348 |
6,247 |
$117K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,644 |
11,456 |
$116K |
| V5008 |
Hearing screening |
9,695 |
9,626 |
$90K |
| 83655 |
|
8,652 |
6,954 |
$79K |
| 99172 |
|
7,662 |
7,616 |
$71K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
3,502 |
3,472 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
869 |
845 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,026 |
1,011 |
$52K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
616 |
612 |
$50K |
| 0012A |
|
1,220 |
1,219 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,922 |
3,885 |
$41K |
| 0011A |
|
1,338 |
1,338 |
$36K |
| 0002A |
|
1,010 |
1,010 |
$36K |
| D1206 |
Topical application of fluoride varnish |
1,558 |
1,533 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
462 |
459 |
$34K |
| 0001A |
|
1,084 |
1,079 |
$33K |
| 91322 |
|
263 |
263 |
$31K |
| 90651 |
|
1,107 |
1,098 |
$28K |
| 90632 |
|
501 |
493 |
$27K |
| D0190 |
|
1,513 |
1,490 |
$21K |
| S4993 |
Contraceptive pills for birth control |
1,272 |
1,172 |
$19K |
| 90715 |
|
1,792 |
1,771 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
301 |
297 |
$17K |
| 90716 |
|
809 |
797 |
$17K |
| 90688 |
|
2,239 |
2,228 |
$16K |
| 90480 |
|
376 |
376 |
$14K |
| 0064A |
|
341 |
341 |
$13K |
| 99600 |
Unlisted home visit service or procedure |
81 |
81 |
$11K |
| 90670 |
|
1,565 |
1,554 |
$11K |
| 90707 |
|
788 |
775 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
802 |
788 |
$10K |
| 0134A |
|
247 |
247 |
$9K |
| 90750 |
|
65 |
65 |
$8K |
| 90620 |
|
230 |
229 |
$8K |
| 90746 |
|
172 |
168 |
$8K |
| 0071A |
|
202 |
201 |
$7K |
| 0004A |
|
215 |
215 |
$7K |
| 0031A |
|
196 |
196 |
$7K |
| 90686 |
|
1,124 |
1,110 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
230 |
$6K |
| 90619 |
|
416 |
416 |
$6K |
| 0072A |
|
157 |
157 |
$6K |
| 86580 |
|
1,113 |
1,027 |
$6K |
| G9002 |
Coordinated care fee, maintenance rate |
89 |
83 |
$6K |
| 90677 |
|
208 |
208 |
$5K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
124 |
124 |
$4K |
| 99385 |
|
26 |
26 |
$3K |
| 90734 |
|
968 |
957 |
$2K |
| 81025 |
|
348 |
331 |
$2K |
| T2022 |
Case management, per month |
25 |
25 |
$2K |
| 90658 |
|
168 |
168 |
$2K |
| 90739 |
|
13 |
13 |
$1K |
| 0054A |
|
26 |
26 |
$938.25 |
| 90656 |
|
96 |
95 |
$839.08 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
112 |
$577.56 |
| 90474 |
|
129 |
127 |
$489.00 |
| 0003A |
|
12 |
12 |
$454.20 |
| 0034A |
|
13 |
13 |
$378.50 |
| 87210 |
|
51 |
50 |
$208.54 |
| 82120 |
|
52 |
51 |
$192.00 |
| 83986 |
|
51 |
50 |
$123.08 |
| 90713 |
|
55 |
55 |
$69.48 |
| A4267 |
Contraceptive supply, condom, male, each |
1,198 |
1,169 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
258 |
252 |
$0.00 |
| 91300 |
|
2,349 |
2,052 |
$0.00 |
| 90710 |
|
449 |
446 |
$0.00 |
| 90700 |
|
197 |
197 |
$0.00 |
| 90633 |
|
1,676 |
1,652 |
$0.00 |
| 90685 |
|
379 |
375 |
$0.00 |
| 90687 |
|
39 |
38 |
$0.00 |
| 91313 |
|
251 |
251 |
$0.00 |
| 91321 |
|
40 |
40 |
$0.00 |
| 91311 |
|
65 |
65 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90698 |
|
1,062 |
1,054 |
$0.00 |
| 87810 |
|
1,989 |
1,953 |
$0.00 |
| 90744 |
|
363 |
362 |
$0.00 |
| 87850 |
|
2,072 |
2,032 |
$0.00 |
| 88141 |
|
493 |
490 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
259 |
251 |
$0.00 |
| 91301 |
|
2,645 |
2,609 |
$0.00 |
| 90696 |
|
428 |
417 |
$0.00 |
| 91306 |
|
323 |
323 |
$0.00 |
| 91303 |
|
219 |
219 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
29 |
28 |
$0.00 |
| 91307 |
|
373 |
351 |
$0.00 |
| 91305 |
|
77 |
75 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |