| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
73,844 |
54,733 |
$8.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,678 |
25,718 |
$345K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
14,360 |
9,391 |
$181K |
| 59425 |
|
6,141 |
4,079 |
$71K |
| J3490 |
Unclassified drugs |
4,843 |
3,944 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,511 |
3,615 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,470 |
2,478 |
$27K |
| 81005 |
|
24,322 |
13,989 |
$14K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,054 |
1,672 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
209 |
182 |
$7K |
| H2000 |
Comprehensive multidisciplinary evaluation |
127 |
127 |
$6K |
| 81025 |
|
6,209 |
4,826 |
$6K |
| 59430 |
|
328 |
291 |
$4K |
| 99000 |
|
15,202 |
11,184 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
454 |
302 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,238 |
772 |
$3K |
| 3074F |
|
2,254 |
1,217 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
567 |
560 |
$3K |
| 81003 |
|
15,595 |
7,512 |
$2K |
| 90715 |
|
682 |
522 |
$2K |
| 90686 |
|
1,324 |
1,069 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
66 |
66 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
846 |
661 |
$964.91 |
| 81000 |
|
2,883 |
2,101 |
$786.55 |
| 99401 |
|
157 |
147 |
$759.46 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
15 |
15 |
$692.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,272 |
867 |
$678.17 |
| 59025 |
Fetal non-stress test |
90 |
37 |
$651.39 |
| 76801 |
|
154 |
103 |
$498.45 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
25 |
$435.21 |
| 1111F |
|
2,428 |
1,292 |
$387.08 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
16 |
12 |
$366.24 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
201 |
124 |
$328.11 |
| 2001F |
|
3,511 |
1,726 |
$302.40 |
| 90656 |
|
75 |
58 |
$232.62 |
| 90648 |
|
616 |
473 |
$231.89 |
| 99381 |
|
187 |
156 |
$217.60 |
| 97803 |
|
33 |
33 |
$126.99 |
| 85018 |
|
690 |
518 |
$103.22 |
| 96156 |
|
63 |
63 |
$101.78 |
| S9452 |
Nutrition classes, non-physician provider, per session |
18 |
18 |
$92.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
269 |
264 |
$89.76 |
| 90670 |
|
628 |
486 |
$82.73 |
| 99201 |
|
28 |
20 |
$70.93 |
| 99173 |
|
95 |
87 |
$69.16 |
| 90680 |
|
534 |
419 |
$63.03 |
| 3075F |
|
45 |
25 |
$62.05 |
| 90633 |
|
67 |
41 |
$57.56 |
| 90658 |
|
16 |
16 |
$39.88 |
| 90723 |
|
576 |
453 |
$30.40 |
| 82962 |
|
505 |
264 |
$24.17 |
| 92551 |
|
125 |
108 |
$22.04 |
| 87490 |
|
46 |
46 |
$10.68 |
| 87590 |
|
46 |
46 |
$10.68 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,291 |
1,172 |
$0.00 |
| Z6304 |
|
52 |
52 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
437 |
319 |
$0.00 |
| Z6400 |
|
1,503 |
1,493 |
$0.00 |
| 3078F |
|
1,870 |
1,013 |
$0.00 |
| 88164 |
|
28 |
28 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
13 |
$0.00 |
| Z6500 |
|
119 |
119 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
50 |
$0.00 |
| Z6200 |
|
12 |
12 |
$0.00 |
| Z6300 |
|
12 |
12 |
$0.00 |
| 90707 |
|
20 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$0.00 |
| Z6410 |
|
1,324 |
978 |
$0.00 |
| 3079F |
|
429 |
237 |
$0.00 |
| Z1034 |
|
20,047 |
13,720 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,308 |
1,189 |
$0.00 |
| 3008F |
|
3,510 |
1,726 |
$0.00 |
| Z1032 |
|
717 |
713 |
$0.00 |
| Z1038 |
|
271 |
254 |
$0.00 |
| 1036F |
|
3,243 |
1,593 |
$0.00 |
| Z6406 |
|
69 |
67 |
$0.00 |
| Z6204 |
|
52 |
52 |
$0.00 |
| 90474 |
|
13 |
13 |
$0.00 |
| Z6402 |
|
12 |
12 |
$0.00 |