| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
20,734 |
12,905 |
$1.19M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
2,114 |
2,098 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,208 |
54,161 |
$594K |
| Z1034 |
|
4,934 |
3,193 |
$278K |
| 99215 |
Prolong outpt/office vis |
2,297 |
2,253 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,304 |
8,639 |
$236K |
| 76813 |
|
1,930 |
1,779 |
$196K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,865 |
1,843 |
$167K |
| 59430 |
|
3,240 |
2,390 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,604 |
4,518 |
$159K |
| 97802 |
|
8,657 |
8,565 |
$136K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,501 |
1,328 |
$131K |
| 92551 |
|
11,652 |
11,565 |
$118K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,784 |
1,744 |
$114K |
| 59514 |
|
260 |
226 |
$111K |
| Z1032 |
|
781 |
781 |
$109K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
5,839 |
5,822 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,260 |
1,208 |
$89K |
| 76830 |
Ultrasound, transvaginal |
1,367 |
1,337 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,082 |
8,693 |
$80K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
545 |
470 |
$77K |
| 99381 |
|
957 |
936 |
$58K |
| J3490 |
Unclassified drugs |
668 |
660 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,601 |
6,514 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,120 |
1,089 |
$44K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
462 |
448 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,919 |
1,886 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,649 |
4,549 |
$34K |
| G9920 |
Screening performed and negative |
9,162 |
9,152 |
$31K |
| 90715 |
|
1,117 |
1,101 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,366 |
3,248 |
$29K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,013 |
4,908 |
$23K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,654 |
1,602 |
$22K |
| 90670 |
|
4,398 |
4,363 |
$22K |
| 58300 |
|
266 |
131 |
$21K |
| 90698 |
|
3,360 |
3,333 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,812 |
4,774 |
$18K |
| 76801 |
|
241 |
218 |
$17K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
14 |
14 |
$17K |
| 90744 |
|
2,461 |
2,440 |
$14K |
| 88141 |
|
1,184 |
1,095 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
504 |
500 |
$13K |
| 90681 |
|
1,924 |
1,904 |
$13K |
| 99460 |
|
225 |
224 |
$11K |
| 90658 |
|
1,206 |
1,205 |
$11K |
| 81025 |
|
4,253 |
4,128 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
175 |
173 |
$9K |
| 90633 |
|
2,413 |
2,400 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,075 |
2,071 |
$7K |
| 90710 |
|
2,099 |
2,091 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
408 |
395 |
$6K |
| 99463 |
|
60 |
59 |
$5K |
| 90677 |
|
410 |
410 |
$4K |
| 11981 |
|
53 |
26 |
$3K |
| 99385 |
|
31 |
24 |
$3K |
| 0500F |
|
136 |
133 |
$2K |
| 99406 |
|
756 |
747 |
$2K |
| 90696 |
|
753 |
752 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
510 |
503 |
$2K |
| 3351F |
|
526 |
512 |
$2K |
| Z6500 |
|
15 |
15 |
$2K |
| 87110 |
|
316 |
315 |
$2K |
| 90655 |
|
200 |
200 |
$2K |
| 99401 |
|
94 |
85 |
$2K |
| 87430 |
|
252 |
243 |
$2K |
| 99462 |
|
60 |
57 |
$2K |
| 90700 |
|
549 |
544 |
$2K |
| 90697 |
|
422 |
419 |
$1K |
| Z1038 |
|
32 |
25 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
156 |
155 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,592 |
3,555 |
$1K |
| Z6400 |
|
54 |
54 |
$1K |
| 90648 |
|
276 |
275 |
$1K |
| 81002 |
|
1,065 |
1,039 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,253 |
2,214 |
$1K |
| 99382 |
|
25 |
25 |
$1K |
| 90734 |
|
267 |
265 |
$965.34 |
| 90649 |
|
106 |
104 |
$900.00 |
| 99234 |
|
12 |
12 |
$887.48 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
39 |
32 |
$840.99 |
| 11976 |
|
24 |
14 |
$825.36 |
| 99383 |
|
17 |
13 |
$654.16 |
| 90651 |
|
702 |
701 |
$538.09 |
| 90686 |
|
911 |
910 |
$440.19 |
| 58301 |
|
23 |
12 |
$406.94 |
| 83655 |
|
956 |
956 |
$405.85 |
| 97803 |
|
17 |
16 |
$374.70 |
| 96151 |
|
17 |
16 |
$374.70 |
| 90660 |
|
31 |
31 |
$279.00 |
| 99188 |
|
176 |
176 |
$249.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
429 |
412 |
$241.57 |
| 90621 |
|
42 |
42 |
$208.68 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
1,011 |
1,009 |
$148.92 |
| 90680 |
|
32 |
32 |
$135.00 |
| 90688 |
|
509 |
509 |
$134.73 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,719 |
1,717 |
$102.90 |
| 85018 |
|
999 |
999 |
$84.05 |
| 90685 |
|
37 |
37 |
$35.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
215 |
$33.18 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
95 |
95 |
$0.00 |
| 3077F |
|
27 |
26 |
$0.00 |
| 99408 |
|
14 |
14 |
$0.00 |
| 3051F |
|
34 |
34 |
$0.00 |
| 3078F |
|
123 |
121 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
177 |
170 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 1036F |
|
11,570 |
11,324 |
$0.00 |
| 99172 |
|
1,118 |
1,112 |
$0.00 |
| 3008F |
|
2,077 |
2,071 |
$0.00 |
| 3044F |
|
148 |
147 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
223 |
223 |
$0.00 |
| 3079F |
|
119 |
114 |
$0.00 |
| 3074F |
|
152 |
148 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
12 |
12 |
$0.00 |
| 3353F |
|
13 |
13 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |