| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,799 |
13,125 |
$417K |
| Z1034 |
|
4,705 |
3,073 |
$258K |
| Z1032 |
|
642 |
642 |
$96K |
| 99381 |
|
626 |
625 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,154 |
2,964 |
$63K |
| J3490 |
Unclassified drugs |
788 |
728 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
951 |
948 |
$59K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
319 |
311 |
$57K |
| Z6500 |
|
448 |
448 |
$55K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,745 |
3,068 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,353 |
1,287 |
$32K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,236 |
1,230 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,190 |
1,185 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
121 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
629 |
627 |
$16K |
| Z6406 |
|
1,392 |
1,069 |
$16K |
| 99000 |
|
8,751 |
7,846 |
$15K |
| Z6400 |
|
1,456 |
1,203 |
$15K |
| Z6204 |
|
1,308 |
1,028 |
$15K |
| 81025 |
|
5,176 |
4,956 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
113 |
$11K |
| G9920 |
Screening performed and negative |
463 |
458 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
768 |
766 |
$11K |
| A4267 |
Contraceptive supply, condom, male, each |
808 |
807 |
$9K |
| 81002 |
|
9,250 |
6,525 |
$9K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,595 |
1,412 |
$8K |
| 90670 |
|
1,028 |
1,026 |
$6K |
| 59514 |
|
28 |
26 |
$6K |
| 76813 |
|
85 |
77 |
$6K |
| 90723 |
|
555 |
555 |
$4K |
| 90648 |
|
542 |
533 |
$4K |
| 90680 |
|
560 |
560 |
$4K |
| Z6304 |
|
448 |
411 |
$4K |
| 92551 |
|
552 |
552 |
$3K |
| Z1038 |
|
55 |
55 |
$3K |
| Z6410 |
|
254 |
163 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
208 |
207 |
$3K |
| 90715 |
|
128 |
122 |
$2K |
| 90647 |
|
383 |
381 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
78 |
$2K |
| 85018 |
|
2,288 |
2,273 |
$2K |
| Z6414 |
|
120 |
115 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,325 |
1,649 |
$1K |
| 90685 |
|
185 |
185 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31 |
29 |
$1K |
| 90686 |
|
286 |
286 |
$1K |
| 92552 |
|
732 |
732 |
$1K |
| S0197 |
Prenatal vitamins, 30-day supply |
889 |
829 |
$953.04 |
| 90700 |
|
202 |
202 |
$792.00 |
| 59430 |
|
332 |
309 |
$786.20 |
| 90633 |
|
226 |
226 |
$657.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
163 |
161 |
$643.98 |
| 81000 |
|
1,389 |
1,380 |
$569.16 |
| 90688 |
|
21 |
21 |
$450.77 |
| 59425 |
|
2,374 |
1,430 |
$435.42 |
| 97803 |
|
1,777 |
1,468 |
$427.58 |
| 85014 |
|
347 |
347 |
$361.79 |
| 99215 |
Prolong outpt/office vis |
276 |
231 |
$348.45 |
| 90716 |
|
57 |
57 |
$225.00 |
| 90707 |
|
55 |
55 |
$225.00 |
| 90658 |
|
106 |
106 |
$216.00 |
| Z6208 |
|
14 |
14 |
$166.54 |
| Z6308 |
|
14 |
14 |
$105.98 |
| 3074F |
|
1,314 |
1,186 |
$20.00 |
| 99401 |
|
1,683 |
1,333 |
$16.82 |
| 96156 |
|
172 |
168 |
$13.46 |
| 3008F |
|
2,880 |
2,683 |
$10.00 |
| 99173 |
|
497 |
497 |
$9.58 |
| 90657 |
|
25 |
25 |
$9.00 |
| 90649 |
|
24 |
24 |
$9.00 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$0.00 |
| 3079F |
|
352 |
329 |
$0.00 |
| 96151 |
|
551 |
520 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
125 |
123 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
267 |
262 |
$0.00 |
| 3080F |
|
1,383 |
1,222 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$0.00 |
| 0500F |
|
26 |
26 |
$0.00 |
| 86580 |
|
44 |
44 |
$0.00 |
| 90650 |
|
13 |
13 |
$0.00 |
| 0503F |
|
73 |
69 |
$0.00 |
| 4037F |
|
20 |
20 |
$0.00 |
| 3075F |
|
65 |
63 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |
| 93000 |
|
18 |
17 |
$0.00 |
| 3078F |
|
1,141 |
1,039 |
$0.00 |
| 1159F |
|
1,178 |
1,020 |
$0.00 |
| 92081 |
|
742 |
737 |
$0.00 |
| 3077F |
|
1,484 |
1,296 |
$0.00 |
| 4120F |
|
236 |
219 |
$0.00 |
| 96152 |
|
91 |
91 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
79 |
79 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 3725F |
|
31 |
31 |
$0.00 |
| 90713 |
|
55 |
55 |
$0.00 |
| 0502F |
|
900 |
610 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$0.00 |
| 1160F |
|
32 |
30 |
$0.00 |