| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,838 |
8,254 |
$620K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,704 |
1,478 |
$433K |
| Z1034 |
|
4,007 |
2,508 |
$222K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,315 |
5,219 |
$137K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,313 |
5,217 |
$136K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
912 |
797 |
$118K |
| Z1032 |
|
616 |
616 |
$95K |
| Z6500 |
|
616 |
616 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,521 |
1,337 |
$74K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,502 |
3,381 |
$59K |
| 86780 |
|
3,501 |
3,501 |
$33K |
| Z6400 |
|
1,394 |
1,255 |
$32K |
| Z6410 |
|
2,008 |
1,565 |
$28K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,502 |
2,305 |
$21K |
| Z6204 |
|
1,168 |
972 |
$12K |
| Z6406 |
|
882 |
801 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
170 |
170 |
$10K |
| Z6304 |
|
707 |
644 |
$8K |
| 76801 |
|
168 |
168 |
$7K |
| 81025 |
|
2,070 |
1,978 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
347 |
152 |
$5K |
| 87340 |
|
498 |
498 |
$4K |
| J3490 |
Unclassified drugs |
24 |
24 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43 |
43 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
41 |
41 |
$1K |
| Z1038 |
|
20 |
12 |
$757.61 |
| Z6414 |
|
51 |
44 |
$750.94 |
| 99490 |
Ccm add 20min |
13 |
13 |
$739.44 |
| Z6208 |
|
53 |
45 |
$667.67 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261 |
246 |
$631.47 |
| 99000 |
|
187 |
187 |
$615.33 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
14 |
$277.15 |
| Z6404 |
|
16 |
14 |
$223.40 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
353 |
317 |
$0.00 |
| 97803 |
|
448 |
383 |
$0.00 |
| 99401 |
|
209 |
190 |
$0.00 |
| 99442 |
|
16 |
14 |
$0.00 |
| 96156 |
|
88 |
80 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,813 |
1,197 |
$0.00 |