| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
11,799 |
6,474 |
$723K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27,385 |
23,480 |
$565K |
| Z1032 |
|
1,862 |
1,862 |
$300K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,079 |
4,017 |
$273K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,461 |
4,398 |
$198K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,844 |
3,664 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,573 |
4,484 |
$172K |
| Z6500 |
|
1,207 |
1,207 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,903 |
3,868 |
$144K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
502 |
502 |
$124K |
| 99381 |
|
1,029 |
1,011 |
$114K |
| G9920 |
Screening performed and negative |
4,651 |
4,583 |
$81K |
| 92551 |
|
10,657 |
10,515 |
$75K |
| 76813 |
|
2,282 |
2,034 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,001 |
37,640 |
$65K |
| 76801 |
|
1,762 |
1,756 |
$50K |
| Z6410 |
|
3,585 |
2,441 |
$48K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,694 |
1,688 |
$45K |
| Z6400 |
|
2,576 |
2,336 |
$39K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
212 |
212 |
$31K |
| 90686 |
|
4,386 |
4,365 |
$29K |
| 90670 |
|
3,032 |
3,002 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
182 |
172 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,149 |
3,145 |
$21K |
| 90698 |
|
2,495 |
2,477 |
$20K |
| G9919 |
Screening performed and positive and provision of recommendations |
1,298 |
1,293 |
$19K |
| 99000 |
|
5,332 |
5,042 |
$18K |
| 90680 |
|
2,122 |
2,111 |
$17K |
| 90651 |
|
2,302 |
2,293 |
$17K |
| 81000 |
|
9,528 |
9,405 |
$17K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,489 |
1,170 |
$16K |
| 90715 |
|
1,177 |
1,055 |
$14K |
| Z6406 |
|
1,187 |
981 |
$14K |
| 99384 |
|
157 |
157 |
$14K |
| 90633 |
|
1,730 |
1,714 |
$13K |
| 90734 |
|
1,873 |
1,853 |
$12K |
| 92552 |
|
1,069 |
1,067 |
$11K |
| Z6204 |
|
928 |
787 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
219 |
214 |
$10K |
| 99383 |
|
103 |
103 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,171 |
1,161 |
$10K |
| 85018 |
|
5,709 |
5,562 |
$9K |
| 81025 |
|
1,461 |
1,405 |
$9K |
| 90744 |
|
1,063 |
1,057 |
$8K |
| Z6412 |
|
385 |
295 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
541 |
535 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,356 |
2,338 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,579 |
44,576 |
$5K |
| 90688 |
|
742 |
737 |
$5K |
| 90671 |
|
614 |
608 |
$4K |
| 90621 |
|
632 |
630 |
$4K |
| Z6304 |
|
493 |
469 |
$4K |
| Z1038 |
|
69 |
69 |
$4K |
| 90697 |
|
364 |
352 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
117 |
117 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
126 |
124 |
$3K |
| 90710 |
|
339 |
334 |
$3K |
| 90716 |
|
255 |
255 |
$2K |
| Z6208 |
|
209 |
184 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
151 |
149 |
$2K |
| 99382 |
|
17 |
17 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
166 |
166 |
$2K |
| 81003 |
|
652 |
652 |
$1K |
| Z6414 |
|
158 |
142 |
$1K |
| 93000 |
|
89 |
89 |
$1K |
| Z6308 |
|
151 |
138 |
$1K |
| 90620 |
|
147 |
140 |
$1K |
| 90696 |
|
148 |
144 |
$1K |
| 90649 |
|
223 |
204 |
$909.00 |
| 83026 |
|
312 |
312 |
$774.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
910 |
886 |
$767.35 |
| 90707 |
|
85 |
84 |
$704.70 |
| 99173 |
|
277 |
277 |
$703.16 |
| 90743 |
|
71 |
71 |
$639.00 |
| 99385 |
|
90 |
90 |
$593.03 |
| Z6402 |
|
35 |
35 |
$521.90 |
| Z6200 |
|
35 |
35 |
$521.90 |
| Z6300 |
|
35 |
35 |
$521.90 |
| 90662 |
|
17 |
16 |
$516.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
64 |
64 |
$475.00 |
| 86580 |
|
124 |
119 |
$331.62 |
| 90677 |
|
65 |
65 |
$324.00 |
| 90619 |
|
52 |
52 |
$306.00 |
| 90732 |
|
13 |
13 |
$296.52 |
| 90700 |
|
24 |
24 |
$229.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
192 |
192 |
$210.00 |
| 99386 |
|
92 |
92 |
$187.38 |
| 90647 |
|
12 |
12 |
$108.00 |
| 3015F |
|
779 |
767 |
$95.00 |
| 59430 |
|
12 |
12 |
$60.48 |
| 96127 |
|
195 |
195 |
$57.72 |
| 92081 |
|
2,382 |
2,380 |
$47.60 |
| 3008F |
|
14,654 |
13,112 |
$37.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,348 |
3,342 |
$36.66 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
46 |
46 |
$30.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,528 |
1,522 |
$14.85 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
343 |
343 |
$0.09 |
| 3074F |
|
684 |
664 |
$0.00 |
| 36410 |
|
182 |
182 |
$0.00 |
| 1170F |
|
35 |
35 |
$0.00 |
| 3079F |
|
216 |
213 |
$0.00 |
| 3075F |
|
163 |
158 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
37 |
37 |
$0.00 |
| 3044F |
|
95 |
94 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
14 |
14 |
$0.00 |
| 36406 |
|
14 |
14 |
$0.00 |
| 1126F |
|
33 |
33 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
889 |
888 |
$0.00 |
| 3078F |
|
778 |
750 |
$0.00 |
| 90658 |
|
45 |
45 |
$0.00 |
| 81002 |
|
99 |
99 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
129 |
$0.00 |
| 59425 |
|
985 |
488 |
$0.00 |
| 1159F |
|
59 |
59 |
$0.00 |
| 59510 |
|
13 |
13 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |