| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
14,224 |
14,150 |
$902K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,370 |
17,918 |
$726K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,782 |
4,857 |
$468K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,264 |
7,901 |
$407K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,191 |
2,630 |
$391K |
| Z1034 |
|
6,524 |
4,303 |
$370K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
480 |
480 |
$287K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,375 |
5,363 |
$249K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,020 |
4,941 |
$234K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,064 |
4,057 |
$221K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,280 |
5,257 |
$205K |
| Z1032 |
|
1,235 |
1,235 |
$195K |
| 99381 |
|
1,535 |
1,509 |
$172K |
| 92551 |
|
13,338 |
13,264 |
$134K |
| 59514 |
|
174 |
174 |
$100K |
| Z6500 |
|
738 |
738 |
$91K |
| 59425 |
|
1,169 |
786 |
$75K |
| 76801 |
|
976 |
968 |
$74K |
| G9920 |
Screening performed and negative |
4,991 |
4,965 |
$68K |
| 76813 |
|
600 |
460 |
$59K |
| H1000 |
Prenatal care, at-risk assessment |
264 |
264 |
$42K |
| 99215 |
Prolong outpt/office vis |
361 |
361 |
$37K |
| 96151 |
|
1,674 |
1,652 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,442 |
3,212 |
$33K |
| 85018 |
|
17,546 |
17,351 |
$32K |
| 59430 |
|
285 |
285 |
$30K |
| 90670 |
|
3,242 |
3,205 |
$30K |
| 81000 |
|
13,262 |
13,134 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,125 |
1,106 |
$23K |
| 90697 |
|
552 |
550 |
$20K |
| 90698 |
|
2,176 |
2,152 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
244 |
241 |
$19K |
| Z6400 |
|
1,377 |
1,375 |
$17K |
| 90651 |
|
1,122 |
1,122 |
$16K |
| 90688 |
|
1,810 |
1,802 |
$16K |
| 90633 |
|
1,998 |
1,990 |
$15K |
| 99000 |
|
4,142 |
3,588 |
$15K |
| 90744 |
|
1,542 |
1,525 |
$14K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
96 |
96 |
$12K |
| 92499 |
|
7,742 |
7,708 |
$11K |
| 90734 |
|
1,044 |
1,043 |
$10K |
| 90716 |
|
942 |
939 |
$8K |
| 90680 |
|
720 |
700 |
$8K |
| 90710 |
|
728 |
727 |
$7K |
| 90620 |
|
674 |
674 |
$7K |
| 90700 |
|
647 |
646 |
$6K |
| 90715 |
|
668 |
668 |
$6K |
| 90707 |
|
653 |
651 |
$6K |
| 90696 |
|
694 |
694 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
64 |
63 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
413 |
408 |
$5K |
| 99383 |
|
44 |
44 |
$5K |
| 90648 |
|
497 |
495 |
$4K |
| 90630 |
|
342 |
342 |
$4K |
| 90681 |
|
440 |
440 |
$4K |
| 99384 |
|
26 |
26 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| 90686 |
|
624 |
624 |
$3K |
| 86580 |
|
675 |
650 |
$3K |
| Z1038 |
|
48 |
48 |
$3K |
| 96150 |
|
110 |
105 |
$3K |
| 85999 |
|
973 |
959 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
289 |
$2K |
| 99173 |
|
835 |
827 |
$2K |
| 99401 |
|
202 |
198 |
$2K |
| 97803 |
|
193 |
190 |
$2K |
| 90671 |
|
252 |
252 |
$1K |
| Z6406 |
|
166 |
166 |
$1K |
| Z6204 |
|
165 |
165 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$1K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
12 |
12 |
$1K |
| Z6304 |
|
152 |
152 |
$1K |
| 90677 |
|
263 |
263 |
$756.00 |
| 90685 |
|
78 |
78 |
$718.54 |
| 90655 |
|
80 |
80 |
$713.60 |
| 0002A |
|
15 |
15 |
$600.00 |
| 99382 |
|
13 |
13 |
$535.04 |
| 90658 |
|
54 |
54 |
$486.00 |
| 99188 |
|
14 |
14 |
$380.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$366.94 |
| 90713 |
|
36 |
36 |
$324.00 |
| Z6200 |
|
12 |
12 |
$183.31 |
| Z6402 |
|
12 |
12 |
$183.31 |
| 90656 |
|
16 |
16 |
$174.46 |
| 81002 |
|
54 |
52 |
$80.30 |
| 81001 |
|
222 |
219 |
$2.87 |