| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,788 |
10,691 |
$464K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,469 |
2,254 |
$211K |
| Z1034 |
|
3,725 |
2,382 |
$209K |
| J3490 |
Unclassified drugs |
2,638 |
2,320 |
$172K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,774 |
1,713 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,142 |
2,084 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
488 |
477 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,526 |
1,513 |
$61K |
| Z1032 |
|
288 |
288 |
$43K |
| 99381 |
|
438 |
397 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
233 |
208 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,786 |
1,607 |
$31K |
| 92552 |
|
2,158 |
2,154 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
508 |
503 |
$19K |
| 99000 |
|
6,112 |
5,476 |
$14K |
| 92551 |
|
1,128 |
1,127 |
$12K |
| 90670 |
|
1,152 |
1,139 |
$8K |
| 85018 |
|
5,436 |
5,256 |
$8K |
| 97802 |
|
1,464 |
1,463 |
$8K |
| 81025 |
|
1,599 |
1,560 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
312 |
198 |
$6K |
| 90698 |
|
828 |
821 |
$5K |
| 90744 |
|
518 |
512 |
$5K |
| 90680 |
|
683 |
678 |
$5K |
| 99173 |
|
885 |
879 |
$2K |
| 90633 |
|
237 |
237 |
$2K |
| 90700 |
|
159 |
158 |
$1K |
| 90658 |
|
211 |
210 |
$1K |
| G9920 |
Screening performed and negative |
99 |
99 |
$1K |
| 83655 |
|
43 |
43 |
$1K |
| 90716 |
|
189 |
189 |
$990.00 |
| 99460 |
|
13 |
13 |
$940.14 |
| 83026 |
|
346 |
346 |
$882.94 |
| 90707 |
|
158 |
158 |
$846.00 |
| Z6400 |
|
56 |
56 |
$841.78 |
| 90715 |
|
25 |
15 |
$822.98 |
| 96156 |
|
37 |
37 |
$764.72 |
| 99462 |
|
49 |
25 |
$762.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,213 |
1,212 |
$728.23 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
26 |
26 |
$330.72 |
| 59425 |
|
52 |
30 |
$302.40 |
| 90686 |
|
33 |
33 |
$297.00 |
| 90648 |
|
30 |
30 |
$171.00 |
| 92081 |
|
987 |
973 |
$156.31 |
| 90713 |
|
29 |
29 |
$153.00 |
| 90681 |
|
12 |
12 |
$108.00 |
| 90657 |
|
17 |
17 |
$72.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
45 |
$28.26 |
| 92553 |
|
12 |
12 |
$11.60 |
| 0502F |
|
1,938 |
1,229 |
$3.63 |
| 0501F |
|
12 |
12 |
$0.00 |
| 0503F |
|
12 |
12 |
$0.00 |
| 0500F |
|
12 |
12 |
$0.00 |
| 59430 |
|
12 |
12 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |