| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,982 |
17,673 |
$864K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,671 |
8,587 |
$449K |
| H1000 |
Prenatal care, at-risk assessment |
6,837 |
5,704 |
$413K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,360 |
2,862 |
$315K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,497 |
5,193 |
$176K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
799 |
747 |
$92K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
973 |
868 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
535 |
508 |
$56K |
| 99460 |
|
736 |
669 |
$52K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
438 |
386 |
$21K |
| 99381 |
|
48 |
41 |
$4K |
| 99462 |
|
192 |
148 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
81 |
65 |
$4K |
| 99188 |
|
310 |
302 |
$4K |
| 76830 |
Ultrasound, transvaginal |
41 |
38 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
197 |
105 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$496.40 |
| 1036F |
|
5,070 |
4,052 |
$457.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
60 |
$228.02 |
| 90686 |
|
165 |
145 |
$142.41 |
| 1159F |
|
5,712 |
5,021 |
$104.71 |
| 3008F |
|
12,867 |
10,835 |
$1.12 |
| 3074F |
|
4,786 |
4,265 |
$0.00 |
| 3079F |
|
130 |
106 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
14 |
$0.00 |
| 1126F |
|
14 |
13 |
$0.00 |
| 3044F |
|
15 |
13 |
$0.00 |
| 1160F |
|
5,770 |
5,076 |
$0.00 |
| 3725F |
|
114 |
79 |
$0.00 |
| 3078F |
|
4,094 |
3,325 |
$0.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 3077F |
|
21 |
12 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
12 |
$0.00 |
| 99177 |
|
13 |
12 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 0518F |
|
14 |
14 |
$0.00 |