| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9097 |
Home visit for wound care |
4,725 |
869 |
$310K |
| 99345 |
Prolong home eval add 15m |
3,087 |
548 |
$195K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,616 |
798 |
$90K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
3,256 |
3,151 |
$72K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
4,232 |
3,291 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
723 |
606 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
868 |
654 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,013 |
1,978 |
$22K |
| 90649 |
|
548 |
433 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,177 |
1,484 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,847 |
1,784 |
$13K |
| 0002A |
|
364 |
359 |
$12K |
| 0001A |
|
454 |
451 |
$12K |
| 90620 |
|
326 |
251 |
$11K |
| 0003A |
|
239 |
236 |
$9K |
| 90734 |
|
355 |
290 |
$9K |
| 92002 |
|
222 |
189 |
$6K |
| 90686 |
|
1,866 |
1,361 |
$6K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
41 |
41 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
53 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
78 |
74 |
$2K |
| 99442 |
|
22 |
18 |
$748.89 |
| 90473 |
|
58 |
30 |
$649.14 |
| 90633 |
|
38 |
28 |
$464.01 |
| 92015 |
Determination of refractive state |
288 |
246 |
$391.49 |
| 99215 |
Prolong outpt/office vis |
21 |
21 |
$268.50 |
| 90688 |
|
189 |
133 |
$258.00 |
| 90715 |
|
168 |
147 |
$218.07 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$190.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$188.00 |
| 90670 |
|
95 |
80 |
$132.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
237 |
221 |
$60.00 |
| 90700 |
|
27 |
27 |
$6.00 |
| 99201 |
|
28 |
28 |
$0.23 |
| 91300 |
|
1,087 |
1,027 |
$0.00 |
| 96152 |
|
159 |
146 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |
| 96150 |
|
45 |
44 |
$0.00 |
| 99443 |
|
15 |
12 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 96127 |
|
55 |
55 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
19 |
16 |
$0.00 |