| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0521 |
|
11,368 |
4,982 |
$823K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,690 |
4,482 |
$564K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,697 |
1,645 |
$341K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,742 |
2,628 |
$249K |
| J3490 |
Unclassified drugs |
2,703 |
2,353 |
$178K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
778 |
769 |
$141K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,463 |
1,422 |
$137K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
289 |
265 |
$101K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
289 |
289 |
$87K |
| D9430 |
|
2,220 |
2,217 |
$71K |
| G9012 |
Other specified case management service not elsewhere classified |
168 |
159 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,127 |
1,126 |
$23K |
| 99205 |
Prolong outpt/office vis |
116 |
110 |
$20K |
| 99188 |
|
948 |
902 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
604 |
458 |
$15K |
| S4993 |
Contraceptive pills for birth control |
1,520 |
1,496 |
$14K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,043 |
1,043 |
$13K |
| 81025 |
|
2,732 |
2,653 |
$9K |
| J7304 |
Contraceptive supply, hormone containing patch, each |
26 |
26 |
$8K |
| 99354 |
|
114 |
109 |
$7K |
| 99402 |
|
156 |
149 |
$5K |
| 97535 |
Self-care/home management training, each 15 minutes |
77 |
39 |
$5K |
| S9443 |
Lactation classes, non-physician provider, per session |
73 |
65 |
$5K |
| 86701 |
|
328 |
327 |
$2K |
| 90480 |
|
58 |
58 |
$2K |
| A4267 |
Contraceptive supply, condom, male, each |
1,110 |
1,094 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
158 |
155 |
$2K |
| 99201 |
|
13 |
13 |
$2K |
| 90651 |
|
12 |
12 |
$2K |
| 11976 |
|
27 |
15 |
$1K |
| 91320 |
|
13 |
13 |
$1K |
| S5000 |
Prescription drug, generic |
209 |
202 |
$1K |
| 91322 |
|
12 |
12 |
$774.00 |
| 90686 |
|
71 |
68 |
$759.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
96 |
$716.89 |
| 90716 |
|
29 |
29 |
$614.82 |
| 58301 |
|
22 |
12 |
$590.04 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
175 |
172 |
$546.09 |
| 90710 |
|
46 |
46 |
$518.15 |
| D1120 |
Prophylaxis - child |
17 |
17 |
$510.00 |
| 90715 |
|
31 |
31 |
$458.82 |
| 86580 |
|
54 |
51 |
$448.72 |
| 90696 |
|
38 |
38 |
$420.66 |
| 90656 |
|
34 |
34 |
$418.54 |
| 87210 |
|
63 |
61 |
$241.46 |
| 81002 |
|
91 |
87 |
$151.63 |
| 0124A |
|
12 |
12 |
$120.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
59 |
58 |
$55.63 |