| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,404 |
3,026 |
$101.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,809 |
2,406 |
$0.00 |
| 1126F |
|
949 |
846 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
255 |
254 |
$0.00 |
| 1220F |
|
108 |
108 |
$0.00 |
| 81000 |
|
1,995 |
1,448 |
$0.00 |
| 92551 |
|
281 |
280 |
$0.00 |
| 99000 |
|
1,560 |
1,449 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
205 |
$0.00 |
| 96156 |
|
1,556 |
1,314 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
734 |
661 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,509 |
1,165 |
$0.00 |
| 3080F |
|
354 |
325 |
$0.00 |
| 3074F |
|
612 |
550 |
$0.00 |
| 3008F |
|
447 |
386 |
$0.00 |
| 1125F |
|
77 |
73 |
$0.00 |
| 3079F |
|
30 |
29 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
26 |
24 |
$0.00 |
| 1159F |
|
920 |
823 |
$0.00 |
| 3078F |
|
1,077 |
961 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,031 |
983 |
$0.00 |
| 99401 |
|
1,683 |
1,431 |
$0.00 |
| 97803 |
|
1,810 |
1,507 |
$0.00 |
| 1160F |
|
669 |
595 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
68 |
68 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$0.00 |
| 3077F |
|
90 |
80 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58 |
58 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
70 |
70 |
$0.00 |
| 99173 |
|
263 |
262 |
$0.00 |
| 81025 |
|
56 |
56 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
56 |
56 |
$0.00 |
| 90670 |
|
38 |
38 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
36 |
$0.00 |