| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,353 |
1,804 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,480 |
4,141 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,495 |
2,350 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,251 |
1,201 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
937 |
883 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
865 |
847 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
541 |
532 |
$22K |
| 87428 |
|
916 |
895 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
93 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,865 |
2,771 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,481 |
1,430 |
$6K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
520 |
502 |
$5K |
| 59430 |
|
59 |
50 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,605 |
1,475 |
$2K |
| 81025 |
|
911 |
865 |
$2K |
| 92558 |
|
1,904 |
1,873 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
79 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
160 |
150 |
$1K |
| 85018 |
|
1,064 |
1,002 |
$550.35 |
| 90474 |
|
148 |
145 |
$537.01 |
| 3074F |
|
3,829 |
3,351 |
$463.94 |
| 90681 |
|
171 |
168 |
$350.00 |
| 83655 |
|
214 |
204 |
$237.45 |
| 96160 |
|
1,479 |
1,352 |
$210.55 |
| 0502F |
|
2,259 |
1,563 |
$180.48 |
| 90686 |
|
708 |
690 |
$135.26 |
| 90674 |
|
267 |
262 |
$106.14 |
| 99173 |
|
2,360 |
2,093 |
$99.28 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20 |
16 |
$87.91 |
| 3079F |
|
513 |
454 |
$62.94 |
| 90633 |
|
202 |
193 |
$50.01 |
| 0500F |
|
83 |
68 |
$25.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
12 |
$23.19 |
| 90734 |
|
66 |
64 |
$20.00 |
| 81003 |
|
13 |
13 |
$17.34 |
| 99000 |
|
1,712 |
1,420 |
$14.70 |
| 86850 |
|
17 |
13 |
$5.88 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
17 |
16 |
$0.57 |
| 90670 |
|
509 |
495 |
$0.28 |
| 90710 |
|
161 |
155 |
$0.01 |
| 3046F |
|
116 |
113 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,497 |
1,205 |
$0.00 |
| 3078F |
|
3,191 |
2,642 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
18 |
14 |
$0.00 |
| 1160F |
|
1,028 |
904 |
$0.00 |
| 1159F |
|
977 |
851 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
366 |
324 |
$0.00 |
| 90671 |
|
111 |
111 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 81002 |
|
19 |
15 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,188 |
2,813 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
949 |
857 |
$0.00 |
| 1036F |
|
1,169 |
1,049 |
$0.00 |
| 0503F |
|
48 |
39 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
444 |
410 |
$0.00 |
| 3008F |
|
1,134 |
989 |
$0.00 |
| 90723 |
|
406 |
398 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 36416 |
|
139 |
136 |
$0.00 |
| 90647 |
|
424 |
414 |
$0.00 |
| 90651 |
|
97 |
97 |
$0.00 |
| 1126F |
|
101 |
93 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 1034F |
|
16 |
14 |
$0.00 |
| 3075F |
|
17 |
16 |
$0.00 |