| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,596 |
2,777 |
$558K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,323 |
4,366 |
$418K |
| Z1034 |
|
6,145 |
4,872 |
$337K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,114 |
4,285 |
$309K |
| J3490 |
Unclassified drugs |
2,655 |
2,209 |
$284K |
| Z1032 |
|
1,306 |
1,306 |
$204K |
| Z6500 |
|
1,445 |
1,445 |
$179K |
| 99402 |
|
3,844 |
3,769 |
$122K |
| 99381 |
|
905 |
835 |
$89K |
| A4267 |
Contraceptive supply, condom, male, each |
7,653 |
7,647 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
740 |
661 |
$62K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
125 |
125 |
$61K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,001 |
1,001 |
$57K |
| Z6400 |
|
2,544 |
2,433 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
449 |
406 |
$39K |
| Z6406 |
|
2,215 |
2,048 |
$37K |
| Z6204 |
|
2,383 |
2,172 |
$35K |
| 99401 |
|
1,754 |
1,743 |
$32K |
| 99384 |
|
258 |
232 |
$32K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,490 |
2,490 |
$32K |
| 99383 |
|
284 |
241 |
$31K |
| Z6410 |
|
1,299 |
1,076 |
$29K |
| Z6412 |
|
1,222 |
1,167 |
$17K |
| 92551 |
|
1,426 |
1,426 |
$16K |
| 81025 |
|
5,124 |
4,939 |
$15K |
| Z1038 |
|
250 |
250 |
$14K |
| Z6304 |
|
1,474 |
1,319 |
$13K |
| 99382 |
|
111 |
97 |
$13K |
| Z6202 |
|
1,132 |
1,107 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
115 |
$11K |
| Z6404 |
|
1,115 |
1,088 |
$11K |
| G9920 |
Screening performed and negative |
352 |
335 |
$10K |
| 90744 |
|
1,029 |
1,028 |
$9K |
| 90713 |
|
926 |
925 |
$8K |
| Z6208 |
|
339 |
339 |
$7K |
| Z6414 |
|
342 |
342 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
45 |
$6K |
| 90716 |
|
674 |
674 |
$6K |
| S0197 |
Prenatal vitamins, 30-day supply |
3,939 |
2,413 |
$6K |
| 90633 |
|
648 |
648 |
$6K |
| 90700 |
|
635 |
634 |
$6K |
| 90707 |
|
555 |
555 |
$5K |
| 90670 |
|
489 |
488 |
$4K |
| 90648 |
|
482 |
481 |
$4K |
| 90651 |
|
460 |
459 |
$4K |
| 96150 |
|
202 |
202 |
$4K |
| 85018 |
|
2,067 |
2,022 |
$3K |
| 81000 |
|
1,304 |
1,282 |
$3K |
| 90686 |
|
290 |
290 |
$3K |
| 90734 |
|
241 |
241 |
$2K |
| Z6302 |
|
212 |
210 |
$2K |
| 90715 |
|
185 |
185 |
$2K |
| 90680 |
|
186 |
185 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
28 |
28 |
$1K |
| 81002 |
|
622 |
618 |
$1K |
| 86580 |
|
271 |
271 |
$901.59 |
| 90714 |
|
97 |
97 |
$873.00 |
| Z6308 |
|
82 |
82 |
$683.58 |
| 99000 |
|
128 |
127 |
$452.34 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
23 |
$369.00 |
| 90685 |
|
29 |
29 |
$261.00 |
| 90698 |
|
16 |
16 |
$144.00 |
| 83655 |
|
13 |
13 |
$107.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
77 |
77 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
77 |
77 |
$0.00 |
| 97802 |
|
77 |
77 |
$0.00 |
| 85032 |
|
68 |
68 |
$0.00 |
| 99172 |
|
30 |
30 |
$0.00 |