| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,615 |
2,197 |
$196K |
| 76820 |
|
1,966 |
807 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,430 |
906 |
$113K |
| 76818 |
|
1,176 |
411 |
$81K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
884 |
799 |
$62K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
578 |
534 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
392 |
277 |
$30K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
322 |
304 |
$26K |
| 76801 |
|
270 |
252 |
$19K |
| 59025 |
Fetal non-stress test |
1,515 |
395 |
$19K |
| 96160 |
|
1,151 |
800 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
154 |
125 |
$13K |
| 96127 |
|
654 |
374 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
38 |
$3K |
| 87653 |
|
37 |
24 |
$2K |
| 76813 |
|
24 |
24 |
$2K |
| 59430 |
|
14 |
12 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
18 |
12 |
$824.40 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
18 |
12 |
$824.40 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$790.90 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
12 |
$641.62 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
18 |
12 |
$516.96 |
| 87563 |
|
18 |
12 |
$379.08 |
| 81025 |
|
35 |
28 |
$167.13 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
246 |
208 |
$19.81 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
902 |
522 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
641 |
344 |
$0.00 |
| 4274F |
|
79 |
61 |
$0.00 |
| 3078F |
|
893 |
514 |
$0.00 |
| 3288F |
|
76 |
41 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
118 |
53 |
$0.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
39 |
27 |
$0.00 |
| 3511F |
|
53 |
26 |
$0.00 |
| 0518F |
|
76 |
41 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
13 |
12 |
$0.00 |
| 3351F |
|
615 |
354 |
$0.00 |
| 1036F |
|
681 |
353 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
112 |
65 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
893 |
514 |
$0.00 |
| 1220F |
|
326 |
198 |
$0.00 |
| 3074F |
|
885 |
510 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
771 |
453 |
$0.00 |
| 1101F |
|
75 |
40 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
15 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
64 |
61 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
65 |
61 |
$0.00 |
| 1123F |
|
30 |
15 |
$0.00 |
| 0503F |
|
13 |
12 |
$0.00 |