| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153,489 |
136,573 |
$10.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112,495 |
101,754 |
$5.47M |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
27,135 |
25,752 |
$1.81M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
27,325 |
9,844 |
$1.46M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
23,663 |
8,405 |
$1.17M |
| 99337 |
|
14,722 |
13,857 |
$1.17M |
| X5622 |
|
12,376 |
11,603 |
$1.01M |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
34,007 |
32,266 |
$891K |
| 99215 |
Prolong outpt/office vis |
8,423 |
7,868 |
$714K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,056 |
8,810 |
$593K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,909 |
4,730 |
$515K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,910 |
17,336 |
$493K |
| 90836 |
|
5,966 |
5,786 |
$475K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,388 |
7,125 |
$464K |
| 99350 |
Prolong home eval add 15m |
4,668 |
4,532 |
$459K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,399 |
9,054 |
$449K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,383 |
3,307 |
$399K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,560 |
6,352 |
$381K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,431 |
7,058 |
$366K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,914 |
5,788 |
$363K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,152 |
5,006 |
$354K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
391 |
331 |
$320K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
7,009 |
5,025 |
$304K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
8,823 |
8,593 |
$292K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,999 |
2,919 |
$243K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,265 |
3,187 |
$243K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,693 |
1,664 |
$231K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,125 |
3,102 |
$228K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
8,050 |
4,153 |
$225K |
| 36415 |
Collection of venous blood by venipuncture |
75,948 |
66,681 |
$219K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,359 |
3,269 |
$218K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,588 |
3,821 |
$208K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,226 |
2,164 |
$205K |
| 99310 |
Prolong nursin fac eval 15m |
2,112 |
1,949 |
$169K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,598 |
12,129 |
$168K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,923 |
3,807 |
$167K |
| 99243 |
|
2,139 |
2,091 |
$162K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,188 |
2,791 |
$147K |
| 17110 |
|
2,291 |
1,782 |
$147K |
| 80053 |
Comprehensive metabolic panel |
20,410 |
19,072 |
$146K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,483 |
3,327 |
$128K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,219 |
4,066 |
$126K |
| 84443 |
Thyroid stimulating hormone (TSH) |
10,980 |
10,641 |
$125K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,391 |
1,364 |
$124K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,553 |
2,670 |
$124K |
| 99349 |
|
1,938 |
1,866 |
$123K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,640 |
1,557 |
$123K |
| 90461 |
|
8,983 |
8,702 |
$122K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,064 |
3,915 |
$122K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,268 |
2,043 |
$115K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,423 |
3,354 |
$114K |
| 97535 |
Self-care/home management training, each 15 minutes |
4,732 |
3,221 |
$109K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,239 |
9,548 |
$109K |
| 80061 |
Lipid panel |
13,196 |
12,911 |
$107K |
| 90791 |
Psychiatric diagnostic evaluation |
981 |
949 |
$100K |
| 71046 |
Radiologic examination, chest; 2 views |
5,306 |
5,096 |
$96K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,081 |
16,924 |
$93K |
| 92551 |
|
16,175 |
15,751 |
$87K |
| 92015 |
Determination of refractive state |
7,140 |
6,983 |
$83K |
| 87480 |
|
4,864 |
4,529 |
$82K |
| 87510 |
|
4,865 |
4,529 |
$82K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13,358 |
13,090 |
$82K |
| 85027 |
|
18,002 |
16,927 |
$81K |
| 87660 |
|
4,678 |
4,380 |
$81K |
| 96127 |
|
18,725 |
12,715 |
$78K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,466 |
2,447 |
$75K |
| 99242 |
|
1,440 |
1,397 |
$73K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,005 |
1,534 |
$68K |
| 99336 |
|
1,076 |
1,033 |
$66K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
881 |
802 |
$65K |
| 87088 |
|
10,533 |
9,769 |
$62K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,121 |
10,243 |
$60K |
| 90686 |
|
12,014 |
11,719 |
$60K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,628 |
2,553 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,242 |
7,840 |
$55K |
| 99335 |
|
1,382 |
1,300 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,566 |
4,300 |
$54K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
830 |
815 |
$51K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
414 |
392 |
$51K |
| 76830 |
Ultrasound, transvaginal |
679 |
664 |
$50K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,466 |
5,495 |
$50K |
| 64405 |
|
1,289 |
1,108 |
$47K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
732 |
707 |
$46K |
| 82728 |
|
3,340 |
3,253 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,580 |
1,484 |
$36K |
| 99188 |
|
14,381 |
14,031 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,394 |
1,379 |
$36K |
| 90651 |
|
2,152 |
2,077 |
$35K |
| 99495 |
|
480 |
446 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
195 |
186 |
$34K |
| 97803 |
|
668 |
476 |
$34K |
| 90715 |
|
2,503 |
2,402 |
$33K |
| 81001 |
|
14,467 |
13,434 |
$32K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,552 |
1,506 |
$32K |
| 99490 |
Ccm add 20min |
2,152 |
1,993 |
$29K |
| 97597 |
|
597 |
381 |
$28K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
702 |
490 |
$28K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
233 |
220 |
$27K |
| 84703 |
|
4,157 |
3,870 |
$26K |
| 99402 |
|
522 |
286 |
$26K |
| 85610 |
|
9,412 |
4,651 |
$26K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
127 |
125 |
$24K |
| 87081 |
|
3,439 |
3,324 |
$23K |
| 93793 |
|
3,082 |
1,718 |
$21K |
| 82607 |
|
1,895 |
1,847 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,515 |
1,470 |
$20K |
| 74018 |
|
1,134 |
1,084 |
$20K |
| 83655 |
|
1,281 |
1,237 |
$19K |
| 87077 |
|
3,259 |
2,807 |
$19K |
| 27096 |
|
272 |
267 |
$18K |
| 95251 |
|
985 |
954 |
$18K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
259 |
229 |
$17K |
| V5266 |
Battery for use in hearing device |
698 |
676 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
168 |
167 |
$16K |
| 93000 |
|
1,958 |
1,863 |
$16K |
| 73630 |
|
847 |
738 |
$15K |
| 99401 |
|
513 |
240 |
$15K |
| 20553 |
|
961 |
860 |
$14K |
| 83550 |
|
1,954 |
1,900 |
$14K |
| 99173 |
|
15,191 |
14,776 |
$14K |
| 99152 |
|
1,699 |
1,492 |
$13K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
136 |
133 |
$12K |
| 90670 |
|
5,310 |
5,151 |
$12K |
| 84439 |
|
1,588 |
1,534 |
$11K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
127 |
117 |
$11K |
| 97161 |
|
174 |
171 |
$11K |
| 83540 |
|
2,018 |
1,960 |
$11K |
| 99245 |
|
45 |
44 |
$11K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
79 |
78 |
$10K |
| 92567 |
|
1,202 |
1,159 |
$10K |
| 97802 |
|
149 |
135 |
$10K |
| 0001A |
|
355 |
348 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
169 |
138 |
$9K |
| 84702 |
|
678 |
480 |
$9K |
| 0352U |
|
69 |
66 |
$9K |
| 90662 |
|
262 |
257 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
819 |
791 |
$8K |
| 64635 |
|
67 |
54 |
$8K |
| 97533 |
|
244 |
113 |
$8K |
| 99454 |
|
225 |
222 |
$8K |
| 0071A |
|
214 |
192 |
$7K |
| 0002A |
|
243 |
240 |
$7K |
| 86140 |
|
1,623 |
1,531 |
$7K |
| 99457 |
|
217 |
214 |
$7K |
| 99174 |
|
2,223 |
2,166 |
$7K |
| 0072A |
|
166 |
163 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
105 |
66 |
$6K |
| 92523 |
|
60 |
58 |
$6K |
| 99381 |
|
594 |
587 |
$6K |
| 82570 |
|
1,637 |
1,555 |
$6K |
| 62321 |
|
106 |
100 |
$6K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
70 |
50 |
$6K |
| 76642 |
|
115 |
95 |
$6K |
| 62323 |
|
112 |
106 |
$6K |
| J9035 |
Injection, bevacizumab, 10 mg |
104 |
97 |
$6K |
| 87807 |
|
457 |
439 |
$5K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
969 |
919 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
29 |
28 |
$5K |
| 90734 |
|
1,431 |
1,375 |
$5K |
| 83970 |
|
173 |
170 |
$5K |
| 85018 |
|
2,355 |
2,285 |
$4K |
| 87340 |
|
509 |
500 |
$4K |
| 96160 |
|
2,432 |
2,311 |
$4K |
| 95886 |
|
40 |
39 |
$4K |
| 84156 |
|
1,373 |
1,330 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
96 |
81 |
$4K |
| 64450 |
|
132 |
116 |
$4K |
| 87186 |
|
1,103 |
936 |
$4K |
| 90785 |
|
322 |
245 |
$4K |
| 86592 |
|
927 |
910 |
$4K |
| 64636 |
|
67 |
54 |
$3K |
| 99417 |
Prolong home eval add 15m |
67 |
66 |
$3K |
| 99334 |
|
82 |
77 |
$3K |
| 86780 |
|
336 |
327 |
$3K |
| 92134 |
|
139 |
133 |
$3K |
| 0004A |
|
102 |
94 |
$3K |
| 64615 |
|
39 |
38 |
$3K |
| 85651 |
|
937 |
900 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
1,084 |
1,057 |
$3K |
| 92557 |
|
162 |
157 |
$3K |
| 97165 |
|
56 |
55 |
$3K |
| 83735 |
|
549 |
513 |
$3K |
| 84153 |
|
218 |
208 |
$3K |
| 90621 |
|
216 |
204 |
$3K |
| 92250 |
|
133 |
125 |
$3K |
| 92341 |
|
86 |
83 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
41 |
40 |
$3K |
| 82746 |
|
250 |
242 |
$2K |
| 90716 |
|
675 |
655 |
$2K |
| 36416 |
|
1,298 |
1,087 |
$2K |
| 97162 |
|
64 |
60 |
$2K |
| 77002 |
|
141 |
125 |
$2K |
| 87653 |
|
63 |
63 |
$2K |
| 0064A |
|
103 |
97 |
$2K |
| 95117 |
|
241 |
115 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
38 |
13 |
$2K |
| 92593 |
|
81 |
75 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
135 |
102 |
$2K |
| 99348 |
|
49 |
47 |
$2K |
| 86803 |
|
121 |
121 |
$2K |
| 90838 |
|
14 |
14 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
14 |
$2K |
| 86850 |
|
237 |
230 |
$2K |
| 73610 |
|
77 |
70 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
79 |
$2K |
| 80050 |
General health panel |
86 |
86 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
45 |
37 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
52 |
36 |
$1K |
| 94010 |
|
151 |
136 |
$1K |
| 99439 |
|
71 |
65 |
$1K |
| V2020 |
Frames, purchases |
44 |
40 |
$1K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
13 |
12 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 73564 |
|
44 |
38 |
$1K |
| 90656 |
|
441 |
439 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
30 |
12 |
$1K |
| 90473 |
|
72 |
72 |
$1K |
| 84450 |
|
356 |
340 |
$1K |
| 90707 |
|
519 |
508 |
$986.24 |
| 83690 |
|
174 |
168 |
$973.10 |
| 11100 |
|
205 |
193 |
$958.63 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
133 |
125 |
$942.24 |
| 64493 |
|
12 |
12 |
$908.67 |
| 84100 |
|
291 |
285 |
$898.72 |
| 90677 |
|
270 |
261 |
$886.86 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
51 |
49 |
$885.30 |
| 86762 |
|
94 |
93 |
$825.84 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$799.81 |
| 11102 |
|
13 |
13 |
$794.70 |
| 92504 |
|
52 |
52 |
$775.48 |
| 64490 |
|
13 |
12 |
$763.19 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
27 |
13 |
$702.27 |
| 82565 |
|
166 |
161 |
$688.57 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
88 |
87 |
$654.84 |
| 73130 |
|
26 |
25 |
$605.68 |
| 84460 |
|
146 |
142 |
$590.76 |
| 85007 |
|
194 |
180 |
$586.71 |
| 69209 |
|
111 |
104 |
$586.43 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
21 |
15 |
$580.00 |
| 90698 |
|
4,690 |
4,556 |
$567.98 |
| 86901 |
|
247 |
241 |
$553.50 |
| 82950 |
|
120 |
119 |
$553.33 |
| 90680 |
|
3,338 |
3,259 |
$534.33 |
| 0054A |
|
13 |
13 |
$519.68 |
| 82947 |
|
138 |
134 |
$505.11 |
| 0012A |
|
73 |
73 |
$492.73 |
| 0134A |
|
26 |
24 |
$489.25 |
| 86900 |
|
210 |
204 |
$481.72 |
| 0124A |
|
12 |
12 |
$477.97 |
| 99459 |
|
109 |
104 |
$477.09 |
| 84550 |
|
162 |
160 |
$476.96 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
239 |
219 |
$476.38 |
| 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 |
58 |
53 |
$422.72 |
| 69210 |
|
13 |
12 |
$414.15 |
| 0011A |
|
62 |
62 |
$413.02 |
| 87797 |
|
162 |
126 |
$390.00 |
| 90672 |
|
560 |
545 |
$336.91 |
| 95874 |
|
17 |
14 |
$336.77 |
| 73110 |
|
14 |
14 |
$330.58 |
| 97116 |
|
17 |
12 |
$312.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
117 |
83 |
$274.77 |
| 84132 |
|
54 |
54 |
$270.75 |
| 73030 |
|
14 |
13 |
$266.22 |
| 82310 |
|
51 |
51 |
$253.25 |
| 84295 |
|
48 |
48 |
$236.56 |
| 90480 |
|
18 |
13 |
$234.78 |
| 90633 |
|
2,622 |
2,532 |
$231.98 |
| 82374 |
|
46 |
45 |
$229.66 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
26 |
25 |
$226.03 |
| 90710 |
|
641 |
628 |
$222.08 |
| 82435 |
|
44 |
44 |
$206.96 |
| 82040 |
|
37 |
37 |
$180.94 |
| 84075 |
|
30 |
30 |
$162.98 |
| 82247 |
|
30 |
30 |
$158.10 |
| 84484 |
|
12 |
12 |
$151.32 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
207 |
189 |
$148.89 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$145.28 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
254 |
247 |
$144.75 |
| 90697 |
|
245 |
237 |
$144.05 |
| 85379 |
|
13 |
12 |
$133.73 |
| 87071 |
|
73 |
64 |
$128.26 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
27 |
27 |
$124.96 |
| 84155 |
|
30 |
30 |
$115.60 |
| 84165 |
|
12 |
12 |
$92.45 |
| 82274 |
|
12 |
12 |
$80.92 |
| 84478 |
|
14 |
13 |
$67.87 |
| 82043 |
|
14 |
14 |
$63.60 |
| 90744 |
|
2,203 |
2,151 |
$28.23 |
| 1160F |
|
19,804 |
17,573 |
$0.00 |
| 90685 |
|
706 |
683 |
$0.00 |
| 91321 |
|
17 |
12 |
$0.00 |
| 80164 |
|
94 |
92 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
12 |
12 |
$0.00 |
| 1124F |
|
51 |
46 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
12 |
12 |
$0.00 |
| 1111F |
|
3,750 |
3,548 |
$0.00 |
| 1157F |
|
8,673 |
7,094 |
$0.00 |
| 90696 |
|
663 |
653 |
$0.00 |
| 99070 |
|
76 |
66 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
12 |
12 |
$0.00 |
| 90619 |
|
98 |
98 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |
| 86308 |
|
13 |
13 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
12 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |