| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
44,004 |
26,175 |
$985K |
| 59425 |
|
15,007 |
10,724 |
$710K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,213 |
38,309 |
$614K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,202 |
19,981 |
$462K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
593 |
593 |
$270K |
| Z1034 |
|
4,309 |
3,030 |
$265K |
| J3490 |
Unclassified drugs |
3,451 |
3,233 |
$238K |
| 97802 |
|
15,217 |
14,834 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,306 |
16,547 |
$189K |
| 99215 |
Prolong outpt/office vis |
1,621 |
1,584 |
$169K |
| 59514 |
|
337 |
337 |
$145K |
| Z1032 |
|
850 |
850 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,278 |
3,263 |
$122K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,890 |
2,862 |
$109K |
| 99460 |
|
2,049 |
2,041 |
$100K |
| 99381 |
|
1,357 |
1,347 |
$98K |
| 92551 |
|
10,246 |
10,242 |
$79K |
| Z6500 |
|
448 |
448 |
$56K |
| 59430 |
|
990 |
866 |
$49K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17,350 |
17,298 |
$45K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
534 |
532 |
$42K |
| 99000 |
|
28,821 |
27,243 |
$41K |
| 76801 |
|
606 |
601 |
$37K |
| 81025 |
|
13,064 |
12,538 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
234 |
231 |
$30K |
| 81002 |
|
16,924 |
13,785 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,468 |
4,466 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,831 |
4,828 |
$22K |
| 99222 |
Initial hospital care, per day, moderate complexity |
269 |
265 |
$21K |
| 99383 |
|
648 |
648 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,026 |
4,021 |
$18K |
| 99384 |
|
603 |
603 |
$16K |
| 99462 |
|
603 |
550 |
$15K |
| Z6410 |
|
1,772 |
1,299 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
348 |
346 |
$12K |
| 90680 |
|
1,334 |
1,333 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
461 |
415 |
$11K |
| 97803 |
|
719 |
714 |
$11K |
| 93000 |
|
855 |
850 |
$10K |
| 90670 |
|
2,515 |
2,513 |
$10K |
| 90698 |
|
2,038 |
2,038 |
$10K |
| 99382 |
|
218 |
218 |
$9K |
| 90744 |
|
1,550 |
1,550 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
83 |
83 |
$7K |
| G9920 |
Screening performed and negative |
10,256 |
10,251 |
$6K |
| 99451 |
|
2,221 |
2,139 |
$5K |
| 0500F |
|
273 |
273 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
355 |
$5K |
| S0197 |
Prenatal vitamins, 30-day supply |
3,006 |
2,021 |
$5K |
| 90633 |
|
1,694 |
1,692 |
$4K |
| 3351F |
|
309 |
308 |
$3K |
| 88141 |
|
452 |
451 |
$3K |
| 85018 |
|
15,687 |
15,573 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
74 |
38 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,133 |
2,133 |
$2K |
| 86580 |
|
1,206 |
1,198 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
1,677 |
1,628 |
$2K |
| 90651 |
|
648 |
645 |
$2K |
| 82947 |
|
1,251 |
1,056 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,973 |
2,967 |
$2K |
| 83655 |
|
1,692 |
1,682 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
534 |
409 |
$2K |
| Z6400 |
|
215 |
214 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
32 |
32 |
$2K |
| 57454 |
|
26 |
13 |
$1K |
| 90734 |
|
1,127 |
1,124 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
664 |
664 |
$1K |
| 90686 |
|
466 |
466 |
$1K |
| S9083 |
Global fee urgent care centers |
24 |
24 |
$1K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
5,146 |
2,553 |
$1K |
| 90716 |
|
511 |
510 |
$1K |
| 90677 |
|
165 |
165 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
93 |
93 |
$1K |
| 90658 |
|
664 |
663 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
59 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,211 |
2,189 |
$900.09 |
| 90710 |
|
638 |
638 |
$747.00 |
| 90715 |
|
596 |
596 |
$728.82 |
| Z6204 |
|
91 |
89 |
$699.90 |
| 99385 |
|
610 |
610 |
$662.36 |
| 99442 |
|
276 |
268 |
$603.68 |
| Z6304 |
|
78 |
77 |
$599.97 |
| Z6406 |
|
76 |
75 |
$583.31 |
| 90649 |
|
321 |
320 |
$562.50 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,079 |
2,076 |
$550.80 |
| 99221 |
|
15 |
15 |
$518.70 |
| Z6300 |
|
33 |
33 |
$510.52 |
| Z6200 |
|
33 |
33 |
$510.52 |
| 85014 |
|
296 |
284 |
$482.53 |
| Z6402 |
|
31 |
31 |
$478.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
70 |
$415.62 |
| H2000 |
Comprehensive multidisciplinary evaluation |
25 |
25 |
$403.41 |
| 90707 |
|
308 |
307 |
$360.00 |
| 90696 |
|
356 |
356 |
$342.00 |
| 99173 |
|
5,363 |
5,354 |
$183.41 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
38 |
38 |
$178.40 |
| 90713 |
|
87 |
86 |
$144.00 |
| 99386 |
|
265 |
265 |
$130.88 |
| 90700 |
|
439 |
439 |
$117.00 |
| 90688 |
|
44 |
44 |
$99.00 |
| 90620 |
|
314 |
313 |
$54.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$54.00 |
| 92557 |
|
99 |
99 |
$53.46 |
| 90657 |
|
80 |
80 |
$36.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,020 |
1,019 |
$32.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
794 |
790 |
$30.12 |
| 99406 |
|
170 |
167 |
$26.74 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
849 |
818 |
$22.04 |
| 90647 |
|
317 |
317 |
$4.50 |
| 81000 |
|
24 |
24 |
$4.08 |
| 3079F |
|
4,700 |
4,489 |
$0.00 |
| 3044F |
|
915 |
891 |
$0.00 |
| 3075F |
|
3,188 |
3,098 |
$0.00 |
| 3080F |
|
1,740 |
1,643 |
$0.00 |
| 3074F |
|
9,047 |
8,385 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
2,708 |
2,706 |
$0.00 |
| 3008F |
|
1,717 |
1,626 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
132 |
132 |
$0.00 |
| 2001F |
|
6,852 |
6,082 |
$0.00 |
| 90723 |
|
90 |
90 |
$0.00 |
| 3052F |
|
38 |
38 |
$0.00 |
| 99441 |
|
221 |
213 |
$0.00 |
| 0501F |
|
15 |
14 |
$0.00 |
| 99402 |
|
21 |
21 |
$0.00 |
| 3051F |
|
320 |
310 |
$0.00 |
| 0502F |
|
487 |
392 |
$0.00 |
| 3077F |
|
3,454 |
3,235 |
$0.00 |
| 3078F |
|
9,200 |
8,504 |
$0.00 |
| 3046F |
|
477 |
461 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
44 |
44 |
$0.00 |
| 3045F |
|
115 |
114 |
$0.00 |
| 99408 |
|
49 |
49 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
20 |
20 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
50 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
21 |
21 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
30 |
$0.00 |
| 90461 |
|
29 |
29 |
$0.00 |