| Code | Description | Claims | Beneficiaries | Total Paid |
| H1000 |
Prenatal care, at-risk assessment |
8,898 |
5,506 |
$440K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,527 |
1,324 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,743 |
4,599 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
899 |
861 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,153 |
2,800 |
$68K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
836 |
608 |
$53K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
453 |
402 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
681 |
553 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,035 |
468 |
$23K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
175 |
126 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
776 |
627 |
$15K |
| 81025 |
|
4,656 |
3,606 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
123 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
260 |
181 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
455 |
95 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
78 |
$8K |
| 76770 |
|
404 |
298 |
$6K |
| 76830 |
Ultrasound, transvaginal |
56 |
53 |
$5K |
| 99460 |
|
85 |
73 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
177 |
113 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
270 |
184 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
623 |
448 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
32 |
26 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
74 |
53 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
345 |
332 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,011 |
981 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
52 |
38 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
773 |
750 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
38 |
26 |
$1K |
| 20610 |
|
111 |
83 |
$1K |
| 99381 |
|
14 |
12 |
$913.05 |
| 59430 |
|
15 |
13 |
$818.74 |
| 99215 |
Prolong outpt/office vis |
74 |
55 |
$728.20 |
| 81001 |
|
1,391 |
904 |
$532.89 |
| 99462 |
|
59 |
39 |
$343.42 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
61 |
30 |
$330.87 |
| 73100 |
|
21 |
14 |
$317.24 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$300.05 |
| 99205 |
Prolong outpt/office vis |
23 |
12 |
$281.78 |
| 76820 |
|
37 |
25 |
$253.80 |
| 94060 |
|
33 |
25 |
$206.45 |
| 90474 |
|
75 |
61 |
$40.00 |
| 81003 |
|
694 |
498 |
$39.41 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
39 |
29 |
$33.91 |
| 94726 |
|
33 |
25 |
$32.68 |
| 94729 |
|
33 |
25 |
$23.80 |
| 81002 |
|
41 |
26 |
$8.37 |
| 1036F |
|
261 |
187 |
$0.00 |
| 3008F |
|
357 |
284 |
$0.00 |
| 3074F |
|
87 |
59 |
$0.00 |
| 90698 |
|
20 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
464 |
281 |
$0.00 |
| 3078F |
|
88 |
51 |
$0.00 |
| 90670 |
|
19 |
12 |
$0.00 |
| 0502F |
|
65 |
43 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
12 |
$0.00 |