| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
5,413 |
3,147 |
$140K |
| 90791 |
Psychiatric diagnostic evaluation |
305 |
280 |
$16K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
5,040 |
2,937 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,533 |
42,331 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,186 |
3,158 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,116 |
10,201 |
$3K |
| 92552 |
|
4,603 |
4,594 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,640 |
1,636 |
$794.13 |
| 90688 |
|
537 |
537 |
$477.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
430 |
397 |
$186.76 |
| 94760 |
|
717 |
691 |
$182.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
12 |
$61.95 |
| 90651 |
|
267 |
267 |
$54.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
65 |
63 |
$42.05 |
| 85018 |
|
8,130 |
8,120 |
$37.26 |
| 90698 |
|
339 |
339 |
$36.00 |
| 90670 |
|
384 |
384 |
$36.00 |
| 97803 |
|
7,788 |
7,756 |
$30.00 |
| 83655 |
|
113 |
113 |
$29.96 |
| 90633 |
|
168 |
168 |
$27.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,923 |
1,906 |
$13.84 |
| 90681 |
|
12 |
12 |
$9.00 |
| 90715 |
|
316 |
316 |
$9.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
815 |
666 |
$8.33 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
218 |
186 |
$4.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,401 |
4,201 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,106 |
8,106 |
$0.00 |
| 86580 |
|
217 |
217 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,705 |
3,705 |
$0.00 |
| 96151 |
|
7,784 |
7,764 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
490 |
286 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,560 |
1,548 |
$0.00 |
| 90686 |
|
3,018 |
3,018 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
535 |
428 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,111 |
2,046 |
$0.00 |
| 90744 |
|
63 |
63 |
$0.00 |
| 90696 |
|
19 |
19 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
206 |
168 |
$0.00 |
| 99000 |
|
120 |
118 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 96150 |
|
26 |
26 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
65 |
$0.00 |
| 90620 |
|
53 |
53 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
14 |
13 |
$0.00 |
| 99401 |
|
8,096 |
8,096 |
$0.00 |
| 81002 |
|
1,639 |
1,607 |
$0.00 |
| 96160 |
|
3,044 |
3,019 |
$0.00 |
| 99173 |
|
4,658 |
4,656 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,584 |
1,584 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
514 |
514 |
$0.00 |
| 90734 |
|
152 |
152 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,468 |
1,468 |
$0.00 |
| 81025 |
|
586 |
580 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
288 |
288 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
84 |
83 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
113 |
$0.00 |
| 99177 |
|
267 |
267 |
$0.00 |
| 90685 |
|
157 |
157 |
$0.00 |
| 99201 |
|
272 |
217 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 59025 |
Fetal non-stress test |
13 |
12 |
$0.00 |
| 90710 |
|
99 |
99 |
$0.00 |
| 90756 |
|
27 |
27 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
12 |
12 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
83 |
65 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$0.00 |