| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
208 |
207 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,172 |
7,444 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,438 |
1,422 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,648 |
2,641 |
$44K |
| 99381 |
|
374 |
359 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,557 |
1,554 |
$18K |
| 92552 |
|
3,028 |
3,026 |
$10K |
| 90686 |
|
2,677 |
2,657 |
$10K |
| 90670 |
|
1,554 |
1,541 |
$6K |
| 59514 |
|
18 |
18 |
$6K |
| 90648 |
|
1,534 |
1,524 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,984 |
4,927 |
$5K |
| 90723 |
|
772 |
767 |
$3K |
| 85018 |
|
4,740 |
4,699 |
$3K |
| 90681 |
|
545 |
537 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,071 |
1,043 |
$2K |
| 90707 |
|
585 |
578 |
$2K |
| 90716 |
|
591 |
585 |
$1K |
| 99000 |
|
4,041 |
3,977 |
$1K |
| 90700 |
|
410 |
405 |
$1K |
| 90633 |
|
530 |
524 |
$933.75 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
105 |
$559.47 |
| 97803 |
|
670 |
665 |
$413.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
60 |
$388.29 |
| 90651 |
|
99 |
99 |
$378.00 |
| 81025 |
|
505 |
494 |
$345.11 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
82 |
$342.60 |
| 99173 |
|
2,429 |
2,426 |
$299.56 |
| 90671 |
|
37 |
37 |
$299.00 |
| 96127 |
|
459 |
459 |
$276.17 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
473 |
462 |
$268.04 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$230.74 |
| 90713 |
|
66 |
65 |
$180.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
275 |
267 |
$150.00 |
| 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 |
98 |
85 |
$86.52 |
| 0072A |
|
14 |
13 |
$80.00 |
| 90696 |
|
43 |
43 |
$63.00 |
| 90734 |
|
12 |
12 |
$63.00 |
| 90715 |
|
13 |
13 |
$45.00 |
| 81002 |
|
161 |
157 |
$35.22 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
201 |
194 |
$25.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
115 |
113 |
$8.08 |
| 90461 |
|
1,986 |
1,973 |
$8.08 |
| 88142 |
|
277 |
269 |
$7.20 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
850 |
843 |
$0.00 |
| 91307 |
|
46 |
46 |
$0.00 |
| 97802 |
|
43 |
43 |
$0.00 |
| 99441 |
|
36 |
32 |
$0.00 |
| 94760 |
|
79 |
77 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
201 |
194 |
$0.00 |
| 83655 |
|
24 |
24 |
$0.00 |
| 99442 |
|
284 |
273 |
$0.00 |
| 3077F |
|
31 |
26 |
$0.00 |
| 91300 |
|
16 |
15 |
$0.00 |