| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,311 |
10,331 |
$564K |
| H1000 |
Prenatal care, at-risk assessment |
5,049 |
3,235 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
828 |
786 |
$74K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
173 |
161 |
$18K |
| 59410 |
|
12 |
12 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,663 |
1,520 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
161 |
154 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
29 |
27 |
$3K |
| 59430 |
|
31 |
25 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
42 |
40 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
436 |
388 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
72 |
$2K |
| 3074F |
|
7,288 |
6,448 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
109 |
36 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
60 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$1K |
| 90686 |
|
264 |
250 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$777.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
36 |
$679.50 |
| 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) |
65 |
60 |
$646.92 |
| 59025 |
Fetal non-stress test |
108 |
95 |
$594.81 |
| 99000 |
|
820 |
740 |
$565.30 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
66 |
$439.38 |
| 81025 |
|
131 |
121 |
$274.95 |
| 81002 |
|
430 |
383 |
$237.24 |
| 99173 |
|
40 |
37 |
$82.80 |
| 90670 |
|
12 |
12 |
$77.00 |
| 1101F |
|
889 |
747 |
$57.74 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$8.00 |
| 82962 |
|
30 |
28 |
$1.64 |
| 3078F |
|
6,968 |
6,173 |
$0.02 |
| 1220F |
|
1,654 |
1,503 |
$0.01 |
| 1159F |
|
4,176 |
3,687 |
$0.01 |
| 3288F |
|
1,507 |
1,309 |
$0.01 |
| 1126F |
|
4,219 |
3,749 |
$0.00 |
| 92551 |
|
31 |
31 |
$0.00 |
| V5008 |
Hearing screening |
19 |
14 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 3044F |
|
38 |
27 |
$0.00 |
| 1125F |
|
61 |
56 |
$0.00 |
| 3079F |
|
28 |
28 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 3008F |
|
90 |
80 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
171 |
131 |
$0.00 |
| 1160F |
|
766 |
676 |
$0.00 |
| 90715 |
|
52 |
51 |
$0.00 |
| 0518F |
|
56 |
48 |
$0.00 |