| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26,486 |
23,999 |
$336K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,426 |
4,208 |
$163K |
| Z1034 |
|
2,792 |
1,789 |
$153K |
| 59425 |
|
3,261 |
1,948 |
$144K |
| J3490 |
Unclassified drugs |
1,744 |
1,541 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,815 |
2,711 |
$121K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
260 |
260 |
$107K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,431 |
2,065 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,308 |
1,273 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,384 |
3,314 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
720 |
704 |
$58K |
| 99381 |
|
696 |
655 |
$57K |
| 99460 |
|
673 |
665 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,379 |
2,364 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,003 |
1,001 |
$23K |
| Z1032 |
|
156 |
156 |
$23K |
| 59430 |
|
664 |
622 |
$23K |
| 99462 |
|
1,336 |
721 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,253 |
1,235 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,468 |
1,141 |
$16K |
| 92552 |
|
4,041 |
4,008 |
$15K |
| 99215 |
Prolong outpt/office vis |
290 |
284 |
$12K |
| 99000 |
|
9,744 |
8,723 |
$11K |
| 90670 |
|
1,558 |
1,525 |
$10K |
| 90697 |
|
97 |
93 |
$7K |
| Z6500 |
|
55 |
55 |
$7K |
| 97802 |
|
4,697 |
4,683 |
$6K |
| 90744 |
|
621 |
607 |
$6K |
| 90698 |
|
991 |
971 |
$6K |
| 85018 |
|
8,379 |
8,163 |
$6K |
| 90680 |
|
909 |
892 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,933 |
2,274 |
$5K |
| 83655 |
|
562 |
551 |
$5K |
| 90633 |
|
528 |
514 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
70 |
$4K |
| 81025 |
|
2,064 |
1,991 |
$4K |
| 92551 |
|
944 |
928 |
$4K |
| 76813 |
|
54 |
54 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
90 |
89 |
$3K |
| 90700 |
|
376 |
364 |
$3K |
| 90658 |
|
476 |
473 |
$2K |
| 99205 |
Prolong outpt/office vis |
62 |
62 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
28 |
28 |
$2K |
| 90716 |
|
367 |
356 |
$1K |
| 90707 |
|
327 |
314 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
126 |
126 |
$1K |
| Z6400 |
|
72 |
72 |
$1K |
| 99384 |
|
16 |
13 |
$843.45 |
| Z1038 |
|
14 |
14 |
$767.47 |
| 99173 |
|
308 |
308 |
$665.00 |
| 90715 |
|
34 |
26 |
$662.41 |
| 90651 |
|
67 |
67 |
$661.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,649 |
4,635 |
$613.59 |
| 99382 |
|
130 |
115 |
$579.02 |
| 92081 |
|
2,909 |
2,870 |
$566.27 |
| Z6304 |
|
61 |
61 |
$553.35 |
| 90649 |
|
114 |
106 |
$486.55 |
| Z6204 |
|
49 |
48 |
$379.26 |
| Z6406 |
|
48 |
48 |
$364.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$360.25 |
| 90686 |
|
38 |
38 |
$279.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
336 |
327 |
$238.00 |
| 90734 |
|
58 |
55 |
$224.00 |
| 99383 |
|
15 |
14 |
$185.56 |
| 90655 |
|
33 |
29 |
$162.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
15 |
$152.64 |
| 97803 |
|
438 |
405 |
$114.26 |
| 90713 |
|
44 |
44 |
$110.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
44 |
$73.69 |
| 87110 |
|
48 |
48 |
$64.11 |
| 83026 |
|
40 |
40 |
$42.06 |
| 86580 |
|
13 |
12 |
$36.20 |
| 87070 |
|
246 |
241 |
$22.41 |
| 0502F |
|
3,471 |
2,207 |
$13.38 |
| 81000 |
|
97 |
97 |
$2.58 |
| 0503F |
|
171 |
155 |
$0.00 |
| 0501F |
|
130 |
130 |
$0.00 |
| 0500F |
|
141 |
141 |
$0.00 |
| 3074F |
|
29 |
24 |
$0.00 |
| 3078F |
|
47 |
38 |
$0.00 |
| 96160 |
|
50 |
50 |
$0.00 |
| G9920 |
Screening performed and negative |
16 |
16 |
$0.00 |