| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
99,077 |
57,510 |
$14.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,572 |
9,348 |
$84K |
| 0502F |
|
13,105 |
8,550 |
$44K |
| 59425 |
|
4,726 |
3,537 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,424 |
1,166 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,936 |
2,125 |
$8K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,935 |
1,789 |
$6K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,622 |
1,678 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
979 |
956 |
$2K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
47 |
47 |
$2K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
364 |
329 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,121 |
983 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,777 |
1,127 |
$1K |
| H2000 |
Comprehensive multidisciplinary evaluation |
512 |
489 |
$1K |
| 87590 |
|
1,670 |
1,465 |
$1K |
| 81025 |
|
1,007 |
827 |
$832.42 |
| 87490 |
|
1,669 |
1,469 |
$738.31 |
| 99385 |
|
255 |
203 |
$573.35 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
453 |
350 |
$564.60 |
| 0500F |
|
671 |
549 |
$520.44 |
| 96156 |
|
464 |
415 |
$413.81 |
| 99401 |
|
205 |
195 |
$411.80 |
| J3490 |
Unclassified drugs |
71 |
57 |
$396.69 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
851 |
765 |
$387.43 |
| 0503F |
|
237 |
186 |
$62.30 |
| 1036F |
|
12,873 |
9,427 |
$62.29 |
| 96151 |
|
138 |
130 |
$62.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
79 |
78 |
$60.36 |
| 97803 |
|
96 |
93 |
$60.29 |
| 59430 |
|
16 |
16 |
$59.88 |
| 96152 |
|
14 |
13 |
$8.33 |
| S9452 |
Nutrition classes, non-physician provider, per session |
14 |
13 |
$8.33 |
| 99000 |
|
61 |
45 |
$3.63 |
| Z6500 |
|
785 |
737 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
83 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13,093 |
9,679 |
$0.00 |
| 3078F |
|
9,215 |
6,866 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
45 |
45 |
$0.00 |
| 3077F |
|
472 |
355 |
$0.00 |
| 90670 |
|
44 |
44 |
$0.00 |
| Z6300 |
|
301 |
265 |
$0.00 |
| Z6400 |
|
804 |
753 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
472 |
355 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
54 |
44 |
$0.00 |
| Z6304 |
|
410 |
375 |
$0.00 |
| 90715 |
|
213 |
169 |
$0.00 |
| Z6308 |
|
103 |
78 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
86 |
68 |
$0.00 |
| 90648 |
|
31 |
31 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$0.00 |
| Z6208 |
|
115 |
90 |
$0.00 |
| A4550 |
Surgical trays |
99 |
67 |
$0.00 |
| Z6414 |
|
48 |
34 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
13 |
$0.00 |
| 84439 |
|
45 |
45 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 2001F |
|
14,134 |
10,439 |
$0.00 |
| 3079F |
|
3,574 |
2,817 |
$0.00 |
| 3074F |
|
11,214 |
8,317 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
232 |
160 |
$0.00 |
| 3008F |
|
14,136 |
10,439 |
$0.00 |
| 3075F |
|
982 |
737 |
$0.00 |
| Z1032 |
|
619 |
603 |
$0.00 |
| Z1038 |
|
205 |
197 |
$0.00 |
| Z1034 |
|
7,882 |
5,761 |
$0.00 |
| Z6204 |
|
370 |
341 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
53 |
$0.00 |
| 99386 |
|
23 |
16 |
$0.00 |
| 3048F |
|
231 |
180 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
454 |
347 |
$0.00 |
| 85018 |
|
34 |
34 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13,461 |
9,965 |
$0.00 |
| 90674 |
|
114 |
87 |
$0.00 |
| Z6410 |
|
3,180 |
1,565 |
$0.00 |
| Z6406 |
|
392 |
361 |
$0.00 |
| 3049F |
|
100 |
50 |
$0.00 |
| 3080F |
|
172 |
116 |
$0.00 |
| 90688 |
|
28 |
25 |
$0.00 |
| 59514 |
|
30 |
27 |
$0.00 |
| 99383 |
|
15 |
15 |
$0.00 |