| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
9,384 |
7,156 |
$677K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
666 |
531 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
543 |
499 |
$23K |
| 59430 |
|
521 |
398 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
273 |
267 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
218 |
217 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
83 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
54 |
$3K |
| 81002 |
|
4,219 |
3,132 |
$2K |
| 81025 |
|
907 |
803 |
$2K |
| 99381 |
|
26 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
281 |
276 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
15 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
170 |
166 |
$900.00 |
| 3725F |
|
9,843 |
6,470 |
$865.12 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$508.50 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$304.83 |
| 1036F |
|
7,304 |
5,206 |
$275.10 |
| 85018 |
|
178 |
177 |
$199.77 |
| 81003 |
|
60 |
54 |
$93.33 |
| 36415 |
Collection of venous blood by venipuncture |
907 |
752 |
$43.71 |
| 3074F |
|
8,658 |
6,644 |
$0.00 |
| 1035F |
|
959 |
728 |
$0.00 |
| 1126F |
|
8,381 |
6,467 |
$0.00 |
| 3079F |
|
1,873 |
1,451 |
$0.00 |
| 2000F |
|
190 |
166 |
$0.00 |
| 3008F |
|
4,534 |
3,126 |
$0.00 |
| 3075F |
|
254 |
223 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
298 |
289 |
$0.00 |
| 1034F |
|
33 |
26 |
$0.00 |
| 90697 |
|
44 |
43 |
$0.00 |
| 96127 |
|
15 |
15 |
$0.00 |
| 1125F |
|
139 |
119 |
$0.00 |
| 2001F |
|
258 |
233 |
$0.00 |
| 1220F |
|
93 |
84 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 1000F |
|
117 |
104 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 1160F |
|
5,533 |
4,058 |
$0.00 |
| 1159F |
|
5,545 |
4,066 |
$0.00 |
| 3288F |
|
7,428 |
5,573 |
$0.00 |
| 90671 |
|
152 |
145 |
$0.00 |
| 3078F |
|
7,082 |
5,237 |
$0.00 |
| 97803 |
|
261 |
253 |
$0.00 |
| 90681 |
|
71 |
67 |
$0.00 |
| 3077F |
|
18 |
14 |
$0.00 |
| 96160 |
|
31 |
27 |
$0.00 |