| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,934 |
2,203 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,801 |
41,554 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,916 |
12,167 |
$24K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
57 |
56 |
$20K |
| 99215 |
Prolong outpt/office vis |
168 |
167 |
$11K |
| 99243 |
|
223 |
222 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
111 |
111 |
$4K |
| 59430 |
|
56 |
56 |
$3K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
12 |
12 |
$3K |
| 76813 |
|
76 |
76 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,525 |
4,359 |
$1K |
| 11721 |
|
54 |
54 |
$869.18 |
| 11976 |
|
14 |
13 |
$616.32 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
82 |
80 |
$584.89 |
| 92133 |
|
12 |
12 |
$382.50 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
411 |
403 |
$132.14 |
| 97803 |
|
174 |
174 |
$126.15 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
656 |
649 |
$93.08 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
591 |
582 |
$84.80 |
| 90686 |
|
2,394 |
2,394 |
$34.00 |
| 81002 |
|
7,150 |
6,302 |
$2.15 |
| 85018 |
|
5,238 |
5,209 |
$0.00 |
| 93000 |
|
188 |
187 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
5,702 |
5,699 |
$0.00 |
| 82962 |
|
2,169 |
1,998 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,255 |
1,192 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,260 |
1,258 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
493 |
446 |
$0.00 |
| 90651 |
|
288 |
288 |
$0.00 |
| 92551 |
|
2,589 |
2,586 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
78 |
78 |
$0.00 |
| 90680 |
|
391 |
391 |
$0.00 |
| 0503F |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,455 |
1,445 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
1,005 |
988 |
$0.00 |
| 99406 |
|
205 |
195 |
$0.00 |
| 90647 |
|
306 |
306 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
182 |
182 |
$0.00 |
| 99174 |
|
896 |
896 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
559 |
253 |
$0.00 |
| 90723 |
|
313 |
313 |
$0.00 |
| 86580 |
|
203 |
202 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
525 |
500 |
$0.00 |
| 90732 |
|
64 |
64 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
39 |
39 |
$0.00 |
| 90698 |
|
92 |
92 |
$0.00 |
| 90688 |
|
26 |
26 |
$0.00 |
| J3490 |
Unclassified drugs |
273 |
270 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 96151 |
|
174 |
174 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
54 |
54 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
81 |
73 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 3072F |
|
27 |
27 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,163 |
3,149 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,396 |
2,373 |
$0.00 |
| 90700 |
|
407 |
407 |
$0.00 |
| 90715 |
|
504 |
504 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,251 |
2,250 |
$0.00 |
| 90685 |
|
302 |
302 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
830 |
827 |
$0.00 |
| 81025 |
|
4,059 |
3,902 |
$0.00 |
| 90713 |
|
73 |
73 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
48 |
48 |
$0.00 |
| 83655 |
|
425 |
423 |
$0.00 |
| 90670 |
|
1,039 |
1,038 |
$0.00 |
| 90633 |
|
463 |
463 |
$0.00 |
| 99173 |
|
2,030 |
2,028 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
431 |
431 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,176 |
1,176 |
$0.00 |
| 99219 |
|
13 |
13 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
118 |
117 |
$0.00 |
| 90710 |
|
145 |
145 |
$0.00 |
| 2022F |
|
30 |
30 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
135 |
134 |
$0.00 |
| 94150 |
|
14 |
13 |
$0.00 |
| 90734 |
|
206 |
206 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
43 |
43 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
86 |
85 |
$0.00 |
| 90648 |
|
39 |
39 |
$0.00 |
| 99401 |
|
194 |
194 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 96152 |
|
39 |
39 |
$0.00 |
| 90746 |
|
13 |
13 |
$0.00 |
| A4614 |
Peak expiratory flow rate meter, hand held |
12 |
12 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
20 |
20 |
$0.00 |