| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,335 |
7,293 |
$276K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,288 |
1,249 |
$226K |
| 99383 |
|
1,395 |
1,247 |
$138K |
| 99384 |
|
577 |
507 |
$65K |
| J3490 |
Unclassified drugs |
582 |
502 |
$59K |
| 99382 |
|
659 |
585 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
451 |
392 |
$46K |
| 92552 |
|
4,392 |
4,384 |
$36K |
| 99381 |
|
363 |
331 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
101 |
$29K |
| Z1034 |
|
353 |
281 |
$19K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,374 |
1,374 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
406 |
385 |
$16K |
| 99000 |
|
4,869 |
4,762 |
$12K |
| D1206 |
Topical application of fluoride varnish |
668 |
668 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
206 |
190 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,457 |
3,452 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
386 |
364 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
400 |
394 |
$10K |
| 90716 |
|
1,065 |
1,062 |
$7K |
| 90715 |
|
697 |
672 |
$7K |
| 90707 |
|
928 |
925 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
115 |
114 |
$7K |
| Z1032 |
|
41 |
41 |
$6K |
| 90700 |
|
895 |
892 |
$6K |
| 90713 |
|
864 |
862 |
$6K |
| 90633 |
|
877 |
874 |
$6K |
| 90658 |
|
931 |
928 |
$6K |
| 85018 |
|
4,491 |
4,368 |
$6K |
| 90649 |
|
787 |
784 |
$6K |
| 90670 |
|
906 |
905 |
$6K |
| 90648 |
|
807 |
801 |
$5K |
| Z6500 |
|
41 |
41 |
$5K |
| 81000 |
|
3,175 |
3,173 |
$5K |
| 93000 |
|
348 |
348 |
$5K |
| 81025 |
|
1,619 |
1,599 |
$5K |
| 59425 |
|
408 |
313 |
$4K |
| 90734 |
|
610 |
601 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
144 |
$4K |
| 86580 |
|
1,204 |
1,204 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
282 |
214 |
$3K |
| 90681 |
|
279 |
279 |
$2K |
| 90723 |
|
292 |
292 |
$2K |
| Z6400 |
|
76 |
75 |
$1K |
| 90744 |
|
119 |
119 |
$972.00 |
| 90657 |
|
108 |
107 |
$819.00 |
| 99385 |
|
13 |
13 |
$456.72 |
| 92060 |
|
613 |
613 |
$383.52 |
| 3008F |
|
219 |
219 |
$280.50 |
| 88150 |
|
34 |
34 |
$270.00 |
| Z6406 |
|
12 |
12 |
$234.67 |
| 83655 |
|
65 |
61 |
$226.18 |
| 90686 |
|
36 |
35 |
$153.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$153.00 |
| 3074F |
|
176 |
176 |
$114.56 |
| 90651 |
|
18 |
18 |
$81.00 |
| 92551 |
|
12 |
12 |
$56.32 |
| 3044F |
|
16 |
16 |
$46.50 |
| 82465 |
|
13 |
13 |
$41.58 |
| 3078F |
|
200 |
199 |
$28.07 |
| 82962 |
|
13 |
13 |
$25.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |
| 3725F |
|
173 |
172 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
12 |
12 |
$0.00 |