| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,744 |
2,175 |
$286K |
| Z1034 |
|
4,108 |
3,394 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,624 |
5,384 |
$189K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
4,067 |
3,080 |
$74K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
945 |
869 |
$48K |
| J3490 |
Unclassified drugs |
358 |
288 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
593 |
569 |
$32K |
| Z6410 |
|
3,525 |
2,923 |
$31K |
| Z6500 |
|
176 |
176 |
$22K |
| 90686 |
|
1,180 |
1,172 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
182 |
182 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
588 |
581 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
84 |
$8K |
| Z6400 |
|
229 |
229 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
409 |
407 |
$7K |
| 90670 |
|
798 |
797 |
$7K |
| Z6406 |
|
374 |
370 |
$6K |
| 92551 |
|
1,315 |
1,306 |
$6K |
| Z6204 |
|
350 |
349 |
$5K |
| 90680 |
|
529 |
527 |
$5K |
| 90698 |
|
603 |
602 |
$5K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$5K |
| 90715 |
|
111 |
81 |
$5K |
| Z6412 |
|
295 |
225 |
$4K |
| Z6304 |
|
294 |
294 |
$4K |
| Z1032 |
|
27 |
27 |
$4K |
| 99381 |
|
30 |
30 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
202 |
$3K |
| 58300 |
|
26 |
13 |
$2K |
| 90744 |
|
250 |
250 |
$2K |
| 99401 |
|
70 |
70 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
487 |
485 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
100 |
97 |
$2K |
| 81025 |
|
494 |
489 |
$2K |
| Z6414 |
|
60 |
55 |
$765.33 |
| 83655 |
|
150 |
150 |
$706.05 |
| 90655 |
|
110 |
110 |
$629.90 |
| 59426 |
|
220 |
171 |
$604.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
55 |
$479.75 |
| 96151 |
|
28 |
28 |
$437.16 |
| 90658 |
|
122 |
122 |
$390.45 |
| 90633 |
|
68 |
68 |
$348.75 |
| 85018 |
|
450 |
449 |
$345.48 |
| 59025 |
Fetal non-stress test |
19 |
13 |
$235.68 |
| 90649 |
|
55 |
54 |
$101.25 |
| 90716 |
|
14 |
14 |
$77.85 |
| 90656 |
|
49 |
49 |
$69.69 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
118 |
114 |
$68.61 |
| 90734 |
|
18 |
18 |
$40.50 |
| 90710 |
|
12 |
12 |
$33.75 |
| 90696 |
|
12 |
12 |
$33.75 |
| 82947 |
|
27 |
27 |
$5.78 |
| 99173 |
|
883 |
878 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$0.00 |