| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,006 |
1,205 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,622 |
1,433 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
181 |
168 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
39 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
43 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
83 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
112 |
107 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$600.00 |
| 59430 |
|
12 |
12 |
$508.20 |
| 92552 |
|
14 |
12 |
$295.46 |
| 81025 |
|
30 |
25 |
$53.66 |
| 81002 |
|
16 |
13 |
$3.34 |
| 3079F |
|
279 |
194 |
$0.00 |
| 1036F |
|
1,638 |
938 |
$0.00 |
| 3074F |
|
1,340 |
977 |
$0.00 |
| 3008F |
|
1,925 |
1,214 |
$0.00 |
| 99000 |
|
181 |
151 |
$0.00 |
| 96127 |
|
157 |
115 |
$0.00 |
| 96161 |
|
169 |
147 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 3075F |
|
16 |
12 |
$0.00 |
| 90680 |
|
15 |
12 |
$0.00 |
| 3078F |
|
1,103 |
728 |
$0.00 |
| 1159F |
|
525 |
456 |
$0.00 |
| 1160F |
|
521 |
453 |
$0.00 |
| 3725F |
|
61 |
44 |
$0.00 |
| 90648 |
|
16 |
13 |
$0.00 |