| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1003 |
Prenatal care, at-risk enhanced service; education |
5,115 |
4,677 |
$371K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,073 |
3,303 |
$249K |
| H0046 |
Mental health services, not otherwise specified |
4,790 |
4,521 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,225 |
5,489 |
$209K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,320 |
1,280 |
$135K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,599 |
2,536 |
$131K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,359 |
1,320 |
$110K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,552 |
1,752 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,146 |
2,971 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,043 |
1,002 |
$77K |
| 99222 |
Initial hospital care, per day, moderate complexity |
751 |
684 |
$59K |
| 96127 |
|
698 |
648 |
$57K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,391 |
1,331 |
$56K |
| 99233 |
Prolong inpt eval add15 m |
1,702 |
776 |
$44K |
| 99223 |
Prolong inpt eval add15 m |
437 |
403 |
$40K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
921 |
860 |
$36K |
| 81025 |
|
3,956 |
3,732 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,350 |
1,924 |
$23K |
| 80053 |
Comprehensive metabolic panel |
1,708 |
1,376 |
$23K |
| 96160 |
|
2,683 |
2,595 |
$19K |
| 87210 |
|
2,183 |
2,049 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,603 |
2,540 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,308 |
1,933 |
$7K |
| 51798 |
|
793 |
748 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
59 |
57 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
87 |
54 |
$5K |
| 81003 |
|
1,898 |
1,817 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
340 |
319 |
$3K |
| 99215 |
Prolong outpt/office vis |
66 |
55 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
40 |
24 |
$3K |
| 99385 |
|
27 |
24 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
109 |
102 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
82 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$2K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
14 |
13 |
$1K |
| D1310 |
|
73 |
71 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
12 |
12 |
$896.40 |
| D1330 |
|
28 |
26 |
$406.64 |
| 90785 |
|
54 |
25 |
$200.00 |