| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,375 |
14,313 |
$440K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,608 |
8,688 |
$320K |
| Z6500 |
|
1,598 |
1,598 |
$198K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,909 |
2,782 |
$190K |
| Z1032 |
|
1,030 |
1,030 |
$171K |
| J3490 |
Unclassified drugs |
2,320 |
1,994 |
$155K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
819 |
751 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,737 |
1,723 |
$105K |
| 99381 |
|
747 |
740 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,163 |
1,973 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,349 |
1,348 |
$35K |
| 59425 |
|
1,495 |
876 |
$33K |
| Z6400 |
|
1,694 |
1,693 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,049 |
1,048 |
$25K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,423 |
834 |
$24K |
| 99000 |
|
6,730 |
6,572 |
$21K |
| Z6410 |
|
2,679 |
2,096 |
$20K |
| 76801 |
|
383 |
380 |
$16K |
| 76813 |
|
287 |
233 |
$15K |
| 92552 |
|
1,789 |
1,785 |
$15K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
535 |
534 |
$14K |
| A4267 |
Contraceptive supply, condom, male, each |
930 |
928 |
$14K |
| 90648 |
|
1,765 |
1,760 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,203 |
3,160 |
$9K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
180 |
96 |
$9K |
| 92551 |
|
5,595 |
5,580 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
448 |
448 |
$8K |
| 90670 |
|
1,353 |
1,349 |
$7K |
| 99215 |
Prolong outpt/office vis |
1,298 |
1,269 |
$7K |
| 90723 |
|
1,125 |
1,122 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
225 |
218 |
$7K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
555 |
549 |
$6K |
| 90680 |
|
839 |
838 |
$6K |
| 99383 |
|
110 |
109 |
$6K |
| 81025 |
|
1,916 |
1,901 |
$5K |
| 85018 |
|
4,196 |
4,063 |
$5K |
| 90677 |
|
292 |
291 |
$4K |
| 99384 |
|
54 |
54 |
$4K |
| H2000 |
Comprehensive multidisciplinary evaluation |
87 |
86 |
$4K |
| 90700 |
|
732 |
731 |
$4K |
| Z1034 |
|
68 |
54 |
$4K |
| Z6204 |
|
422 |
422 |
$3K |
| Z6406 |
|
418 |
418 |
$3K |
| Z6304 |
|
412 |
411 |
$3K |
| 90716 |
|
593 |
589 |
$3K |
| 90707 |
|
516 |
511 |
$3K |
| 90686 |
|
429 |
429 |
$2K |
| 90713 |
|
427 |
426 |
$2K |
| 90633 |
|
447 |
444 |
$2K |
| 90651 |
|
31 |
31 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,266 |
1,264 |
$2K |
| 81000 |
|
1,809 |
1,805 |
$2K |
| 99173 |
|
6,162 |
6,147 |
$1K |
| 88150 |
|
407 |
405 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
105 |
104 |
$1K |
| 99382 |
|
12 |
12 |
$933.28 |
| Z6414 |
|
91 |
77 |
$699.51 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
819 |
813 |
$649.46 |
| 83655 |
|
150 |
147 |
$508.41 |
| 90715 |
|
88 |
88 |
$423.00 |
| 90461 |
|
1,737 |
1,724 |
$390.34 |
| 90734 |
|
107 |
107 |
$387.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
350 |
343 |
$354.04 |
| 97803 |
|
95 |
95 |
$347.62 |
| 99385 |
|
119 |
119 |
$328.36 |
| 82465 |
|
381 |
367 |
$275.76 |
| 82947 |
|
366 |
354 |
$274.16 |
| 36415 |
Collection of venous blood by venipuncture |
5,867 |
5,728 |
$169.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
28 |
$101.27 |
| 86580 |
|
23 |
23 |
$89.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$57.98 |
| 3008F |
|
3,172 |
3,160 |
$30.10 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
12 |
12 |
$0.00 |
| 96156 |
|
29 |
29 |
$0.00 |
| 96151 |
|
94 |
94 |
$0.00 |
| 99386 |
|
46 |
46 |
$0.00 |
| 99401 |
|
95 |
95 |
$0.00 |