| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
87,878 |
58,487 |
$20.59M |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
19,582 |
11,630 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,034 |
18,226 |
$148K |
| 59425 |
|
6,408 |
4,228 |
$79K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,694 |
11,683 |
$73K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
1,021 |
887 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,430 |
5,006 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,184 |
2,379 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,379 |
2,736 |
$19K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
121 |
101 |
$14K |
| H1000 |
Prenatal care, at-risk assessment |
706 |
694 |
$14K |
| J3490 |
Unclassified drugs |
3,315 |
2,774 |
$11K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
140 |
104 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,110 |
856 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,991 |
1,744 |
$8K |
| 90715 |
|
3,157 |
2,355 |
$8K |
| 81025 |
|
17,548 |
13,446 |
$7K |
| 59025 |
Fetal non-stress test |
3,141 |
1,147 |
$6K |
| 59430 |
|
576 |
569 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,389 |
1,329 |
$5K |
| 76801 |
|
1,437 |
1,014 |
$5K |
| 90686 |
|
2,983 |
2,395 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
761 |
687 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
470 |
349 |
$4K |
| 99401 |
|
611 |
519 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
263 |
213 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,110 |
3,533 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,016 |
3,098 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
483 |
358 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
122 |
69 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
190 |
122 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
195 |
128 |
$962.38 |
| 0012A |
|
60 |
46 |
$909.00 |
| 81002 |
|
800 |
643 |
$862.32 |
| 96156 |
|
363 |
358 |
$845.05 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
139 |
92 |
$773.55 |
| 58300 |
|
28 |
26 |
$739.98 |
| 0011A |
|
79 |
65 |
$659.05 |
| 59514 |
|
50 |
42 |
$544.72 |
| 90656 |
|
477 |
319 |
$485.80 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
51 |
40 |
$339.60 |
| 97802 |
|
105 |
105 |
$321.28 |
| 90678 |
|
26 |
20 |
$299.46 |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
38 |
$292.80 |
| 85018 |
|
1,958 |
1,370 |
$265.76 |
| 81003 |
|
1,989 |
1,612 |
$117.52 |
| 90688 |
|
45 |
44 |
$97.81 |
| 58100 |
|
20 |
12 |
$45.80 |
| S9452 |
Nutrition classes, non-physician provider, per session |
12 |
12 |
$16.82 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
12 |
$8.92 |
| Z1034 |
|
25,875 |
16,087 |
$0.00 |
| Z6410 |
|
764 |
566 |
$0.00 |
| Z1032 |
|
1,333 |
1,326 |
$0.00 |
| 3008F |
|
13,777 |
12,514 |
$0.00 |
| Z6402 |
|
87 |
87 |
$0.00 |
| Z1038 |
|
424 |
423 |
$0.00 |
| 91301 |
|
135 |
122 |
$0.00 |
| Z6404 |
|
27 |
27 |
$0.00 |
| Z6406 |
|
599 |
496 |
$0.00 |
| 1159F |
|
18,582 |
16,186 |
$0.00 |
| 1160F |
|
11,578 |
10,023 |
$0.00 |
| Z6400 |
|
1,787 |
1,775 |
$0.00 |
| Z6300 |
|
254 |
253 |
$0.00 |
| Z7500 |
|
242 |
242 |
$0.00 |
| 76818 |
|
117 |
61 |
$0.00 |
| Z6200 |
|
197 |
194 |
$0.00 |
| Z6414 |
|
12 |
12 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
18 |
17 |
$0.00 |