| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,311 |
20,950 |
$3.33M |
| 59425 |
|
4,765 |
3,478 |
$290K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,138 |
3,997 |
$143K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,042 |
4,830 |
$80K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
672 |
551 |
$53K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,008 |
1,366 |
$43K |
| H1000 |
Prenatal care, at-risk assessment |
139 |
131 |
$23K |
| 96156 |
|
981 |
708 |
$16K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
583 |
553 |
$9K |
| 97803 |
|
539 |
393 |
$9K |
| 99401 |
|
437 |
363 |
$6K |
| 81025 |
|
2,188 |
1,721 |
$5K |
| 90686 |
|
336 |
244 |
$4K |
| 59430 |
|
94 |
62 |
$4K |
| 90715 |
|
190 |
120 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$3K |
| 96151 |
|
185 |
157 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
212 |
165 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
110 |
63 |
$2K |
| 97802 |
|
96 |
74 |
$2K |
| H2000 |
Comprehensive multidisciplinary evaluation |
153 |
137 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
24 |
$2K |
| S9452 |
Nutrition classes, non-physician provider, per session |
106 |
93 |
$2K |
| 96152 |
|
85 |
84 |
$975.56 |
| 76801 |
|
24 |
17 |
$697.95 |
| 59025 |
Fetal non-stress test |
43 |
15 |
$533.52 |
| H0049 |
Alcohol and/or drug screening |
419 |
410 |
$432.00 |
| 81002 |
|
655 |
606 |
$169.07 |
| Z6208 |
|
76 |
75 |
$0.00 |
| Z6400 |
|
570 |
570 |
$0.00 |
| Z6414 |
|
167 |
166 |
$0.00 |
| Z6308 |
|
168 |
167 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
248 |
248 |
$0.00 |
| Z6304 |
|
235 |
184 |
$0.00 |
| Z6200 |
|
164 |
163 |
$0.00 |
| Z6300 |
|
20 |
20 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
136 |
136 |
$0.00 |
| Z1032 |
|
471 |
464 |
$0.00 |
| Z6204 |
|
307 |
272 |
$0.00 |
| Z1034 |
|
826 |
661 |
$0.00 |
| Z6406 |
|
136 |
134 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
131 |
$0.00 |
| Z6402 |
|
20 |
20 |
$0.00 |
| Z1038 |
|
14 |
13 |
$0.00 |