| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
22,728 |
21,419 |
$744K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
7,617 |
7,606 |
$557K |
| 59025 |
Fetal non-stress test |
16,232 |
13,991 |
$482K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
12,659 |
10,740 |
$379K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,271 |
6,122 |
$332K |
| 76801 |
|
7,904 |
7,841 |
$302K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,706 |
3,868 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,818 |
7,632 |
$269K |
| 76813 |
|
5,628 |
5,612 |
$257K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
7,732 |
7,567 |
$218K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,354 |
3,350 |
$128K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,181 |
4,865 |
$126K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,039 |
2,031 |
$102K |
| 99215 |
Prolong outpt/office vis |
1,213 |
1,174 |
$99K |
| 76820 |
|
4,131 |
3,167 |
$80K |
| 76818 |
|
1,921 |
1,741 |
$77K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
879 |
876 |
$61K |
| 99233 |
Prolong inpt eval add15 m |
500 |
379 |
$34K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
985 |
580 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
462 |
459 |
$25K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$19K |
| 54150 |
|
156 |
156 |
$12K |
| 46607 |
|
168 |
160 |
$10K |
| 58301 |
|
148 |
148 |
$9K |
| 99451 |
|
248 |
244 |
$7K |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
680 |
655 |
$6K |
| 11982 |
|
87 |
87 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$5K |
| 58300 |
|
93 |
93 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
110 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 51701 |
|
80 |
78 |
$958.19 |
| 57160 |
|
43 |
42 |
$755.97 |
| 76998 |
|
13 |
13 |
$627.64 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$466.32 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$262.96 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$254.28 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$241.23 |