| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,842 |
18,544 |
$788K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
28,271 |
19,883 |
$695K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16,885 |
15,671 |
$456K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15,165 |
10,578 |
$297K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,561 |
2,498 |
$147K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
5,748 |
5,379 |
$132K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,557 |
3,459 |
$110K |
| 59025 |
Fetal non-stress test |
5,796 |
3,389 |
$105K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,111 |
919 |
$89K |
| 76820 |
|
3,705 |
2,249 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
371 |
340 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
598 |
487 |
$14K |
| 76821 |
|
441 |
274 |
$11K |
| 59430 |
|
83 |
82 |
$9K |
| 76830 |
Ultrasound, transvaginal |
397 |
381 |
$8K |
| 76801 |
|
250 |
240 |
$8K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
58 |
45 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
25 |
24 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
50 |
$3K |
| 76813 |
|
58 |
57 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
66 |
53 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 76825 |
|
27 |
25 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
15 |
12 |
$933.10 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$736.88 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$587.31 |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$481.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
44 |
$382.10 |
| 96040 |
|
164 |
153 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$0.00 |