| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
6,445 |
5,915 |
$559K |
| 59425 |
|
8,804 |
7,064 |
$495K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
11,853 |
8,895 |
$285K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,696 |
7,049 |
$276K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,243 |
4,887 |
$198K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,406 |
7,804 |
$182K |
| 59025 |
Fetal non-stress test |
15,912 |
11,043 |
$151K |
| 99215 |
Prolong outpt/office vis |
1,672 |
1,572 |
$141K |
| 76813 |
|
1,334 |
1,165 |
$71K |
| Z1034 |
|
742 |
591 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,237 |
1,203 |
$31K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
298 |
269 |
$24K |
| 76801 |
|
777 |
771 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
241 |
241 |
$17K |
| 51701 |
|
192 |
192 |
$17K |
| 99242 |
|
438 |
438 |
$17K |
| 99243 |
|
320 |
318 |
$17K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
237 |
160 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
328 |
322 |
$14K |
| 99241 |
|
463 |
463 |
$12K |
| Z1032 |
|
62 |
62 |
$7K |
| 59514 |
|
12 |
12 |
$7K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
486 |
404 |
$6K |
| Z6410 |
|
289 |
219 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
37 |
37 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
122 |
102 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
83 |
60 |
$2K |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$2K |
| 76820 |
|
91 |
79 |
$2K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
13 |
13 |
$754.95 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
54 |
39 |
$646.86 |
| 90686 |
|
13 |
13 |
$336.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$127.12 |
| 99072 |
|
519 |
493 |
$0.02 |