| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
777 |
621 |
$16K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
151 |
38 |
$13K |
| 76818 |
|
265 |
86 |
$10K |
| 59425 |
|
107 |
52 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
350 |
242 |
$7K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
99 |
32 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
122 |
106 |
$5K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
43 |
12 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
260 |
189 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
144 |
129 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
320 |
76 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
57 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
161 |
$2K |
| 76813 |
|
35 |
28 |
$913.28 |
| 76820 |
|
26 |
13 |
$664.33 |
| 99233 |
Prolong inpt eval add15 m |
25 |
12 |
$301.48 |