| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59430 |
|
27,457 |
22,121 |
$3.71M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
4,446 |
3,663 |
$2.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,724 |
28,833 |
$2.13M |
| 59425 |
|
18,645 |
15,054 |
$1.16M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
27,806 |
22,710 |
$1.14M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
8,735 |
7,782 |
$797K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,059 |
6,143 |
$714K |
| 59025 |
Fetal non-stress test |
13,536 |
9,804 |
$340K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,077 |
5,223 |
$286K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
7,043 |
6,051 |
$246K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,435 |
3,730 |
$172K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,611 |
854 |
$109K |
| 59514 |
|
447 |
378 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,271 |
1,138 |
$92K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,348 |
1,214 |
$91K |
| 59426 |
|
1,288 |
887 |
$72K |
| 76820 |
|
2,612 |
1,636 |
$58K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,457 |
763 |
$51K |
| 99215 |
Prolong outpt/office vis |
334 |
309 |
$41K |
| 76801 |
|
744 |
681 |
$31K |
| 57454 |
|
299 |
275 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
994 |
798 |
$18K |
| 99205 |
Prolong outpt/office vis |
69 |
61 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
158 |
76 |
$14K |
| 76830 |
Ultrasound, transvaginal |
623 |
544 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
149 |
135 |
$12K |
| 76857 |
|
399 |
230 |
$11K |
| 96040 |
|
778 |
641 |
$10K |
| 54150 |
|
65 |
54 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
431 |
359 |
$9K |
| 57455 |
|
49 |
47 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
35 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
129 |
106 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
120 |
111 |
$3K |
| 58340 |
|
27 |
24 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
137 |
116 |
$3K |
| 51741 |
|
248 |
187 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$2K |
| 11981 |
|
91 |
85 |
$1K |
| 76831 |
|
27 |
24 |
$870.26 |
| 99417 |
Prolong home eval add 15m |
21 |
16 |
$430.63 |
| 58300 |
|
221 |
188 |
$258.59 |
| 51701 |
|
12 |
12 |
$162.76 |
| 99459 |
|
13 |
12 |
$146.69 |
| A4353 |
Intermittent urinary catheter, with insertion supplies |
30 |
24 |
$143.25 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
52 |
$118.22 |
| 81003 |
|
106 |
76 |
$115.09 |
| 76376 |
|
21 |
15 |
$66.45 |
| 99201 |
|
54 |
53 |
$30.65 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
59 |
$3.00 |
| 76813 |
|
32 |
27 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
41 |
$0.00 |