| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
710 |
661 |
$47K |
| 99233 |
Prolong inpt eval add15 m |
809 |
719 |
$22K |
| 59514 |
|
102 |
100 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,752 |
2,428 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
88 |
88 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
474 |
473 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
60 |
60 |
$2K |
| Z1034 |
|
18 |
12 |
$979.74 |
| 59025 |
Fetal non-stress test |
16 |
16 |
$111.72 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
240 |
238 |
$50.00 |
| 88150 |
|
895 |
890 |
$11.50 |
| 81002 |
|
256 |
153 |
$2.13 |
| 99385 |
|
58 |
57 |
$0.00 |
| 99386 |
|
131 |
131 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
99 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
73 |
$0.00 |
| 88161 |
|
31 |
31 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |