| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,419 |
2,096 |
$162K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
469 |
246 |
$59K |
| 76818 |
|
560 |
281 |
$44K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
519 |
438 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,019 |
870 |
$30K |
| 99070 |
|
1,349 |
1,182 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
286 |
79 |
$16K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
427 |
401 |
$11K |
| 99418 |
Prolong nursin fac eval 15m |
168 |
29 |
$10K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
446 |
420 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
44 |
27 |
$6K |
| 99357 |
|
91 |
29 |
$6K |
| 99356 |
|
91 |
29 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208 |
168 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
47 |
28 |
$3K |
| 99242 |
|
63 |
39 |
$3K |
| 99385 |
|
110 |
89 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
82 |
78 |
$3K |
| 59025 |
Fetal non-stress test |
114 |
55 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
14 |
$1K |
| 76820 |
|
14 |
14 |
$484.24 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$345.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$153.15 |
| 99221 |
|
13 |
12 |
$140.00 |
| 87081 |
|
37 |
37 |
$128.93 |