| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,567 |
28,215 |
$1.94M |
| 59515 |
|
938 |
903 |
$613K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,455 |
3,887 |
$438K |
| 59410 |
|
501 |
458 |
$309K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,082 |
3,607 |
$305K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,728 |
3,894 |
$236K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,473 |
4,516 |
$190K |
| 99243 |
|
4,669 |
4,037 |
$155K |
| 76801 |
|
2,408 |
2,158 |
$122K |
| 59051 |
|
2,439 |
1,794 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,424 |
1,964 |
$78K |
| 59025 |
Fetal non-stress test |
6,496 |
3,478 |
$77K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
3,129 |
2,739 |
$60K |
| 99070 |
|
1,925 |
1,836 |
$40K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
895 |
832 |
$35K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
526 |
495 |
$34K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,614 |
1,235 |
$33K |
| 99234 |
|
185 |
157 |
$18K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
199 |
170 |
$13K |
| 58611 |
|
82 |
82 |
$12K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
957 |
677 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
271 |
236 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
258 |
240 |
$7K |
| 99218 |
|
97 |
88 |
$4K |
| 76830 |
Ultrasound, transvaginal |
89 |
73 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
59 |
50 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,000 |
1,879 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
30 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,627 |
1,529 |
$1K |
| 99217 |
|
19 |
17 |
$830.40 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$766.76 |
| 99442 |
|
37 |
35 |
$409.12 |
| 99441 |
|
24 |
24 |
$368.64 |
| 87110 |
|
123 |
119 |
$321.67 |
| 76818 |
|
34 |
27 |
$65.33 |
| 87653 |
|
518 |
487 |
$30.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
20 |
$0.00 |
| 87660 |
|
28 |
28 |
$0.00 |
| 87625 |
|
57 |
53 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
59 |
55 |
$0.00 |
| 87810 |
|
17 |
17 |
$0.00 |