| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76801 |
|
245 |
238 |
$107K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
152 |
152 |
$86K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
65 |
63 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
50 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
63 |
$10K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
68 |
57 |
$7K |
| H0049 |
Alcohol and/or drug screening |
223 |
171 |
$2K |
| 81003 |
|
145 |
119 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$2K |
| 81025 |
|
14 |
13 |
$356.98 |