| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,958 |
2,137 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,759 |
2,786 |
$135K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
194 |
174 |
$100K |
| 76830 |
Ultrasound, transvaginal |
1,550 |
1,352 |
$92K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,166 |
733 |
$51K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
652 |
565 |
$48K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
619 |
363 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
371 |
325 |
$27K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
477 |
440 |
$27K |
| 99220 |
|
162 |
128 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
168 |
121 |
$8K |
| 59430 |
|
75 |
72 |
$6K |
| 81025 |
|
1,143 |
866 |
$5K |
| 99219 |
|
65 |
37 |
$4K |
| 99215 |
Prolong outpt/office vis |
50 |
48 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
121 |
$3K |
| 99385 |
|
47 |
41 |
$3K |
| 81003 |
|
4,695 |
2,881 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
38 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
27 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
758 |
635 |
$1K |
| 59025 |
Fetal non-stress test |
98 |
62 |
$1K |
| 58100 |
|
16 |
15 |
$993.86 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$877.20 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
13 |
$820.68 |
| 99235 |
|
17 |
13 |
$695.94 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
29 |
20 |
$526.77 |
| 82143 |
|
121 |
85 |
$418.02 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
23 |
12 |
$309.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
15 |
$228.22 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
192 |
142 |
$134.19 |
| 99078 |
|
753 |
524 |
$0.00 |