| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
1,213 |
723 |
$70K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
777 |
667 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,727 |
1,608 |
$41K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
331 |
299 |
$33K |
| 99215 |
Prolong outpt/office vis |
325 |
312 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
288 |
285 |
$21K |
| 88141 |
|
335 |
209 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
229 |
225 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
67 |
66 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
36 |
34 |
$3K |
| 59025 |
Fetal non-stress test |
156 |
141 |
$2K |
| 87110 |
|
128 |
126 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$1K |
| 76801 |
|
14 |
12 |
$1K |
| 0500F |
|
12 |
12 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$900.00 |