| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
1,737 |
1,078 |
$100K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
506 |
443 |
$53K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
468 |
343 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
903 |
805 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
395 |
$16K |
| 99215 |
Prolong outpt/office vis |
130 |
130 |
$13K |
| 59025 |
Fetal non-stress test |
432 |
376 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
112 |
$8K |
| 0500F |
|
66 |
66 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
78 |
78 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
65 |
65 |
$5K |
| 88141 |
|
12 |
12 |
$600.00 |
| 87110 |
|
14 |
14 |
$222.56 |
| 81002 |
|
75 |
53 |
$159.75 |