| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,707 |
4,564 |
$253K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
768 |
704 |
$47K |
| 76830 |
Ultrasound, transvaginal |
313 |
301 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
198 |
184 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
302 |
288 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
197 |
164 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
238 |
202 |
$12K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
91 |
77 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
123 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
104 |
82 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
85 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
63 |
60 |
$2K |
| 76801 |
|
29 |
27 |
$2K |
| 81025 |
|
476 |
448 |
$2K |
| 59025 |
Fetal non-stress test |
58 |
43 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
32 |
31 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$583.14 |
| 99233 |
Prolong inpt eval add15 m |
14 |
13 |
$460.62 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
32 |
31 |
$426.47 |