| Code | Description | Claims | Beneficiaries | Total Paid |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
11,183 |
10,610 |
$1.29M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17,562 |
16,520 |
$611K |
| 76813 |
|
5,279 |
4,790 |
$428K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
5,377 |
5,362 |
$371K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12,564 |
9,176 |
$274K |
| 59025 |
Fetal non-stress test |
23,167 |
13,256 |
$247K |
| 59514 |
|
614 |
605 |
$206K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
296 |
296 |
$195K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,128 |
1,499 |
$112K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,539 |
1,118 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,677 |
2,559 |
$54K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
980 |
973 |
$44K |
| 76801 |
|
836 |
818 |
$43K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
620 |
583 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
664 |
664 |
$33K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,065 |
814 |
$29K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
406 |
393 |
$28K |
| 59425 |
|
359 |
270 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
641 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
394 |
320 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
198 |
194 |
$17K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
652 |
609 |
$16K |
| 99243 |
|
203 |
198 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
132 |
132 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
90 |
81 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
69 |
69 |
$5K |
| 99205 |
Prolong outpt/office vis |
66 |
66 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
121 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
24 |
24 |
$2K |
| 76820 |
|
66 |
40 |
$2K |
| 76825 |
|
29 |
24 |
$1K |
| 58100 |
|
40 |
40 |
$736.68 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
44 |
43 |
$730.42 |
| Z1034 |
|
15 |
15 |
$653.10 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$529.75 |
| 81025 |
|
88 |
76 |
$81.20 |