| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,493 |
7,733 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,395 |
4,231 |
$243K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
1,006 |
835 |
$208K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,036 |
2,828 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,436 |
3,704 |
$176K |
| 00731 |
|
2,817 |
2,594 |
$137K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,147 |
3,780 |
$108K |
| 59025 |
Fetal non-stress test |
4,608 |
3,261 |
$99K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
835 |
804 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,951 |
1,623 |
$47K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
74 |
64 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
589 |
560 |
$38K |
| 00104 |
|
733 |
248 |
$37K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,048 |
448 |
$25K |
| 99381 |
|
648 |
621 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
528 |
398 |
$23K |
| 00811 |
|
393 |
353 |
$18K |
| 00142 |
|
473 |
415 |
$17K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
220 |
68 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
470 |
315 |
$13K |
| 99220 |
|
174 |
170 |
$9K |
| 76820 |
|
437 |
339 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
372 |
221 |
$6K |
| 62323 |
|
52 |
47 |
$4K |
| 01961 |
|
14 |
14 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
42 |
37 |
$2K |
| 00732 |
|
31 |
30 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
58 |
54 |
$2K |
| 01810 |
|
28 |
24 |
$1K |
| 76801 |
|
41 |
40 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
14 |
13 |
$1K |
| 99217 |
|
27 |
26 |
$670.87 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$623.84 |
| 36620 |
|
13 |
12 |
$538.32 |
| 64450 |
|
35 |
24 |
$416.28 |
| 76942 |
|
32 |
28 |
$412.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$80.46 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
89 |
81 |
$61.22 |
| 1036F |
|
4,564 |
3,228 |
$0.00 |