| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,692 |
4,793 |
$470K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,022 |
2,363 |
$228K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,109 |
1,353 |
$136K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
157 |
142 |
$120K |
| 76820 |
|
2,875 |
1,581 |
$117K |
| 59514 |
|
185 |
158 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,000 |
842 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,355 |
1,104 |
$70K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
727 |
672 |
$49K |
| 76818 |
|
444 |
288 |
$37K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
881 |
744 |
$30K |
| 99222 |
Initial hospital care, per day, moderate complexity |
224 |
214 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
347 |
284 |
$26K |
| 99221 |
|
125 |
115 |
$11K |
| 99234 |
|
66 |
60 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
93 |
64 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
57 |
50 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$3K |
| 81002 |
|
1,073 |
811 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
84 |
77 |
$2K |
| 59025 |
Fetal non-stress test |
87 |
66 |
$1K |
| 99218 |
|
12 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
45 |
15 |
$1K |
| 96127 |
|
164 |
156 |
$731.66 |
| 81003 |
|
582 |
433 |
$684.08 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
12 |
$353.80 |
| 90686 |
|
12 |
12 |
$230.38 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
15 |
14 |
$150.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
18 |
15 |
$124.64 |
| 0502F |
|
363 |
273 |
$0.00 |