| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,917 |
2,336 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,167 |
2,262 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,992 |
1,327 |
$77K |
| 59510 |
|
102 |
55 |
$73K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
666 |
537 |
$52K |
| 76801 |
|
2,222 |
1,190 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,292 |
901 |
$51K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
50 |
25 |
$35K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
481 |
182 |
$14K |
| 81025 |
|
5,639 |
3,903 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
571 |
460 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
281 |
235 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
778 |
354 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
568 |
391 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
151 |
67 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
94 |
73 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
45 |
39 |
$2K |
| 59426 |
|
214 |
209 |
$2K |
| 81003 |
|
3,993 |
2,285 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
82 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
96 |
28 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
115 |
93 |
$2K |
| 76830 |
Ultrasound, transvaginal |
19 |
16 |
$923.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18 |
17 |
$850.51 |
| 87428 |
|
19 |
14 |
$771.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$667.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
125 |
77 |
$578.07 |
| 0002A |
|
26 |
13 |
$520.00 |
| 90715 |
|
13 |
13 |
$361.46 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
14 |
$322.14 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$280.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$263.26 |
| 51798 |
|
52 |
43 |
$223.31 |
| 99217 |
|
19 |
12 |
$153.00 |
| 87905 |
|
16 |
14 |
$137.28 |
| 87808 |
|
18 |
15 |
$132.00 |
| 99219 |
|
16 |
13 |
$91.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$25.00 |
| H1000 |
Prenatal care, at-risk assessment |
1,070 |
554 |
$3.61 |
| G9357 |
Post-partum screenings, evaluations and education performed |
467 |
293 |
$2.23 |
| 4004F |
|
56 |
48 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,815 |
3,421 |
$0.00 |
| 1160F |
|
197 |
186 |
$0.00 |
| 1090F |
|
79 |
67 |
$0.00 |
| 1159F |
|
808 |
673 |
$0.00 |
| 3078F |
|
586 |
522 |
$0.00 |
| 01961 |
|
70 |
68 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
65 |
53 |
$0.00 |
| 1124F |
|
85 |
85 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
42 |
39 |
$0.00 |
| 01960 |
|
39 |
39 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
12 |
12 |
$0.00 |
| 1125F |
|
666 |
589 |
$0.00 |
| 1126F |
|
1,095 |
983 |
$0.00 |
| 1036F |
|
1,947 |
1,738 |
$0.00 |
| 3074F |
|
1,186 |
1,046 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
721 |
611 |
$0.00 |
| 99406 |
|
152 |
127 |
$0.00 |
| 59514 |
|
60 |
58 |
$0.00 |
| 3079F |
|
103 |
99 |
$0.00 |