| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76818 |
|
31,727 |
21,001 |
$4.07M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20,877 |
19,040 |
$2.46M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
10,135 |
9,613 |
$1.83M |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13,895 |
12,312 |
$1.27M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
5,138 |
4,906 |
$617K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,977 |
4,513 |
$544K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,576 |
5,949 |
$413K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,054 |
2,315 |
$127K |
| 59025 |
Fetal non-stress test |
5,256 |
3,506 |
$115K |
| 76820 |
|
1,270 |
846 |
$61K |
| 76825 |
|
257 |
243 |
$50K |
| 76801 |
|
495 |
462 |
$49K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
792 |
450 |
$38K |
| H0049 |
Alcohol and/or drug screening |
3,908 |
3,733 |
$35K |
| 76813 |
|
383 |
365 |
$35K |
| 99205 |
Prolong outpt/office vis |
140 |
132 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
240 |
227 |
$27K |
| 76830 |
Ultrasound, transvaginal |
131 |
124 |
$19K |
| 76821 |
|
315 |
226 |
$15K |
| 76827 |
|
298 |
274 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
111 |
66 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
73 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
70 |
67 |
$5K |
| 93325 |
|
363 |
336 |
$5K |
| 99385 |
|
26 |
25 |
$4K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$4K |
| 99241 |
|
365 |
355 |
$4K |
| 99459 |
|
114 |
98 |
$2K |
| 81025 |
|
204 |
190 |
$881.04 |
| 99401 |
|
25 |
25 |
$763.87 |
| 99243 |
|
12 |
12 |
$737.16 |
| 99201 |
|
15 |
15 |
$716.24 |
| 99245 |
|
17 |
16 |
$664.65 |
| 99242 |
|
12 |
12 |
$360.12 |
| 96127 |
|
84 |
78 |
$329.11 |
| 0500F |
|
17 |
12 |
$250.00 |
| 81003 |
|
182 |
148 |
$152.95 |
| 96160 |
|
38 |
38 |
$151.03 |
| 1036F |
|
319 |
299 |
$0.00 |
| 99000 |
|
402 |
375 |
$0.00 |
| 1031F |
|
38 |
38 |
$0.00 |
| 99072 |
|
9,364 |
7,244 |
$0.00 |
| 3725F |
|
598 |
539 |
$0.00 |