| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,659 |
13,076 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,919 |
5,037 |
$576K |
| 76830 |
Ultrasound, transvaginal |
1,904 |
1,624 |
$191K |
| 81002 |
|
19,215 |
15,756 |
$64K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
309 |
301 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
167 |
139 |
$15K |
| 59430 |
|
111 |
107 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
12 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
4,740 |
4,291 |
$12K |
| 99215 |
Prolong outpt/office vis |
69 |
62 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
43 |
$8K |
| 59025 |
Fetal non-stress test |
208 |
128 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
37 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
47 |
46 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
159 |
145 |
$3K |
| 99078 |
|
85 |
75 |
$3K |
| 81003 |
|
752 |
666 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
72 |
63 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$1K |
| 85018 |
|
281 |
270 |
$758.89 |
| 96160 |
|
70 |
66 |
$652.62 |
| 87110 |
|
15 |
14 |
$60.62 |