| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
7,817 |
4,534 |
$286K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,414 |
9,017 |
$195K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,909 |
2,167 |
$168K |
| 88307 |
|
3,305 |
2,248 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,208 |
2,196 |
$88K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,599 |
1,091 |
$77K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,320 |
700 |
$72K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,100 |
1,260 |
$44K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,332 |
745 |
$43K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
365 |
310 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
389 |
278 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
187 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
331 |
219 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
605 |
210 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,188 |
3,174 |
$16K |
| 99215 |
Prolong outpt/office vis |
267 |
187 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
512 |
154 |
$11K |
| 88342 |
|
851 |
696 |
$11K |
| 99205 |
Prolong outpt/office vis |
70 |
61 |
$10K |
| 81003 |
|
3,634 |
2,757 |
$5K |
| 99235 |
|
67 |
52 |
$5K |
| 43237 |
|
82 |
72 |
$5K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
55 |
27 |
$5K |
| 99236 |
Prolong inpt eval add15 m |
15 |
13 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
27 |
$1K |
| 99254 |
|
22 |
14 |
$1K |
| 59025 |
Fetal non-stress test |
33 |
27 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$953.27 |
| 81025 |
|
739 |
305 |
$945.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
162 |
50 |
$786.64 |
| 88302 |
|
167 |
82 |
$523.30 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
16 |
$494.24 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
12 |
$382.03 |
| 95819 |
|
12 |
12 |
$354.17 |
| 85018 |
|
504 |
272 |
$296.72 |
| 71045 |
Radiologic examination, chest; single view |
110 |
74 |
$290.97 |
| 93000 |
|
93 |
83 |
$284.56 |
| 82962 |
|
88 |
82 |
$196.24 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$188.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
14 |
$12.50 |
| 1160F |
|
710 |
390 |
$0.00 |
| 1159F |
|
2,735 |
1,912 |
$0.00 |
| 3078F |
|
1,404 |
1,016 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
233 |
152 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
19 |
12 |
$0.00 |
| 3077F |
|
36 |
28 |
$0.00 |
| 1125F |
|
793 |
499 |
$0.00 |
| 3074F |
|
1,700 |
1,218 |
$0.00 |
| 1036F |
|
526 |
387 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,377 |
945 |
$0.00 |
| 3079F |
|
429 |
313 |
$0.00 |
| 1126F |
|
1,312 |
921 |
$0.00 |
| 99024 |
|
52 |
42 |
$0.00 |
| 3075F |
|
33 |
33 |
$0.00 |