| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
698 |
652 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,802 |
2,594 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
180 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
55 |
54 |
$8K |
| 81025 |
|
996 |
918 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
79 |
73 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$4K |
| 59025 |
Fetal non-stress test |
60 |
24 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
58 |
56 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
92 |
84 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
373 |
341 |
$925.71 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$695.56 |
| 99233 |
Prolong inpt eval add15 m |
21 |
13 |
$654.32 |
| 0502F |
|
1,436 |
781 |
$0.00 |