| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,955 |
4,516 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
406 |
376 |
$23K |
| 81000 |
|
5,123 |
3,710 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
254 |
222 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
275 |
244 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
132 |
119 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
70 |
70 |
$7K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
50 |
50 |
$7K |
| 36410 |
|
733 |
644 |
$7K |
| 59025 |
Fetal non-stress test |
179 |
115 |
$5K |
| 81025 |
|
995 |
893 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
53 |
51 |
$3K |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
68 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16 |
14 |
$947.57 |
| 99385 |
|
15 |
12 |
$896.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
33 |
$469.10 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
14 |
12 |
$362.46 |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
16 |
14 |
$350.00 |