| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76818 |
|
2,531 |
1,024 |
$217K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,998 |
4,147 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,518 |
2,115 |
$152K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
763 |
688 |
$61K |
| 59430 |
|
666 |
629 |
$60K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
79 |
78 |
$48K |
| 76830 |
Ultrasound, transvaginal |
380 |
365 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
414 |
403 |
$33K |
| 99000 |
|
2,838 |
2,500 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
264 |
258 |
$19K |
| 59514 |
|
24 |
24 |
$16K |
| 87800 |
|
535 |
523 |
$15K |
| 81003 |
|
7,753 |
4,230 |
$12K |
| 59020 |
|
432 |
382 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
88 |
82 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
148 |
147 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
120 |
113 |
$6K |
| 76801 |
|
55 |
53 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
378 |
333 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
45 |
44 |
$4K |
| 90715 |
|
104 |
103 |
$4K |
| 81025 |
|
625 |
597 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
54 |
$3K |
| 90674 |
|
117 |
110 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
271 |
253 |
$3K |
| 99219 |
|
31 |
28 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
25 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
25 |
$2K |
| 99234 |
|
15 |
14 |
$1K |
| 82950 |
|
301 |
297 |
$911.22 |
| 59025 |
Fetal non-stress test |
15 |
12 |
$536.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$536.44 |
| 90661 |
|
15 |
15 |
$300.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$112.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| 0503F |
|
13 |
13 |
$0.00 |