| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
6,306 |
4,774 |
$366K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,336 |
2,207 |
$30K |
| 76813 |
|
168 |
167 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
203 |
198 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
568 |
544 |
$10K |
| 99215 |
Prolong outpt/office vis |
66 |
66 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
112 |
90 |
$7K |
| 99243 |
|
98 |
98 |
$7K |
| 99490 |
Ccm add 20min |
770 |
769 |
$6K |
| 59025 |
Fetal non-stress test |
160 |
102 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
48 |
$3K |
| 99307 |
|
767 |
618 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
25 |
$2K |
| 76801 |
|
27 |
26 |
$2K |
| 99454 |
|
253 |
253 |
$2K |
| 59430 |
|
13 |
13 |
$778.44 |
| 99457 |
|
353 |
353 |
$725.93 |
| 99458 |
|
172 |
172 |
$452.51 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
56 |
45 |
$209.37 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$115.43 |
| 99000 |
|
61 |
59 |
$68.21 |
| 90674 |
|
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
32 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |