| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
3,741 |
1,981 |
$336K |
| 59425 |
|
3,115 |
2,278 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,158 |
3,466 |
$224K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,850 |
1,499 |
$154K |
| 76818 |
|
1,625 |
624 |
$151K |
| 76830 |
Ultrasound, transvaginal |
1,343 |
1,242 |
$122K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,084 |
1,012 |
$96K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
295 |
285 |
$33K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
415 |
386 |
$27K |
| 59430 |
|
145 |
115 |
$25K |
| 81003 |
|
13,162 |
8,206 |
$24K |
| 99235 |
|
182 |
141 |
$22K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
529 |
457 |
$20K |
| 81025 |
|
2,460 |
2,178 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
123 |
101 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
18 |
14 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
37 |
$5K |
| 82951 |
|
186 |
145 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
15 |
$2K |
| 99406 |
|
150 |
126 |
$2K |
| 59025 |
Fetal non-stress test |
119 |
63 |
$2K |
| 99219 |
|
14 |
12 |
$2K |
| 99217 |
|
13 |
12 |
$833.55 |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
13 |
13 |
$780.00 |
| 36416 |
|
223 |
168 |
$588.67 |