| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99254 |
|
635 |
623 |
$11K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
60 |
60 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
22 |
12 |
$2K |
| 59514 |
|
15 |
15 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
97 |
97 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
78 |
78 |
$932.94 |
| 99460 |
|
88 |
87 |
$778.53 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
71 |
60 |
$758.32 |
| 59025 |
Fetal non-stress test |
200 |
151 |
$544.38 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
12 |
$538.84 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
100 |
95 |
$471.25 |
| 99451 |
|
75 |
55 |
$278.97 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$169.95 |
| 99223 |
Prolong inpt eval add15 m |
32 |
30 |
$151.39 |
| 99233 |
Prolong inpt eval add15 m |
15 |
13 |
$82.44 |
| 99462 |
|
15 |
13 |
$47.78 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
12 |
$37.80 |