| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59410 |
|
91 |
90 |
$75K |
| 59426 |
|
820 |
385 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,546 |
1,168 |
$71K |
| 59425 |
|
619 |
455 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
227 |
$29K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
287 |
254 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
167 |
151 |
$16K |
| 59515 |
|
13 |
13 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
152 |
131 |
$10K |
| 76830 |
Ultrasound, transvaginal |
81 |
74 |
$6K |
| 81025 |
|
932 |
745 |
$5K |
| 76801 |
|
52 |
45 |
$4K |
| 59025 |
Fetal non-stress test |
103 |
46 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
102 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
34 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
13 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$918.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
44 |
$775.67 |
| 81002 |
|
277 |
224 |
$613.92 |