| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
4,245 |
2,791 |
$236K |
| 99215 |
Prolong outpt/office vis |
1,521 |
1,515 |
$116K |
| Z1034 |
|
1,147 |
679 |
$64K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
990 |
937 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,355 |
1,287 |
$48K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
513 |
489 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
335 |
322 |
$30K |
| 76820 |
|
457 |
431 |
$14K |
| 76801 |
|
127 |
120 |
$9K |
| 99205 |
Prolong outpt/office vis |
76 |
76 |
$6K |
| Z1032 |
|
51 |
51 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$778.76 |
| 59430 |
|
12 |
12 |
$725.76 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$675.41 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$394.05 |