| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,439 |
1,180 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,250 |
828 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
440 |
379 |
$34K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
47 |
45 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
176 |
162 |
$14K |
| 76801 |
|
199 |
181 |
$13K |
| 76830 |
Ultrasound, transvaginal |
156 |
146 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
135 |
129 |
$7K |
| 99459 |
|
529 |
452 |
$5K |
| 59025 |
Fetal non-stress test |
268 |
135 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
107 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
112 |
104 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
31 |
$722.68 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$682.80 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$659.57 |
| 81003 |
|
384 |
290 |
$553.95 |
| 81025 |
|
59 |
51 |
$269.23 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
17 |
16 |
$0.00 |