| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,518 |
4,271 |
$354K |
| 0502F |
|
828 |
623 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
481 |
328 |
$48K |
| 99222 |
Initial hospital care, per day, moderate complexity |
188 |
184 |
$18K |
| 81000 |
|
4,800 |
3,434 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
202 |
190 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
146 |
142 |
$14K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
128 |
127 |
$11K |
| 76801 |
|
99 |
97 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
77 |
77 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
122 |
118 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
68 |
$6K |
| 99236 |
Prolong inpt eval add15 m |
31 |
25 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
209 |
189 |
$3K |
| 59430 |
|
24 |
24 |
$3K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
117 |
110 |
$2K |
| 3078F |
|
910 |
750 |
$2K |
| 3074F |
|
958 |
779 |
$2K |
| 81002 |
|
592 |
427 |
$2K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
15 |
12 |
$1K |
| 85018 |
|
258 |
240 |
$717.91 |
| 3079F |
|
167 |
149 |
$280.50 |
| 96161 |
|
17 |
16 |
$171.29 |
| 96160 |
|
12 |
12 |
$150.00 |
| 3075F |
|
26 |
26 |
$120.06 |
| 2000F |
|
945 |
739 |
$0.00 |
| 1036F |
|
742 |
585 |
$0.00 |
| 2001F |
|
938 |
737 |
$0.00 |
| 1034F |
|
54 |
43 |
$0.00 |
| 3008F |
|
123 |
115 |
$0.00 |