| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,054 |
1,803 |
$119K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
842 |
767 |
$47K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
24 |
24 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
300 |
285 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
303 |
290 |
$29K |
| 76830 |
Ultrasound, transvaginal |
311 |
281 |
$22K |
| 99385 |
|
75 |
73 |
$8K |
| 76801 |
|
76 |
73 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
68 |
39 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$3K |
| A4550 |
Surgical trays |
76 |
66 |
$3K |
| 76818 |
|
28 |
12 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
32 |
26 |
$2K |
| 82950 |
|
275 |
252 |
$1K |
| 36416 |
|
589 |
501 |
$884.30 |
| 85018 |
|
372 |
344 |
$825.86 |
| 81002 |
|
233 |
159 |
$622.42 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$455.00 |
| 59025 |
Fetal non-stress test |
12 |
12 |
$390.06 |
| 81025 |
|
48 |
41 |
$349.09 |
| 0502F |
|
90 |
24 |
$0.00 |