| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
7,032 |
4,320 |
$337K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,207 |
3,822 |
$271K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,965 |
8,034 |
$215K |
| 76820 |
|
7,840 |
4,480 |
$197K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,706 |
1,658 |
$185K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
299 |
281 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,694 |
4,373 |
$145K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,598 |
1,435 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,127 |
3,503 |
$92K |
| 99234 |
|
597 |
456 |
$46K |
| 76818 |
|
696 |
399 |
$34K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
541 |
418 |
$27K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
678 |
603 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
255 |
247 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
248 |
224 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
555 |
423 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
386 |
373 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
330 |
307 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
144 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
222 |
195 |
$10K |
| 99243 |
|
114 |
111 |
$8K |
| 59430 |
|
92 |
88 |
$7K |
| 99078 |
|
1,205 |
840 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
190 |
156 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
99 |
82 |
$4K |
| 76813 |
|
29 |
29 |
$2K |
| 59025 |
Fetal non-stress test |
126 |
113 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
87 |
85 |
$2K |
| 99215 |
Prolong outpt/office vis |
34 |
33 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15 |
14 |
$992.54 |
| 76801 |
|
14 |
12 |
$862.14 |
| 99221 |
|
14 |
13 |
$542.28 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
24 |
24 |
$410.90 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$299.02 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
13 |
$163.62 |
| 3078F |
|
1,684 |
1,597 |
$0.00 |
| 3074F |
|
1,410 |
1,338 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3079F |
|
30 |
29 |
$0.00 |