| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,405 |
5,664 |
$425K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,620 |
902 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
645 |
431 |
$30K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
557 |
294 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
575 |
467 |
$29K |
| 0502F |
|
1,358 |
519 |
$28K |
| 81025 |
|
4,577 |
3,190 |
$22K |
| 59514 |
|
43 |
38 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
564 |
445 |
$10K |
| 59430 |
|
162 |
106 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
204 |
148 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
80 |
66 |
$6K |
| 80305 |
|
885 |
607 |
$6K |
| 76830 |
Ultrasound, transvaginal |
99 |
80 |
$5K |
| 76801 |
|
50 |
41 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
154 |
63 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
36 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$844.10 |
| 81002 |
|
147 |
62 |
$167.64 |