| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
5,086 |
3,138 |
$287K |
| Z1034 |
|
1,738 |
1,129 |
$95K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
308 |
306 |
$26K |
| Z1032 |
|
139 |
139 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
41 |
41 |
$20K |
| 99215 |
Prolong outpt/office vis |
164 |
163 |
$19K |
| Z6500 |
|
97 |
97 |
$12K |
| 59430 |
|
180 |
174 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
147 |
130 |
$11K |
| 76813 |
|
104 |
97 |
$10K |
| 99000 |
|
1,632 |
1,600 |
$5K |
| 81025 |
|
1,090 |
1,045 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
61 |
61 |
$3K |
| 76801 |
|
30 |
30 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
25 |
14 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$946.60 |
| Z6400 |
|
97 |
97 |
$741.13 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
26 |
$658.58 |
| 3351F |
|
14 |
14 |
$0.00 |