| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76819 |
Fetal biophysical profile; without non-stress testing |
45,378 |
29,726 |
$3.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,320 |
31,590 |
$2.52M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
11,833 |
10,424 |
$2.47M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25,296 |
20,182 |
$2.24M |
| 76820 |
|
12,243 |
7,515 |
$847K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
6,249 |
4,838 |
$576K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,907 |
5,249 |
$561K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,802 |
1,788 |
$183K |
| 81003 |
|
47,085 |
35,133 |
$149K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,288 |
1,180 |
$118K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,467 |
1,821 |
$92K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,091 |
989 |
$64K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
809 |
652 |
$60K |
| 59025 |
Fetal non-stress test |
2,050 |
1,719 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
308 |
262 |
$44K |
| 99233 |
Prolong inpt eval add15 m |
502 |
273 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
401 |
330 |
$39K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
325 |
40 |
$36K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
304 |
50 |
$34K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
50 |
13 |
$24K |
| 99464 |
|
208 |
201 |
$16K |
| 76801 |
|
95 |
79 |
$14K |
| 76830 |
Ultrasound, transvaginal |
135 |
110 |
$12K |
| 76825 |
|
34 |
25 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
56 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
43 |
$3K |
| 93325 |
|
34 |
25 |
$3K |
| 99221 |
|
28 |
28 |
$3K |
| 76827 |
|
34 |
25 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
98 |
76 |
$2K |
| 76813 |
|
12 |
12 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$1K |
| 81002 |
|
69 |
57 |
$146.24 |