| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59426 |
|
9,986 |
4,313 |
$701K |
| 59425 |
|
8,136 |
5,793 |
$511K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,064 |
1,756 |
$148K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,129 |
1,463 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,014 |
1,618 |
$86K |
| 59025 |
Fetal non-stress test |
2,607 |
1,372 |
$73K |
| 59430 |
|
535 |
411 |
$44K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
520 |
372 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
537 |
459 |
$26K |
| 76830 |
Ultrasound, transvaginal |
405 |
367 |
$21K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
92 |
81 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
313 |
294 |
$15K |
| 99000 |
|
3,098 |
2,762 |
$8K |
| 81002 |
|
3,910 |
1,966 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
50 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
146 |
122 |
$4K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
61 |
56 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
41 |
29 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
139 |
131 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
46 |
38 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
121 |
115 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
25 |
$1K |
| 99354 |
|
159 |
117 |
$900.00 |
| 81025 |
|
304 |
235 |
$846.54 |
| 90674 |
|
33 |
27 |
$598.09 |
| 99459 |
|
32 |
28 |
$504.26 |
| 96127 |
|
28 |
25 |
$76.14 |
| 87210 |
|
149 |
124 |
$65.30 |
| 90756 |
|
20 |
20 |
$15.26 |
| 90715 |
|
30 |
29 |
$0.00 |
| 0502F |
|
33 |
12 |
$0.00 |
| 0501F |
|
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
27 |
$0.00 |