| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,762 |
2,333 |
$250K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
843 |
832 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,669 |
1,423 |
$44K |
| Z1034 |
|
503 |
323 |
$28K |
| 99215 |
Prolong outpt/office vis |
131 |
129 |
$22K |
| 81002 |
|
5,756 |
3,650 |
$13K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
93 |
93 |
$5K |
| 59430 |
|
15 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$1K |
| 87210 |
|
13 |
13 |
$48.79 |