| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
335 |
319 |
$198K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,795 |
4,616 |
$93K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,593 |
4,416 |
$73K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,527 |
9,714 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,947 |
1,678 |
$43K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,155 |
994 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,104 |
576 |
$32K |
| 76642 |
|
1,091 |
1,044 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,095 |
1,016 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
220 |
210 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
255 |
239 |
$13K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
694 |
667 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
501 |
259 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
296 |
269 |
$9K |
| 76641 |
|
259 |
245 |
$7K |
| 99221 |
|
150 |
131 |
$6K |
| 76820 |
|
324 |
287 |
$5K |
| 77065 |
Tomosynthesis, mammo |
179 |
161 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
69 |
60 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
72 |
67 |
$2K |
| 54150 |
|
15 |
15 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
59 |
$2K |
| 99235 |
|
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$1K |
| 77066 |
Tomosynthesis, mammo |
24 |
24 |
$824.74 |
| 76813 |
|
12 |
12 |
$511.86 |