| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
10,228 |
6,573 |
$683K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,030 |
4,698 |
$505K |
| 76813 |
|
3,193 |
2,970 |
$208K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,946 |
7,501 |
$203K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,207 |
2,190 |
$92K |
| Z1034 |
|
1,883 |
1,229 |
$86K |
| 99243 |
|
1,147 |
1,142 |
$72K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
567 |
557 |
$47K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
844 |
825 |
$25K |
| 76801 |
|
386 |
366 |
$15K |
| 59430 |
|
134 |
83 |
$6K |
| 76820 |
|
183 |
97 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
130 |
128 |
$2K |
| 99242 |
|
28 |
27 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
13 |
$1K |
| 90715 |
|
12 |
12 |
$1K |
| G9920 |
Screening performed and negative |
106 |
106 |
$956.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
30 |
$860.16 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$646.37 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
16 |
$608.16 |
| 76827 |
|
13 |
12 |
$385.89 |
| 93325 |
|
12 |
12 |
$152.12 |
| 3351F |
|
12 |
12 |
$0.00 |