| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76818 |
|
3,948 |
1,057 |
$356K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,474 |
3,247 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,513 |
4,374 |
$221K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
258 |
251 |
$150K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,396 |
1,311 |
$119K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
305 |
287 |
$39K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
489 |
465 |
$32K |
| 59430 |
|
329 |
310 |
$30K |
| 81002 |
|
10,213 |
4,934 |
$26K |
| 76801 |
|
213 |
209 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
188 |
184 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
241 |
232 |
$19K |
| 76813 |
|
151 |
144 |
$13K |
| 99215 |
Prolong outpt/office vis |
111 |
104 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
109 |
103 |
$7K |
| 59025 |
Fetal non-stress test |
191 |
140 |
$7K |
| 81025 |
|
649 |
613 |
$4K |
| 87210 |
|
653 |
595 |
$3K |
| 83986 |
|
652 |
596 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$1K |
| 87220 |
|
524 |
492 |
$1K |
| 90715 |
|
14 |
12 |
$435.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$253.72 |
| 90686 |
|
12 |
12 |
$232.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
29 |
$230.48 |
| 99080 |
|
98 |
93 |
$0.00 |