| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,920 |
4,236 |
$329K |
| H1000 |
Prenatal care, at-risk assessment |
2,050 |
1,722 |
$93K |
| 80305 |
|
9,754 |
6,003 |
$74K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
4,579 |
4,218 |
$54K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
563 |
520 |
$52K |
| H1010 |
Non-medical family planning education, per session |
2,031 |
1,877 |
$47K |
| 99215 |
Prolong outpt/office vis |
531 |
453 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
492 |
441 |
$28K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,940 |
1,712 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,386 |
1,257 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
292 |
216 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
131 |
$7K |
| 85018 |
|
1,901 |
1,751 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
224 |
211 |
$4K |
| 82950 |
|
468 |
437 |
$2K |
| 76801 |
|
24 |
24 |
$2K |
| 90686 |
|
85 |
80 |
$1K |
| 90715 |
|
39 |
38 |
$1K |
| 99402 |
|
30 |
25 |
$945.70 |
| 99401 |
|
24 |
24 |
$625.10 |
| 90674 |
|
18 |
15 |
$480.00 |
| 81002 |
|
40 |
38 |
$73.98 |