| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
3,695 |
2,141 |
$227K |
| 93975 |
|
367 |
335 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,032 |
1,698 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
518 |
487 |
$45K |
| 76830 |
Ultrasound, transvaginal |
644 |
584 |
$32K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
212 |
193 |
$31K |
| 59430 |
|
145 |
120 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
629 |
582 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
177 |
171 |
$17K |
| 59515 |
|
14 |
13 |
$16K |
| 59410 |
|
14 |
13 |
$13K |
| 99385 |
|
29 |
27 |
$3K |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,291 |
1,124 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
521 |
452 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,587 |
2,171 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
27 |
25 |
$0.00 |