| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
7,271 |
6,497 |
$479K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,626 |
1,522 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,768 |
1,636 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
900 |
874 |
$61K |
| 59430 |
|
331 |
312 |
$60K |
| 76818 |
|
460 |
342 |
$38K |
| 76813 |
|
359 |
335 |
$31K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
153 |
150 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
446 |
421 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
103 |
101 |
$10K |
| 76830 |
Ultrasound, transvaginal |
82 |
80 |
$7K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
47 |
45 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$843.06 |
| 99459 |
|
135 |
110 |
$778.70 |
| 81002 |
|
197 |
184 |
$146.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$145.74 |
| 96160 |
|
101 |
91 |
$108.56 |
| 81025 |
|
13 |
12 |
$43.10 |
| 85018 |
|
14 |
14 |
$14.61 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
15 |
$0.00 |
| 0500F |
|
19 |
18 |
$0.00 |