| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
21,348 |
12,254 |
$1.42M |
| 59410 |
|
1,128 |
1,044 |
$1.12M |
| 59515 |
|
808 |
629 |
$710K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,701 |
2,419 |
$455K |
| 59430 |
|
2,005 |
1,581 |
$353K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,052 |
1,873 |
$201K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,928 |
1,863 |
$181K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,225 |
1,182 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
188 |
174 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
54 |
47 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$961.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
39 |
$829.87 |