| Code | Description | Claims | Beneficiaries | Total Paid |
| H1000 |
Prenatal care, at-risk assessment |
63,974 |
44,389 |
$3.33M |
| 59410 |
|
2,374 |
2,247 |
$2.29M |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,498 |
5,038 |
$587K |
| 59515 |
|
573 |
547 |
$576K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,666 |
8,773 |
$301K |
| 76801 |
|
3,931 |
3,608 |
$277K |
| 81025 |
|
38,985 |
35,260 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,106 |
7,618 |
$259K |
| 85018 |
|
12,753 |
11,729 |
$232K |
| 59430 |
|
4,407 |
3,702 |
$228K |
| 59025 |
Fetal non-stress test |
8,238 |
5,264 |
$136K |
| 81002 |
|
10,373 |
8,212 |
$121K |
| 76818 |
|
2,811 |
1,976 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,673 |
1,483 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,136 |
1,055 |
$62K |
| 82947 |
|
8,351 |
7,424 |
$60K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,947 |
1,747 |
$44K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
548 |
512 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
2,258 |
2,019 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
966 |
832 |
$30K |
| 99222 |
Initial hospital care, per day, moderate complexity |
51 |
44 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
281 |
266 |
$16K |
| 82950 |
|
4,698 |
4,396 |
$15K |
| 99385 |
|
148 |
140 |
$6K |
| 99219 |
|
59 |
56 |
$6K |
| 82951 |
|
463 |
410 |
$5K |
| 58671 |
|
23 |
21 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
70 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
81 |
77 |
$4K |
| 99386 |
|
31 |
31 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$1K |
| 99402 |
|
39 |
33 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
26 |
14 |
$776.56 |