| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,060 |
1,306 |
$150K |
| Z1034 |
|
595 |
399 |
$33K |
| 59425 |
|
547 |
333 |
$32K |
| Z1032 |
|
221 |
221 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
247 |
247 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
341 |
332 |
$13K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
62 |
62 |
$8K |
| 99000 |
|
929 |
848 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$536.56 |