| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
29,408 |
23,503 |
$2.01M |
| 59410 |
|
576 |
566 |
$632K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,045 |
1,918 |
$364K |
| 59430 |
|
1,535 |
1,458 |
$307K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,613 |
4,263 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,776 |
2,539 |
$196K |
| 76801 |
|
2,036 |
1,896 |
$160K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,068 |
1,905 |
$159K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,264 |
1,209 |
$140K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
869 |
833 |
$125K |
| 76830 |
Ultrasound, transvaginal |
1,332 |
1,245 |
$119K |
| 59025 |
Fetal non-stress test |
2,116 |
1,348 |
$111K |
| 59515 |
|
87 |
84 |
$111K |
| 99235 |
|
674 |
559 |
$95K |
| 76813 |
|
744 |
698 |
$88K |
| 99223 |
Prolong inpt eval add15 m |
312 |
302 |
$56K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
502 |
479 |
$50K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
573 |
546 |
$35K |
| 99385 |
|
228 |
207 |
$30K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
934 |
894 |
$22K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
26 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
312 |
270 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
329 |
305 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
115 |
79 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
128 |
126 |
$9K |
| 81025 |
|
1,692 |
1,565 |
$5K |
| 76857 |
|
152 |
144 |
$4K |
| 99401 |
|
77 |
74 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
39 |
$3K |
| 99459 |
|
256 |
239 |
$2K |
| 96127 |
|
829 |
785 |
$1K |
| H0049 |
Alcohol and/or drug screening |
60 |
57 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$437.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$235.74 |
| 81002 |
|
12 |
12 |
$24.01 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
293 |
287 |
$0.00 |
| 99080 |
|
17 |
14 |
$0.00 |