| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
4,946 |
3,592 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,174 |
2,933 |
$222K |
| 76830 |
Ultrasound, transvaginal |
1,720 |
1,677 |
$183K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,837 |
1,794 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,112 |
1,007 |
$56K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
498 |
479 |
$48K |
| 59430 |
|
252 |
221 |
$43K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
482 |
431 |
$35K |
| 76801 |
|
411 |
382 |
$33K |
| 76813 |
|
353 |
340 |
$31K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
493 |
437 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
388 |
339 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
276 |
268 |
$22K |
| 59025 |
Fetal non-stress test |
1,153 |
953 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
129 |
115 |
$12K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
44 |
42 |
$8K |
| 99385 |
|
106 |
104 |
$7K |
| 76998 |
|
27 |
27 |
$6K |
| 81025 |
|
1,276 |
1,175 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
54 |
44 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
52 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| 58300 |
|
29 |
29 |
$2K |
| 99386 |
|
14 |
14 |
$1K |
| 99459 |
|
321 |
205 |
$667.19 |
| 81002 |
|
41 |
34 |
$71.21 |
| 81003 |
|
41 |
33 |
$52.47 |