| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
4,350 |
2,674 |
$234K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,295 |
1,062 |
$38K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
276 |
230 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,653 |
1,384 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
457 |
406 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
713 |
603 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
545 |
439 |
$28K |
| 76801 |
|
313 |
253 |
$19K |
| 81025 |
|
1,709 |
1,435 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
12 |
$934.59 |