| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
983 |
689 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
91 |
$6K |
| 76830 |
Ultrasound, transvaginal |
44 |
42 |
$507.52 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
15 |
$423.39 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
114 |
64 |
$404.71 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$367.27 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$253.88 |
| 99233 |
Prolong inpt eval add15 m |
23 |
14 |
$130.70 |