| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
6,159 |
3,695 |
$297K |
| 76830 |
Ultrasound, transvaginal |
1,554 |
1,401 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,866 |
1,656 |
$62K |
| 59410 |
|
59 |
53 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
591 |
527 |
$47K |
| 59430 |
|
671 |
610 |
$31K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
239 |
221 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
414 |
388 |
$26K |
| 59515 |
|
14 |
14 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
426 |
386 |
$10K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
595 |
510 |
$6K |
| 96160 |
|
590 |
519 |
$495.54 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
14 |
13 |
$174.00 |