| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
9,257 |
7,561 |
$465K |
| 59410 |
|
285 |
243 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,206 |
2,903 |
$92K |
| 59025 |
Fetal non-stress test |
3,709 |
2,323 |
$92K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
735 |
700 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,213 |
1,046 |
$54K |
| 76830 |
Ultrasound, transvaginal |
622 |
592 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
770 |
684 |
$37K |
| 76801 |
|
352 |
333 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
109 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
41 |
39 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
67 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
210 |
192 |
$5K |
| 81025 |
|
1,433 |
1,081 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
282 |
254 |
$3K |
| 99459 |
|
362 |
261 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$626.70 |
| 0503F |
|
248 |
206 |
$200.00 |
| 96127 |
|
1,418 |
1,130 |
$25.62 |