| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,546 |
2,008 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,558 |
1,252 |
$94K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,102 |
1,310 |
$28K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,104 |
1,311 |
$24K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
2,099 |
1,311 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
163 |
124 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
2,484 |
2,134 |
$6K |
| 99402 |
|
150 |
145 |
$6K |
| 99215 |
Prolong outpt/office vis |
41 |
36 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
46 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
43 |
39 |
$3K |
| 81002 |
|
1,038 |
941 |
$2K |
| 81025 |
|
265 |
246 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$854.36 |
| 96161 |
|
18 |
16 |
$56.82 |