| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
13,237 |
8,007 |
$724K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,083 |
3,067 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,858 |
3,112 |
$155K |
| 76830 |
Ultrasound, transvaginal |
930 |
689 |
$54K |
| 59430 |
|
234 |
216 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
309 |
259 |
$25K |
| 59410 |
|
12 |
12 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
146 |
142 |
$12K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
77 |
70 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
77 |
$7K |
| 81025 |
|
468 |
307 |
$4K |
| 99215 |
Prolong outpt/office vis |
18 |
17 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$1K |
| 99385 |
|
12 |
12 |
$950.85 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$859.81 |
| 59025 |
Fetal non-stress test |
27 |
12 |
$447.76 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
34 |
12 |
$0.00 |