| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,674 |
1,056 |
$143K |
| Z1034 |
|
2,141 |
1,307 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,698 |
1,498 |
$84K |
| 59425 |
|
362 |
236 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
192 |
185 |
$12K |
| H1000 |
Prenatal care, at-risk assessment |
80 |
80 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
99 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
16 |
16 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
58 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
90 |
$7K |
| Z1032 |
|
51 |
51 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
24 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
41 |
41 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
25 |
$2K |
| 76801 |
|
27 |
25 |
$2K |