| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
8,013 |
2,331 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,819 |
534 |
$334.38 |
| 99385 |
|
206 |
68 |
$301.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
210 |
77 |
$219.24 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
326 |
86 |
$168.77 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
995 |
253 |
$153.00 |
| 76801 |
|
150 |
42 |
$143.48 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
702 |
192 |
$134.92 |
| 76830 |
Ultrasound, transvaginal |
705 |
196 |
$134.91 |
| 81003 |
|
118 |
81 |
$40.46 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
686 |
459 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
287 |
198 |
$0.00 |
| 81025 |
|
269 |
78 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
646 |
185 |
$0.00 |
| 76813 |
|
91 |
44 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
126 |
80 |
$0.00 |
| 81002 |
|
19 |
13 |
$0.00 |
| 87481 |
|
146 |
88 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
12 |
$0.00 |
| 76818 |
|
302 |
27 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
686 |
459 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
232 |
142 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
145 |
100 |
$0.00 |
| 76820 |
|
189 |
24 |
$0.00 |
| 87511 |
|
127 |
80 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
98 |
13 |
$0.00 |