| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
7,554 |
4,586 |
$582K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
473 |
472 |
$317K |
| 59425 |
|
3,170 |
1,880 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,009 |
3,406 |
$197K |
| H1000 |
Prenatal care, at-risk assessment |
627 |
621 |
$89K |
| 59430 |
|
869 |
630 |
$74K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,227 |
1,120 |
$67K |
| 99215 |
Prolong outpt/office vis |
443 |
436 |
$52K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
400 |
393 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
167 |
$25K |
| 76801 |
|
279 |
270 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
168 |
159 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
86 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
61 |
60 |
$5K |