| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
929 |
485 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
620 |
548 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,415 |
1,588 |
$47K |
| 99385 |
|
88 |
87 |
$16K |
| 99386 |
|
90 |
90 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
137 |
59 |
$13K |
| 36410 |
|
375 |
325 |
$6K |
| 88142 |
|
218 |
216 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
26 |
26 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$975.01 |
| 81002 |
|
423 |
304 |
$955.19 |
| 81025 |
|
90 |
88 |
$242.01 |