| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
3,646 |
2,173 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,481 |
1,294 |
$156K |
| 59430 |
|
471 |
425 |
$104K |
| 59410 |
|
49 |
48 |
$57K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
342 |
322 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
507 |
462 |
$31K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
122 |
114 |
$24K |
| 76830 |
Ultrasound, transvaginal |
526 |
489 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
554 |
518 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
134 |
122 |
$11K |
| 99385 |
|
46 |
39 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
41 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
78 |
68 |
$3K |
| 81025 |
|
907 |
837 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$312.43 |
| 99459 |
|
14 |
13 |
$265.68 |