| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
3,879 |
2,961 |
$209K |
| 76830 |
Ultrasound, transvaginal |
951 |
916 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,969 |
1,831 |
$72K |
| 59410 |
|
39 |
39 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
410 |
391 |
$41K |
| 58558 |
|
26 |
26 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
302 |
289 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
265 |
251 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
224 |
210 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
84 |
83 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
59 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
185 |
170 |
$4K |
| 99385 |
|
36 |
36 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
135 |
134 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$1K |
| 81025 |
|
57 |
56 |
$211.13 |