| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,923 |
2,619 |
$136K |
| 59425 |
|
2,423 |
1,673 |
$43K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
96 |
95 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
201 |
136 |
$6K |
| 59514 |
|
24 |
24 |
$3K |
| 99215 |
Prolong outpt/office vis |
49 |
49 |
$3K |
| 76813 |
|
31 |
31 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
39 |
39 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
345 |
266 |
$832.59 |
| 59430 |
|
27 |
27 |
$786.24 |
| 99000 |
|
1,260 |
1,204 |
$750.08 |
| 97803 |
|
220 |
162 |
$235.48 |