| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,860 |
8,332 |
$113K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,361 |
4,339 |
$90K |
| Z1034 |
|
1,559 |
1,004 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,916 |
2,807 |
$46K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
95 |
93 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,848 |
2,842 |
$28K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,410 |
1,263 |
$25K |
| 76801 |
|
283 |
283 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,661 |
2,654 |
$5K |
| 81025 |
|
2,925 |
2,872 |
$5K |
| 59425 |
|
483 |
315 |
$4K |
| 81002 |
|
2,102 |
1,864 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$865.24 |
| 59430 |
|
741 |
726 |
$860.49 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
50 |
40 |
$749.05 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
221 |
147 |
$543.12 |
| 58100 |
|
456 |
456 |
$479.64 |
| 57454 |
|
78 |
78 |
$422.09 |
| 99243 |
|
232 |
232 |
$178.50 |
| 99386 |
|
164 |
163 |
$0.00 |
| 99385 |
|
50 |
50 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
84 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
46 |
$0.00 |