| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
3,129 |
2,255 |
$208K |
| 76830 |
Ultrasound, transvaginal |
599 |
566 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,288 |
1,130 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
781 |
743 |
$42K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
419 |
372 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
667 |
631 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
146 |
136 |
$13K |
| 59430 |
|
61 |
55 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
78 |
$8K |
| 76813 |
|
46 |
39 |
$4K |
| 76801 |
|
44 |
41 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
80 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$2K |
| 76818 |
|
27 |
17 |
$2K |
| 81025 |
|
443 |
417 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
15 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
49 |
49 |
$1K |
| 99403 |
|
12 |
12 |
$968.88 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
16 |
$923.29 |
| 99459 |
|
138 |
108 |
$780.54 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
36 |
35 |
$680.16 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
17 |
17 |
$340.08 |
| 81003 |
|
16 |
16 |
$23.85 |