| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
38,897 |
22,706 |
$1.78M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,053 |
14,312 |
$683K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,192 |
11,010 |
$480K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,267 |
3,669 |
$430K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,395 |
2,656 |
$186K |
| 76801 |
|
1,475 |
1,235 |
$103K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,526 |
1,078 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
674 |
558 |
$52K |
| 59515 |
|
37 |
37 |
$38K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,122 |
729 |
$33K |
| 76813 |
|
500 |
464 |
$22K |
| 99385 |
|
238 |
218 |
$16K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
512 |
346 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
203 |
173 |
$13K |
| 59430 |
|
224 |
209 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
202 |
170 |
$10K |
| 76830 |
Ultrasound, transvaginal |
176 |
119 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
149 |
109 |
$9K |
| 59025 |
Fetal non-stress test |
812 |
545 |
$8K |
| 76818 |
|
106 |
44 |
$8K |
| 76825 |
|
76 |
67 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
56 |
51 |
$5K |
| 81025 |
|
2,908 |
2,173 |
$5K |
| 99403 |
|
72 |
65 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
85 |
65 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
45 |
42 |
$3K |
| 99386 |
|
16 |
16 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$2K |
| 76827 |
|
76 |
66 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
443 |
381 |
$764.39 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16 |
13 |
$681.78 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$548.59 |
| 57465 |
|
13 |
12 |
$541.81 |
| 81002 |
|
644 |
490 |
$465.93 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$456.05 |
| 93325 |
|
62 |
52 |
$393.13 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
62 |
14 |
$100.41 |