| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59410 |
|
637 |
592 |
$619K |
| H1000 |
Prenatal care, at-risk assessment |
9,209 |
6,231 |
$508K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,356 |
2,082 |
$151K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
992 |
949 |
$116K |
| 59430 |
|
1,349 |
1,217 |
$115K |
| 59515 |
|
83 |
76 |
$98K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
754 |
734 |
$82K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
845 |
793 |
$80K |
| 76801 |
|
888 |
837 |
$65K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
357 |
342 |
$27K |
| 76830 |
Ultrasound, transvaginal |
251 |
229 |
$20K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
16 |
12 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
362 |
337 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
29 |
29 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
12 |
12 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$1K |
| 58300 |
|
15 |
12 |
$159.95 |