| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,840 |
3,886 |
$100K |
| Z1034 |
|
1,234 |
819 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,782 |
1,682 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,942 |
3,568 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
106 |
105 |
$15K |
| 76810 |
|
310 |
245 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,181 |
1,181 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,356 |
1,351 |
$3K |
| 59430 |
|
938 |
823 |
$2K |
| 99000 |
|
1,914 |
1,867 |
$2K |
| Z1032 |
|
12 |
12 |
$2K |
| 76801 |
|
128 |
123 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,759 |
1,757 |
$1K |
| 59425 |
|
1,436 |
963 |
$1K |
| 81025 |
|
2,162 |
2,059 |
$538.99 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
305 |
284 |
$446.13 |
| 88150 |
|
383 |
381 |
$331.55 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$84.89 |
| 36415 |
Collection of venous blood by venipuncture |
2,055 |
1,998 |
$54.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
20 |
$37.50 |
| 99243 |
|
17 |
16 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
63 |
61 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$0.00 |