| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
13,573 |
8,432 |
$774K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,749 |
1,635 |
$283K |
| 59410 |
|
105 |
101 |
$108K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,110 |
1,043 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,899 |
3,416 |
$78K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,441 |
1,341 |
$53K |
| 76830 |
Ultrasound, transvaginal |
1,025 |
978 |
$47K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
836 |
717 |
$43K |
| 76801 |
|
1,221 |
1,134 |
$42K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
767 |
657 |
$35K |
| 59515 |
|
30 |
28 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
757 |
711 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
164 |
160 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
159 |
151 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
268 |
$8K |
| 59430 |
|
42 |
39 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
44 |
$1K |
| 99385 |
|
14 |
13 |
$954.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
78 |
$924.40 |
| 81025 |
|
249 |
239 |
$64.38 |