| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,680 |
4,456 |
$430K |
| 59425 |
|
1,938 |
1,344 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,654 |
2,553 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,202 |
1,171 |
$94K |
| Z1034 |
|
405 |
286 |
$18K |
| 76830 |
Ultrasound, transvaginal |
173 |
164 |
$6K |
| 99215 |
Prolong outpt/office vis |
41 |
41 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
25 |
$4K |
| H1000 |
Prenatal care, at-risk assessment |
24 |
24 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
48 |
48 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
41 |
$1K |
| 59025 |
Fetal non-stress test |
69 |
40 |
$826.56 |