| Code | Description | Claims | Beneficiaries | Total Paid |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
6,251 |
3,804 |
$545K |
| 59425 |
|
5,590 |
3,018 |
$486K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
520 |
516 |
$391K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,396 |
3,092 |
$330K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,900 |
1,893 |
$210K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,345 |
2,235 |
$140K |
| H1000 |
Prenatal care, at-risk assessment |
654 |
618 |
$117K |
| 99215 |
Prolong outpt/office vis |
503 |
495 |
$91K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
984 |
823 |
$73K |
| 59025 |
Fetal non-stress test |
2,256 |
1,185 |
$63K |
| 59430 |
|
636 |
579 |
$53K |
| Z1034 |
|
854 |
508 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
335 |
333 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
906 |
845 |
$31K |
| 59514 |
|
31 |
31 |
$24K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
163 |
161 |
$14K |
| 99205 |
Prolong outpt/office vis |
110 |
109 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
140 |
$7K |
| H2000 |
Comprehensive multidisciplinary evaluation |
42 |
41 |
$6K |
| 76801 |
|
55 |
55 |
$5K |
| 76830 |
Ultrasound, transvaginal |
57 |
55 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
186 |
174 |
$3K |
| 99201 |
|
84 |
68 |
$3K |
| 99401 |
|
225 |
222 |
$2K |
| 97803 |
|
169 |
168 |
$1K |
| 96151 |
|
152 |
152 |
$1K |
| 97802 |
|
58 |
58 |
$504.61 |
| 96150 |
|
35 |
35 |
$302.77 |
| 96156 |
|
14 |
13 |
$151.42 |
| 81025 |
|
12 |
12 |
$42.81 |