| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
1,583 |
996 |
$99K |
| 59410 |
|
29 |
29 |
$26K |
| 59430 |
|
93 |
88 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
35 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
25 |
$3K |
| 81002 |
|
1,486 |
1,164 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$1K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
23 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$297.07 |
| 81025 |
|
63 |
55 |
$72.99 |
| 99024 |
|
22 |
12 |
$1.78 |