| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
429 |
304 |
$15K |
| Z1034 |
|
246 |
173 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
367 |
329 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
250 |
180 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
98 |
$6K |
| 99000 |
|
470 |
450 |
$4K |
| 59425 |
|
41 |
28 |
$2K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
73 |
73 |
$902.68 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$687.55 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12 |
12 |
$271.40 |