| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
817 |
817 |
$43K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
720 |
456 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
936 |
879 |
$19K |
| 76830 |
Ultrasound, transvaginal |
291 |
290 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
224 |
223 |
$13K |
| 99386 |
|
150 |
149 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
142 |
$5K |
| 99385 |
|
43 |
43 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
61 |
48 |
$969.29 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14 |
12 |
$16.82 |