| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,235 |
1,344 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,164 |
1,004 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,386 |
1,118 |
$85K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
133 |
121 |
$12K |
| 59430 |
|
167 |
87 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
54 |
53 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
56 |
52 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
27 |
$4K |
| 76830 |
Ultrasound, transvaginal |
52 |
51 |
$2K |
| 96127 |
|
133 |
97 |
$2K |
| 81025 |
|
183 |
169 |
$846.38 |
| 99442 |
|
19 |
19 |
$638.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$571.80 |
| 81002 |
|
451 |
386 |
$538.76 |
| 36415 |
Collection of venous blood by venipuncture |
90 |
73 |
$95.00 |
| 99000 |
|
92 |
68 |
$0.00 |