| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,158 |
1,507 |
$127K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,043 |
1,736 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
396 |
352 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,324 |
1,178 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
362 |
$26K |
| 76830 |
Ultrasound, transvaginal |
170 |
153 |
$11K |
| 59430 |
|
162 |
130 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
110 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
728 |
516 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
97 |
88 |
$8K |
| 80305 |
|
1,231 |
994 |
$3K |
| 81025 |
|
1,613 |
1,362 |
$2K |
| 81003 |
|
1,871 |
1,448 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,000 |
820 |
$1K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
485 |
439 |
$1K |
| 81001 |
|
16 |
15 |
$7.95 |