| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
14,449 |
6,718 |
$477K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
8,186 |
2,143 |
$197K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,902 |
3,192 |
$190K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,152 |
1,135 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,990 |
2,986 |
$102K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,814 |
1,870 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,357 |
908 |
$49K |
| 76801 |
|
1,208 |
715 |
$44K |
| 76830 |
Ultrasound, transvaginal |
580 |
384 |
$19K |
| 81025 |
|
1,612 |
930 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
351 |
208 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,265 |
684 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,892 |
671 |
$10K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
235 |
120 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
178 |
121 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
219 |
148 |
$7K |
| 59430 |
|
82 |
49 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
556 |
367 |
$6K |
| 76820 |
|
1,368 |
351 |
$6K |
| 76825 |
|
81 |
42 |
$4K |
| 76813 |
|
111 |
69 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
63 |
44 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
87 |
53 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
32 |
27 |
$1K |
| 99243 |
|
41 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
24 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
22 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
68 |
36 |
$687.72 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
14 |
$551.65 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
734 |
401 |
$519.21 |
| 93325 |
|
134 |
66 |
$197.56 |
| 87210 |
|
20 |
15 |
$84.32 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
14 |
12 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
202 |
131 |
$0.00 |