| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
13,709 |
10,282 |
$969K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,837 |
5,363 |
$341K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,871 |
2,713 |
$207K |
| 59430 |
|
1,150 |
968 |
$163K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,053 |
1,018 |
$158K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
880 |
843 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
840 |
787 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,620 |
1,473 |
$63K |
| 59410 |
|
58 |
51 |
$48K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
377 |
287 |
$26K |
| 76830 |
Ultrasound, transvaginal |
143 |
139 |
$21K |
| 59515 |
|
16 |
14 |
$20K |
| 99201 |
|
261 |
243 |
$10K |
| 99385 |
|
86 |
80 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
93 |
$8K |
| H0049 |
Alcohol and/or drug screening |
638 |
601 |
$6K |
| 99441 |
|
409 |
337 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
32 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
27 |
27 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
481 |
444 |
$2K |
| 99386 |
|
13 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
80 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 59025 |
Fetal non-stress test |
29 |
12 |
$816.29 |
| 99459 |
|
171 |
160 |
$583.38 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
14 |
12 |
$140.79 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
120 |
115 |
$42.66 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
95 |
89 |
$0.06 |