| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
8,941 |
5,339 |
$395K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
4,506 |
3,346 |
$318K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,764 |
4,672 |
$289K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,158 |
4,792 |
$207K |
| 76818 |
|
1,562 |
901 |
$173K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,414 |
1,206 |
$158K |
| 59410 |
|
186 |
157 |
$149K |
| 59430 |
|
958 |
783 |
$134K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
570 |
505 |
$72K |
| 76801 |
|
618 |
526 |
$51K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,009 |
698 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
490 |
437 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
475 |
416 |
$43K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,745 |
1,219 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
807 |
700 |
$38K |
| 99215 |
Prolong outpt/office vis |
249 |
213 |
$31K |
| 59515 |
|
29 |
25 |
$27K |
| 99385 |
|
236 |
223 |
$23K |
| 59025 |
Fetal non-stress test |
487 |
361 |
$16K |
| 76830 |
Ultrasound, transvaginal |
202 |
170 |
$14K |
| 76813 |
|
346 |
276 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
419 |
341 |
$12K |
| 81025 |
|
3,325 |
2,929 |
$11K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
468 |
390 |
$10K |
| 81003 |
|
12,229 |
8,080 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
210 |
181 |
$9K |
| 99205 |
Prolong outpt/office vis |
29 |
28 |
$6K |
| 76825 |
|
15 |
13 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
270 |
242 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
19 |
18 |
$2K |
| 82962 |
|
1,356 |
1,045 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
121 |
69 |
$2K |
| 76827 |
|
123 |
98 |
$738.99 |
| 36415 |
Collection of venous blood by venipuncture |
537 |
474 |
$495.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$302.55 |
| 99441 |
|
20 |
15 |
$133.11 |
| 82947 |
|
91 |
63 |
$37.40 |
| 93325 |
|
15 |
13 |
$16.25 |
| 36416 |
|
46 |
31 |
$0.00 |
| 99000 |
|
43 |
40 |
$0.00 |
| 81000 |
|
36 |
32 |
$0.00 |