| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
9,642 |
6,543 |
$489K |
| 59410 |
|
264 |
235 |
$242K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,268 |
5,354 |
$201K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
516 |
474 |
$71K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
685 |
612 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
649 |
614 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
847 |
763 |
$39K |
| 76830 |
Ultrasound, transvaginal |
790 |
734 |
$39K |
| 99235 |
|
328 |
270 |
$35K |
| 59430 |
|
486 |
448 |
$24K |
| 76801 |
|
261 |
228 |
$11K |
| 59025 |
Fetal non-stress test |
567 |
335 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
213 |
203 |
$8K |
| 81025 |
|
1,129 |
1,072 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
288 |
227 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
41 |
40 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$973.62 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$898.99 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
22 |
18 |
$721.42 |
| 76857 |
|
46 |
43 |
$460.53 |
| H2010 |
Comprehensive medication services, per 15 minutes |
191 |
175 |
$98.30 |