| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
10,571 |
6,997 |
$622K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,448 |
1,293 |
$121K |
| 59430 |
|
1,697 |
1,581 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
1,508 |
$78K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,100 |
1,040 |
$76K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
647 |
638 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,293 |
1,161 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
349 |
329 |
$34K |
| 59410 |
|
26 |
26 |
$26K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
265 |
263 |
$19K |
| 76830 |
Ultrasound, transvaginal |
112 |
107 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
53 |
$5K |
| 88377 |
|
13 |
13 |
$0.00 |
| 88141 |
|
13 |
13 |
$0.00 |