| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,506 |
1,453 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,247 |
1,800 |
$85K |
| 76830 |
Ultrasound, transvaginal |
528 |
490 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
598 |
528 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
265 |
250 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
427 |
404 |
$13K |
| 81002 |
|
2,964 |
2,298 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
890 |
730 |
$3K |
| 99385 |
|
15 |
14 |
$1K |
| 81025 |
|
44 |
43 |
$235.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$166.70 |