| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,048 |
1,158 |
$111K |
| 76830 |
Ultrasound, transvaginal |
591 |
516 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,792 |
1,327 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
182 |
182 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
557 |
488 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
172 |
122 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
268 |
224 |
$5K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
31 |
26 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
169 |
$3K |
| 59430 |
|
140 |
128 |
$2K |
| 81025 |
|
1,028 |
954 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
127 |
112 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
14 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$391.27 |
| 81003 |
|
283 |
261 |
$114.22 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
58 |
$87.17 |