| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
4,377 |
2,326 |
$204K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,747 |
1,535 |
$44K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
499 |
487 |
$42K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
399 |
388 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
109 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172 |
94 |
$16K |
| 59025 |
Fetal non-stress test |
467 |
202 |
$13K |
| 0500F |
|
130 |
125 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
65 |
56 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
397 |
346 |
$4K |
| 59430 |
|
42 |
37 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
127 |
122 |
$2K |
| 76801 |
|
15 |
13 |
$1K |
| 87210 |
|
127 |
126 |
$588.62 |
| 81002 |
|
44 |
39 |
$111.80 |