| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
10,125 |
5,706 |
$496K |
| 59410 |
|
559 |
493 |
$433K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,009 |
932 |
$96K |
| 76801 |
|
464 |
420 |
$48K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
638 |
515 |
$44K |
| 59515 |
|
26 |
26 |
$23K |
| 59430 |
|
297 |
269 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
225 |
122 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
128 |
106 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
122 |
104 |
$3K |
| 76818 |
|
35 |
30 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
123 |
109 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
21 |
21 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
28 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$449.17 |
| 81025 |
|
332 |
319 |
$439.70 |
| 76830 |
Ultrasound, transvaginal |
18 |
18 |
$288.64 |