| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
3,247 |
1,865 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,667 |
2,498 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,690 |
2,526 |
$77K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
613 |
595 |
$47K |
| 76830 |
Ultrasound, transvaginal |
597 |
558 |
$27K |
| 99385 |
|
155 |
152 |
$13K |
| 81025 |
|
3,385 |
3,062 |
$10K |
| 81002 |
|
4,579 |
4,067 |
$6K |
| 59430 |
|
110 |
103 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
75 |
74 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
48 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
48 |
47 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
15 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$845.47 |
| 59025 |
Fetal non-stress test |
20 |
12 |
$314.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$177.92 |
| 99459 |
|
90 |
85 |
$42.26 |
| 3015F |
|
237 |
227 |
$0.00 |