| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
7,589 |
4,437 |
$308K |
| 59515 |
|
142 |
129 |
$122K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
739 |
584 |
$63K |
| 59430 |
|
1,541 |
1,190 |
$52K |
| 59410 |
|
32 |
25 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
18 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$903.81 |
| 81000 |
|
1,286 |
965 |
$26.73 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
27 |
$10.00 |