| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,503 |
2,641 |
$353K |
| 59425 |
|
3,346 |
1,921 |
$239K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
563 |
558 |
$97K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
139 |
139 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,557 |
1,371 |
$90K |
| 99215 |
Prolong outpt/office vis |
771 |
660 |
$79K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
929 |
852 |
$78K |
| Z1034 |
|
949 |
576 |
$52K |
| H1000 |
Prenatal care, at-risk assessment |
191 |
191 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
295 |
293 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
114 |
113 |
$11K |
| 59430 |
|
119 |
119 |
$9K |
| 76801 |
|
65 |
65 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
379 |
379 |
$5K |
| 88142 |
|
231 |
231 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
53 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 96127 |
|
116 |
116 |
$757.18 |