| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
485 |
399 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
785 |
564 |
$29K |
| H1000 |
Prenatal care, at-risk assessment |
164 |
120 |
$16K |
| G9357 |
Post-partum screenings, evaluations and education performed |
79 |
67 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
124 |
94 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
57 |
$6K |
| 76830 |
Ultrasound, transvaginal |
72 |
57 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
49 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
96 |
54 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
47 |
24 |
$2K |
| 76801 |
|
16 |
14 |
$769.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
13 |
$174.85 |
| 81025 |
|
13 |
12 |
$0.00 |