| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,248 |
964 |
$44K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
299 |
258 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
788 |
628 |
$19K |
| 76801 |
|
322 |
259 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
539 |
448 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
49 |
41 |
$4K |
| 36416 |
|
1,869 |
1,536 |
$4K |
| 81025 |
|
1,434 |
1,202 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,012 |
1,759 |
$3K |
| G9357 |
Post-partum screenings, evaluations and education performed |
27 |
24 |
$3K |
| 81000 |
|
1,080 |
893 |
$3K |
| 85018 |
|
538 |
440 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
12 |
$711.00 |
| 82950 |
|
69 |
62 |
$359.85 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
70 |
$126.00 |
| 0500F |
|
70 |
62 |
$0.00 |