| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
29,098 |
14,150 |
$1.42M |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
1,290 |
1,214 |
$1.15M |
| 59515 |
|
1,093 |
1,008 |
$1.01M |
| 76830 |
Ultrasound, transvaginal |
9,670 |
8,227 |
$925K |
| 99215 |
Prolong outpt/office vis |
8,571 |
5,747 |
$726K |
| 59410 |
|
509 |
493 |
$503K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
418 |
388 |
$306K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,639 |
6,462 |
$280K |
| 99385 |
|
3,864 |
3,425 |
$276K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,072 |
1,821 |
$262K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,220 |
2,862 |
$224K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,571 |
4,895 |
$220K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,569 |
1,436 |
$153K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
9,536 |
8,122 |
$152K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,603 |
2,000 |
$127K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,821 |
2,393 |
$117K |
| 59430 |
|
2,069 |
1,586 |
$117K |
| 99386 |
|
1,017 |
988 |
$109K |
| 76818 |
|
1,011 |
725 |
$76K |
| 99205 |
Prolong outpt/office vis |
667 |
505 |
$75K |
| 11981 |
|
1,211 |
1,139 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
691 |
655 |
$66K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
503 |
480 |
$42K |
| 76801 |
|
603 |
560 |
$40K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,146 |
1,055 |
$40K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
500 |
473 |
$38K |
| 81025 |
|
8,161 |
7,143 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
481 |
467 |
$36K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,231 |
1,158 |
$33K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
679 |
638 |
$27K |
| 58300 |
|
532 |
488 |
$21K |
| 99443 |
|
948 |
919 |
$19K |
| 11982 |
|
158 |
155 |
$17K |
| 99403 |
|
297 |
287 |
$12K |
| 58301 |
|
176 |
164 |
$9K |
| 99402 |
|
189 |
183 |
$8K |
| 57454 |
|
53 |
52 |
$8K |
| 99401 |
|
209 |
206 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
963 |
898 |
$4K |
| 99459 |
|
424 |
411 |
$3K |
| 59025 |
Fetal non-stress test |
341 |
238 |
$2K |
| 87110 |
|
202 |
178 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
197 |
178 |
$1K |
| 87210 |
|
191 |
169 |
$385.94 |
| 99404 |
|
19 |
19 |
$245.16 |
| 36415 |
Collection of venous blood by venipuncture |
268 |
252 |
$219.26 |
| 87081 |
|
114 |
114 |
$65.68 |
| 81002 |
|
12 |
12 |
$4.16 |
| 0503F |
|
167 |
162 |
$0.00 |