| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,195 |
1,235 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,041 |
956 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
647 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$4K |
| 76830 |
Ultrasound, transvaginal |
46 |
42 |
$2K |
| 81025 |
|
1,203 |
1,076 |
$1K |
| 81002 |
|
1,832 |
1,640 |
$673.01 |
| 76857 |
|
28 |
26 |
$466.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
26 |
$210.70 |
| 99459 |
|
19 |
18 |
$98.40 |