| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,946 |
1,883 |
$141K |
| 59515 |
|
37 |
37 |
$37K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
722 |
592 |
$27K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
288 |
239 |
$26K |
| 59430 |
|
353 |
312 |
$19K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
519 |
433 |
$18K |
| 76830 |
Ultrasound, transvaginal |
225 |
199 |
$16K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
13 |
13 |
$14K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
151 |
129 |
$12K |
| 59410 |
|
14 |
12 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
228 |
197 |
$7K |
| 76813 |
|
59 |
51 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
47 |
44 |
$2K |
| 76818 |
|
32 |
31 |
$2K |
| 11981 |
|
13 |
13 |
$932.96 |
| 76801 |
|
16 |
13 |
$592.53 |
| 0503F |
|
192 |
181 |
$0.00 |