| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
9,912 |
5,726 |
$561K |
| 59410 |
|
267 |
262 |
$257K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,246 |
1,146 |
$76K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
602 |
591 |
$73K |
| 59430 |
|
1,516 |
1,380 |
$73K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
645 |
636 |
$48K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
960 |
921 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
646 |
542 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
305 |
300 |
$21K |
| 59515 |
|
16 |
16 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$4K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 59025 |
Fetal non-stress test |
27 |
13 |
$883.56 |
| 81002 |
|
78 |
71 |
$34.20 |