| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
68 |
51 |
$57K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
255 |
217 |
$16K |
| G9357 |
Post-partum screenings, evaluations and education performed |
187 |
159 |
$16K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
221 |
181 |
$8K |
| H1000 |
Prenatal care, at-risk assessment |
76 |
62 |
$7K |
| 54150 |
|
20 |
12 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
19 |
13 |
$725.40 |
| 76801 |
|
12 |
12 |
$651.31 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$627.00 |
| 90688 |
|
20 |
18 |
$321.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
23 |
$115.00 |