| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,802 |
2,526 |
$247K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
5,377 |
5,354 |
$202K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,274 |
1,172 |
$39K |
| 76813 |
|
328 |
315 |
$18K |
| Z1034 |
|
287 |
240 |
$16K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
213 |
181 |
$13K |
| 59025 |
Fetal non-stress test |
217 |
187 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
32 |
$4K |
| 99401 |
|
78 |
77 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
419 |
320 |
$4K |
| Z6410 |
|
308 |
235 |
$2K |
| 97803 |
|
39 |
39 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
156 |
147 |
$2K |
| Z6400 |
|
147 |
132 |
$2K |
| 76801 |
|
84 |
84 |
$862.88 |
| 90674 |
|
27 |
27 |
$659.54 |
| Z6406 |
|
12 |
12 |
$184.70 |
| Z6304 |
|
12 |
12 |
$166.54 |