| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,394 |
967 |
$122K |
| 59025 |
Fetal non-stress test |
3,005 |
1,262 |
$52K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
843 |
627 |
$47K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,009 |
490 |
$37K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
40 |
39 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
513 |
445 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
137 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
26 |
24 |
$3K |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
13 |
$1K |