| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,462 |
2,106 |
$139K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,094 |
1,062 |
$77K |
| 59515 |
|
40 |
39 |
$49K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
328 |
325 |
$37K |
| 76813 |
|
390 |
383 |
$29K |
| 59410 |
|
44 |
39 |
$25K |
| 76818 |
|
170 |
153 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
219 |
214 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
399 |
378 |
$15K |
| 59430 |
|
137 |
124 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
270 |
255 |
$7K |
| 76830 |
Ultrasound, transvaginal |
79 |
79 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
12 |
12 |
$2K |
| 59025 |
Fetal non-stress test |
28 |
25 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
49 |
$607.93 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$547.04 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
14 |
$364.96 |