| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
3,473 |
2,072 |
$123K |
| 59025 |
Fetal non-stress test |
1,917 |
1,175 |
$118K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
811 |
720 |
$64K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
414 |
363 |
$24K |
| 59430 |
|
171 |
146 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
130 |
83 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
32 |
27 |
$3K |
| 81025 |
|
39 |
38 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
353 |
299 |
$516.26 |