| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
16,618 |
11,122 |
$851K |
| 59410 |
|
804 |
758 |
$790K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,414 |
1,386 |
$180K |
| 59430 |
|
2,226 |
1,951 |
$96K |
| 59515 |
|
52 |
52 |
$57K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,013 |
619 |
$53K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
795 |
744 |
$43K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
729 |
499 |
$39K |
| 76801 |
|
281 |
267 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
288 |
224 |
$13K |
| 76827 |
|
452 |
290 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
209 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
81 |
80 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
40 |
37 |
$2K |
| 81025 |
|
43 |
42 |
$215.92 |