| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
903 |
832 |
$79K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,097 |
1,298 |
$69K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
911 |
838 |
$36K |
| 59025 |
Fetal non-stress test |
2,668 |
948 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
527 |
311 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
480 |
219 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
169 |
106 |
$13K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
204 |
183 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
121 |
120 |
$8K |
| Z1034 |
|
145 |
130 |
$8K |
| 76801 |
|
102 |
99 |
$4K |
| 76813 |
|
25 |
25 |
$2K |