| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,516 |
4,341 |
$330K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
7,103 |
6,768 |
$165K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,423 |
4,223 |
$130K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
844 |
816 |
$88K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
933 |
903 |
$56K |
| 59025 |
Fetal non-stress test |
2,778 |
2,052 |
$29K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
330 |
291 |
$8K |
| 59425 |
|
139 |
126 |
$3K |
| 76813 |
|
37 |
37 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
70 |
58 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
38 |
38 |
$787.76 |
| Z6400 |
|
80 |
67 |
$605.60 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
227 |
187 |
$536.72 |
| Z6204 |
|
44 |
37 |
$461.77 |
| 99072 |
|
1,267 |
1,136 |
$448.07 |
| 76820 |
|
15 |
12 |
$142.46 |
| 97803 |
|
42 |
40 |
$27.81 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
90 |
90 |
$0.00 |