| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
6,328 |
3,954 |
$360K |
| 59410 |
|
212 |
202 |
$228K |
| 59515 |
|
74 |
74 |
$78K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
378 |
355 |
$59K |
| 59430 |
|
580 |
532 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
509 |
416 |
$20K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
274 |
265 |
$19K |
| 76813 |
|
221 |
207 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
393 |
364 |
$11K |
| 59025 |
Fetal non-stress test |
573 |
458 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
266 |
240 |
$7K |
| 76801 |
|
117 |
94 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
112 |
$5K |