| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
13,486 |
11,596 |
$1.05M |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,350 |
1,177 |
$87K |
| 76801 |
|
600 |
553 |
$61K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
420 |
402 |
$47K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
258 |
253 |
$41K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
433 |
253 |
$32K |
| 59430 |
|
186 |
178 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
236 |
189 |
$20K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
121 |
115 |
$12K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
26 |
24 |
$6K |
| H0049 |
Alcohol and/or drug screening |
1,226 |
1,068 |
$3K |
| 81025 |
|
77 |
68 |
$474.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$227.65 |
| 96127 |
|
187 |
173 |
$40.95 |