| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
2,706 |
2,576 |
$248K |
| H1000 |
Prenatal care, at-risk assessment |
3,990 |
3,156 |
$174K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,406 |
4,878 |
$151K |
| 76813 |
|
1,624 |
1,568 |
$109K |
| 76818 |
|
1,910 |
1,272 |
$68K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
588 |
574 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,541 |
1,416 |
$40K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
236 |
230 |
$20K |
| 59025 |
Fetal non-stress test |
340 |
234 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
435 |
411 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,000 |
1,777 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
497 |
417 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
98 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
12 |
$502.80 |
| 99201 |
|
12 |
12 |
$352.74 |
| 81002 |
|
35 |
30 |
$0.00 |