| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
998 |
994 |
$91K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,815 |
2,022 |
$85K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,411 |
1,187 |
$45K |
| 59025 |
Fetal non-stress test |
3,710 |
1,132 |
$38K |
| 76813 |
|
194 |
194 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
347 |
239 |
$11K |
| 76801 |
|
119 |
117 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
44 |
41 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
40 |
$2K |
| 59425 |
|
18 |
13 |
$1K |