| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,077 |
1,187 |
$48K |
| H1000 |
Prenatal care, at-risk assessment |
552 |
347 |
$26K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
12 |
$15K |
| 90715 |
|
200 |
195 |
$6K |
| G9357 |
Post-partum screenings, evaluations and education performed |
91 |
38 |
$4K |
| 76801 |
|
312 |
169 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
158 |
107 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
127 |
94 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
80 |
51 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
245 |
$1K |
| 59025 |
Fetal non-stress test |
37 |
25 |
$663.40 |
| 0502F |
|
221 |
112 |
$0.00 |