| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,206 |
1,158 |
$195K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,981 |
1,853 |
$189K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,010 |
1,853 |
$94K |
| 59025 |
Fetal non-stress test |
10,068 |
2,957 |
$94K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,955 |
2,288 |
$84K |
| 59425 |
|
939 |
558 |
$55K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
92 |
91 |
$51K |
| 59430 |
|
97 |
84 |
$6K |
| 81003 |
|
1,840 |
803 |
$4K |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$2K |
| 99000 |
|
380 |
286 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
19 |
12 |
$948.68 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$694.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
24 |
$351.68 |
| 81002 |
|
488 |
315 |
$129.17 |