| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
13 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
274 |
246 |
$25K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
31 |
26 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
369 |
296 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
104 |
99 |
$13K |
| 59426 |
|
18 |
13 |
$10K |
| 59425 |
|
22 |
17 |
$9K |
| 59025 |
Fetal non-stress test |
58 |
29 |
$2K |
| 76801 |
|
18 |
12 |
$2K |
| 90715 |
|
72 |
67 |
$2K |
| W0037 |
|
593 |
593 |
$2K |
| 0500F |
|
54 |
43 |
$360.00 |