| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
208 |
208 |
$517K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
304 |
304 |
$55K |
| 76801 |
|
266 |
266 |
$42K |
| 59510 |
|
15 |
15 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
227 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
40 |
$2K |
| 81003 |
|
391 |
356 |
$846.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$774.54 |
| 90658 |
|
31 |
31 |
$304.11 |
| 90756 |
|
12 |
12 |
$243.84 |