| Code | Description | Claims | Bene. Records | Total Paid |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
313 |
253 |
$3K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
369 |
225 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
39 |
$2K |
| 90688 |
|
36 |
28 |
$374.64 |
| 90674 |
|
14 |
12 |
$309.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
31 |
$135.00 |
| 59426 |
|
216 |
205 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
136 |
129 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
277 |
264 |
$0.00 |
| 81002 |
|
341 |
317 |
$0.00 |
| 59510 |
|
23 |
13 |
$0.00 |
| 76801 |
|
13 |
13 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$0.00 |