| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
85 |
83 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,256 |
1,081 |
$65K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
265 |
255 |
$32K |
| 76801 |
|
54 |
53 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
86 |
67 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
57 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
210 |
195 |
$1K |
| 81025 |
|
141 |
136 |
$1K |
| 99401 |
|
31 |
27 |
$743.75 |