| Code | Description | Claims | Beneficiaries | Total Paid |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
672 |
568 |
$858K |
| 99234 |
|
594 |
451 |
$52K |
| 59510 |
|
32 |
28 |
$40K |
| 59025 |
Fetal non-stress test |
611 |
421 |
$20K |
| 0500F |
|
1,350 |
1,005 |
$10K |
| 99218 |
|
181 |
127 |
$10K |
| 99215 |
Prolong outpt/office vis |
414 |
304 |
$6K |
| 99205 |
Prolong outpt/office vis |
311 |
235 |
$5K |
| 99217 |
|
82 |
66 |
$4K |
| 81002 |
|
2,451 |
1,825 |
$4K |
| 54150 |
|
29 |
28 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
38 |
36 |
$2K |
| 0503F |
|
181 |
156 |
$2K |
| 59430 |
|
192 |
165 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
25 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$1K |
| 0502F |
|
1,169 |
965 |
$920.00 |
| 81025 |
|
34 |
28 |
$159.42 |
| 0501F |
|
3,127 |
2,305 |
$40.00 |