| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
235 |
149 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,521 |
977 |
$60K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,205 |
579 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
731 |
466 |
$12K |
| 76830 |
Ultrasound, transvaginal |
112 |
67 |
$4K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
908 |
704 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
37 |
$3K |
| 81025 |
|
1,596 |
1,005 |
$3K |
| 81002 |
|
1,317 |
860 |
$2K |
| G9357 |
Post-partum screenings, evaluations and education performed |
28 |
12 |
$800.00 |
| 36415 |
Collection of venous blood by venipuncture |
617 |
432 |
$521.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$134.50 |
| 82950 |
|
37 |
12 |
$60.00 |
| 0500F |
|
15 |
12 |
$0.00 |