| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,026 |
851 |
$27K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
13 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
233 |
213 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
78 |
$4K |
| 80305 |
|
311 |
282 |
$2K |
| 82570 |
|
311 |
282 |
$2K |
| 83986 |
|
311 |
282 |
$831.66 |