| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
315 |
203 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
196 |
175 |
$5K |
| 76830 |
Ultrasound, transvaginal |
80 |
80 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
152 |
134 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$838.56 |
| 76801 |
|
156 |
138 |
$378.06 |
| 90688 |
|
25 |
22 |
$321.12 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
243 |
224 |
$288.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
47 |
$225.00 |
| 96161 |
|
12 |
12 |
$35.28 |
| 59426 |
|
430 |
316 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
217 |
163 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 81000 |
|
2,588 |
1,483 |
$0.00 |
| 59430 |
|
430 |
324 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$0.00 |