| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,685 |
1,613 |
$171K |
| 59025 |
Fetal non-stress test |
1,585 |
1,399 |
$87K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
61 |
55 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
418 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
741 |
628 |
$18K |
| 54150 |
|
98 |
93 |
$18K |
| 59510 |
|
13 |
13 |
$15K |
| 99215 |
Prolong outpt/office vis |
75 |
50 |
$7K |