| Code | Description | Claims | Beneficiaries | Total Paid |
| 85014 |
|
80 |
78 |
$0.00 |
| 59426 |
|
13 |
13 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$0.00 |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
14 |
14 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
38 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 81000 |
|
744 |
396 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
47 |
45 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
96 |
$0.00 |
| 59430 |
|
14 |
14 |
$0.00 |