| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
110 |
105 |
$170K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
399 |
350 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,111 |
898 |
$26K |
| 59426 |
|
31 |
31 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
233 |
178 |
$7K |
| 59425 |
|
18 |
18 |
$7K |
| 59025 |
Fetal non-stress test |
187 |
69 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
77 |
$4K |
| 99000 |
|
1,211 |
1,121 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$801.48 |
| 81025 |
|
49 |
41 |
$337.03 |