| Code | Description | Claims | Beneficiaries | Total Paid |
| 59426 |
|
777 |
320 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,220 |
722 |
$46K |
| 59425 |
|
681 |
354 |
$39K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
49 |
37 |
$24K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
234 |
162 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
49 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
100 |
36 |
$3K |
| 99385 |
|
42 |
26 |
$3K |
| 59430 |
|
22 |
16 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
13 |
$1K |
| 80305 |
|
150 |
99 |
$821.34 |
| 36415 |
Collection of venous blood by venipuncture |
226 |
155 |
$284.08 |