| Code | Description | Claims | Beneficiaries | Total Paid |
| 76818 |
|
679 |
564 |
$17K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
21 |
13 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
440 |
362 |
$13K |
| 81002 |
|
3,320 |
2,291 |
$3K |
| 85018 |
|
1,342 |
1,159 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
60 |
55 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$761.93 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$469.00 |
| G9357 |
Post-partum screenings, evaluations and education performed |
16 |
13 |
$100.00 |
| 59426 |
|
41 |
40 |
$0.00 |