| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
61 |
61 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
150 |
$17K |
| 76801 |
|
158 |
158 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
117 |
$9K |
| 59426 |
|
13 |
13 |
$8K |
| 59425 |
|
17 |
17 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
37 |
$4K |
| 81025 |
|
503 |
503 |
$4K |
| 76831 |
|
12 |
12 |
$1K |