| Code | Description | Claims | Beneficiaries | Total Paid |
| 81000 |
|
1,771 |
999 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
273 |
246 |
$0.00 |
| 59430 |
|
50 |
50 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
94 |
92 |
$0.00 |
| 85014 |
|
310 |
291 |
$0.00 |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
26 |
26 |
$0.00 |
| 59426 |
|
39 |
39 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
28 |
27 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$0.00 |