| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
93 |
81 |
$10K |
| 59025 |
Fetal non-stress test |
130 |
92 |
$4K |
| G9001 |
Coordinated care fee, initial rate |
68 |
68 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
29 |
$1K |