| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
421 |
364 |
$0.00 |
| 59430 |
|
127 |
125 |
$0.00 |
| 81000 |
|
1,997 |
1,198 |
$0.00 |
| 76801 |
|
12 |
12 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
107 |
107 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
263 |
251 |
$0.00 |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
68 |
68 |
$0.00 |
| 85014 |
|
459 |
449 |
$0.00 |
| 59426 |
|
90 |
88 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
126 |
$0.00 |