| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
343 |
$0.00 |
| 76801 |
|
78 |
74 |
$0.00 |
| 81000 |
|
2,529 |
1,323 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
207 |
189 |
$0.00 |
| 59430 |
|
57 |
56 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
148 |
142 |
$0.00 |
| 85014 |
|
338 |
329 |
$0.00 |
| 59426 |
|
132 |
129 |
$0.00 |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
25 |
25 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
106 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$0.00 |