| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
183 |
168 |
$171K |
| 0502F |
|
1,473 |
804 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
483 |
347 |
$25K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
99 |
72 |
$7K |
| 90686 |
|
63 |
59 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$1K |
| 81025 |
|
169 |
124 |
$853.05 |
| 0500F |
|
15 |
15 |
$661.50 |
| 59025 |
Fetal non-stress test |
17 |
13 |
$237.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$156.96 |