| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
633 |
392 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
693 |
614 |
$7K |
| 85013 |
|
1,837 |
1,471 |
$3K |
| 59426 |
|
443 |
384 |
$897.39 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
285 |
264 |
$668.49 |
| 81002 |
|
548 |
495 |
$266.22 |
| 76801 |
|
41 |
37 |
$252.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$45.00 |
| 3074F |
|
26 |
25 |
$0.00 |
| 59514 |
|
16 |
15 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
22 |
14 |
$0.00 |
| 59510 |
|
94 |
53 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |