| Code | Description | Claims | Beneficiaries | Total Paid |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
42 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$0.00 |
| 85014 |
|
197 |
193 |
$0.00 |
| 59426 |
|
38 |
38 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$0.00 |
| 81000 |
|
1,560 |
935 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
267 |
245 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
101 |
98 |
$0.00 |
| 59430 |
|
29 |
29 |
$0.00 |