| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
402 |
402 |
$888K |
| 59510 |
|
65 |
65 |
$156K |
| 59025 |
Fetal non-stress test |
1,755 |
964 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
618 |
588 |
$33K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
540 |
533 |
$29K |
| 76801 |
|
422 |
409 |
$25K |
| 76830 |
Ultrasound, transvaginal |
63 |
63 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
26 |
26 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$854.75 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
67 |
67 |
$674.23 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
13 |
$527.43 |