| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
121 |
113 |
$151K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
110 |
95 |
$76K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
366 |
345 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
869 |
631 |
$29K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
347 |
291 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
202 |
178 |
$16K |
| 90715 |
|
353 |
318 |
$13K |
| 59426 |
|
15 |
15 |
$8K |
| 59025 |
Fetal non-stress test |
304 |
166 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
26 |
$3K |
| 11981 |
|
12 |
12 |
$1K |
| 81025 |
|
213 |
173 |
$1K |
| 90674 |
|
121 |
111 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
13 |
$949.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
14 |
$464.26 |
| 81002 |
|
19 |
12 |
$41.14 |