| Code | Description | Claims | Beneficiaries | Total Paid |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
38 |
38 |
$63K |
| 81002 |
|
10,219 |
5,600 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
108 |
107 |
$13K |
| 76801 |
|
91 |
91 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
37 |
$3K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
56 |
24 |
$969.36 |