| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
77 |
71 |
$95K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
121 |
111 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256 |
206 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
40 |
39 |
$3K |
| 76801 |
|
26 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
57 |
55 |
$153.44 |