| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
16 |
13 |
$19K |
| 59426 |
|
15 |
14 |
$9K |
| 59425 |
|
18 |
18 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
26 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
13 |
$873.86 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
13 |
$676.37 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$608.04 |
| 81002 |
|
181 |
163 |
$472.38 |
| 81025 |
|
62 |
60 |
$351.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$301.18 |
| 0502F |
|
314 |
219 |
$0.00 |