| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
228 |
202 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
346 |
272 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
480 |
329 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
66 |
54 |
$3K |
| 99205 |
Prolong outpt/office vis |
28 |
27 |
$1K |
| 59025 |
Fetal non-stress test |
53 |
25 |
$1K |
| 76801 |
|
17 |
14 |
$894.16 |
| 81003 |
|
97 |
85 |
$93.06 |