| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
139 |
113 |
$229K |
| 59510 |
|
16 |
13 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
98 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
132 |
118 |
$13K |
| 76830 |
Ultrasound, transvaginal |
149 |
128 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
79 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
152 |
116 |
$7K |
| 81000 |
|
591 |
492 |
$2K |
| 81025 |
|
291 |
242 |
$2K |
| 54150 |
|
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
40 |
40 |
$25.65 |