| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
172 |
133 |
$35K |
| 59514 |
|
285 |
206 |
$28K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
35 |
15 |
$20K |
| 59426 |
|
267 |
238 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
351 |
296 |
$6K |
| 59425 |
|
60 |
40 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
76 |
$3K |
| 59025 |
Fetal non-stress test |
97 |
30 |
$2K |
| 81025 |
|
248 |
217 |
$549.97 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
107 |
93 |
$513.00 |
| 59430 |
|
144 |
128 |
$432.00 |
| 81002 |
|
3,399 |
1,607 |
$9.00 |
| 85018 |
|
122 |
118 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
30 |
$0.00 |
| 85014 |
|
112 |
106 |
$0.00 |