| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
467 |
466 |
$235K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
899 |
836 |
$132K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,115 |
1,097 |
$84K |
| 76830 |
Ultrasound, transvaginal |
1,099 |
1,093 |
$67K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
849 |
824 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
261 |
218 |
$6K |
| 59514 |
|
12 |
12 |
$5K |
| 76770 |
|
14 |
14 |
$1K |
| 99000 |
|
135 |
120 |
$351.98 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$232.02 |
| 81003 |
|
22 |
14 |
$42.68 |