| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
3,973 |
3,003 |
$319K |
| 59426 |
|
2,995 |
1,382 |
$273K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,904 |
2,436 |
$188K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
114 |
93 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
418 |
367 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
186 |
159 |
$21K |
| 81002 |
|
7,104 |
4,185 |
$20K |
| 59430 |
|
127 |
105 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
128 |
119 |
$13K |
| 99354 |
|
208 |
133 |
$8K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
49 |
39 |
$2K |
| 99459 |
|
93 |
84 |
$2K |
| 81025 |
|
33 |
30 |
$231.36 |
| 99417 |
Prolong home eval add 15m |
21 |
14 |
$97.09 |