| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,785 |
4,545 |
$236K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
383 |
365 |
$215K |
| 59514 |
|
268 |
257 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,770 |
2,336 |
$133K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
908 |
800 |
$78K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
634 |
587 |
$65K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
792 |
765 |
$42K |
| 59430 |
|
380 |
375 |
$35K |
| 59025 |
Fetal non-stress test |
888 |
414 |
$33K |
| 81002 |
|
9,070 |
4,854 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
405 |
395 |
$23K |
| 81025 |
|
2,554 |
2,293 |
$18K |
| 76818 |
|
155 |
86 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
286 |
257 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
327 |
314 |
$10K |
| 54150 |
|
92 |
91 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
50 |
$3K |