| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
98 |
86 |
$99K |
| 0502F |
|
1,536 |
920 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
612 |
191 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
584 |
333 |
$48K |
| 59025 |
Fetal non-stress test |
907 |
381 |
$30K |
| 59430 |
|
129 |
67 |
$18K |
| 0503F |
|
173 |
146 |
$10K |
| H1000 |
Prenatal care, at-risk assessment |
543 |
391 |
$8K |
| 96127 |
|
324 |
267 |
$5K |
| 81002 |
|
1,786 |
950 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
205 |
120 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
13 |
$2K |