| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,102 |
1,569 |
$263K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
259 |
$62K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
27 |
27 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
279 |
232 |
$28K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
76 |
76 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
89 |
79 |
$9K |
| 81003 |
|
165 |
136 |
$2K |
| 81025 |
|
85 |
84 |
$2K |
| H0049 |
Alcohol and/or drug screening |
74 |
70 |
$683.10 |
| 85027 |
|
12 |
12 |
$397.32 |