| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
636 |
366 |
$63K |
| 0502F |
|
466 |
307 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
122 |
$27K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
17 |
16 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
100 |
99 |
$4K |
| 81002 |
|
279 |
162 |
$722.29 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
19 |
15 |
$427.68 |
| 90686 |
|
16 |
16 |
$345.40 |
| 81003 |
|
30 |
27 |
$65.40 |