| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
3,917 |
3,853 |
$1.92M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15,530 |
14,737 |
$1.05M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,594 |
21,368 |
$997K |
| 59514 |
|
3,181 |
3,158 |
$741K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,529 |
5,500 |
$181K |
| 99233 |
Prolong inpt eval add15 m |
4,137 |
2,736 |
$139K |
| 59025 |
Fetal non-stress test |
11,969 |
10,689 |
$110K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,569 |
1,987 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
802 |
797 |
$46K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,314 |
1,305 |
$43K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,230 |
1,181 |
$30K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,015 |
915 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
864 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
284 |
282 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
301 |
285 |
$11K |
| Z1034 |
|
104 |
95 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
326 |
298 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
36 |
34 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
42 |
41 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$1K |
| 59425 |
|
16 |
15 |
$1K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
44 |
41 |
$736.33 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
29 |
$620.86 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
29 |
27 |
$432.06 |