| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
5,583 |
3,617 |
$498K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
585 |
584 |
$384K |
| 99215 |
Prolong outpt/office vis |
1,005 |
945 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,317 |
1,274 |
$58K |
| 99205 |
Prolong outpt/office vis |
341 |
340 |
$57K |
| 76801 |
|
472 |
470 |
$41K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
253 |
248 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
77 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
135 |
$9K |
| 59514 |
|
12 |
12 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
58 |
55 |
$6K |
| 81025 |
|
619 |
616 |
$2K |
| 59051 |
|
14 |
13 |
$1K |