| Code | Description | Claims | Beneficiaries | Total Paid |
| 58563 |
|
26 |
26 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
904 |
519 |
$18K |
| 99254 |
|
306 |
301 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
44 |
44 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
242 |
238 |
$9K |
| 59514 |
|
41 |
40 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
217 |
216 |
$4K |
| 99235 |
|
59 |
53 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16 |
16 |
$530.25 |
| 59025 |
Fetal non-stress test |
21 |
12 |
$54.72 |