| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,332 |
13,602 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,806 |
8,348 |
$118K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,477 |
4,474 |
$109K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
270 |
269 |
$97K |
| 59425 |
|
1,518 |
1,030 |
$55K |
| 99222 |
Initial hospital care, per day, moderate complexity |
736 |
690 |
$55K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,181 |
786 |
$42K |
| 58100 |
|
2,515 |
1,268 |
$34K |
| 99000 |
|
11,806 |
11,180 |
$31K |
| 59514 |
|
67 |
67 |
$23K |
| 57454 |
|
565 |
282 |
$14K |
| 88150 |
|
1,955 |
1,955 |
$11K |
| 49000 |
|
25 |
25 |
$4K |
| 99215 |
Prolong outpt/office vis |
38 |
38 |
$4K |
| 57505 |
|
305 |
299 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
41 |
41 |
$2K |
| 58740 |
|
12 |
12 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$1K |
| 81025 |
|
495 |
462 |
$1K |
| 58120 |
|
12 |
12 |
$1K |
| 58558 |
|
15 |
15 |
$981.78 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
12 |
12 |
$814.98 |
| 96156 |
|
30 |
28 |
$339.62 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13 |
12 |
$187.86 |
| 81002 |
|
185 |
184 |
$142.29 |
| 99201 |
|
51 |
37 |
$22.67 |