| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,557 |
9,262 |
$1.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,611 |
2,884 |
$305K |
| 99205 |
Prolong outpt/office vis |
821 |
783 |
$154K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
10,513 |
6,264 |
$103K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
121 |
119 |
$99K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
630 |
599 |
$76K |
| 3015F |
|
2,565 |
2,508 |
$37K |
| 81000 |
|
10,370 |
6,274 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
216 |
209 |
$28K |
| 81025 |
|
2,920 |
2,768 |
$17K |
| 59430 |
|
110 |
108 |
$14K |
| H1000 |
Prenatal care, at-risk assessment |
339 |
321 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
69 |
62 |
$7K |
| 88141 |
|
400 |
389 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,154 |
1,959 |
$5K |
| 76830 |
Ultrasound, transvaginal |
48 |
43 |
$4K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 76801 |
|
14 |
14 |
$1K |
| 0503F |
|
90 |
89 |
$1K |