| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
67 |
65 |
$46K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
297 |
289 |
$17K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
85 |
77 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
19 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$501.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$466.12 |