| Code | Description | Claims | Beneficiaries | Total Paid |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
116 |
106 |
$139K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
427 |
385 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
228 |
201 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
382 |
326 |
$15K |
| 0500F |
|
468 |
418 |
$4K |
| 81002 |
|
1,317 |
1,133 |
$3K |
| 81025 |
|
365 |
328 |
$2K |
| 54150 |
|
12 |
12 |
$1K |
| 87210 |
|
332 |
268 |
$883.44 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
37 |
$80.30 |
| 0502F |
|
1,368 |
926 |
$0.00 |