| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
4,767 |
2,784 |
$210K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
127 |
125 |
$115K |
| 59025 |
Fetal non-stress test |
2,197 |
958 |
$57K |
| 0503F |
|
417 |
374 |
$21K |
| 81002 |
|
5,279 |
3,168 |
$12K |
| 0500F |
|
278 |
248 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
144 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
221 |
178 |
$10K |
| 76801 |
|
55 |
41 |
$4K |
| 85018 |
|
1,155 |
973 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 36416 |
|
517 |
483 |
$844.60 |
| 36415 |
Collection of venous blood by venipuncture |
295 |
243 |
$779.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$395.43 |
| 99072 |
|
487 |
349 |
$55.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
209 |
204 |
$47.91 |