| Code | Description | Claims | Beneficiaries | Total Paid |
| 59426 |
|
259 |
255 |
$148K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
116 |
116 |
$89K |
| 59425 |
|
114 |
110 |
$36K |
| 54150 |
|
237 |
233 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
285 |
$11K |
| 59430 |
|
62 |
61 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
290 |
260 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$845.88 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$604.22 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$367.30 |