| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,829 |
2,080 |
$144K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,191 |
725 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
570 |
563 |
$31K |
| 0502F |
|
1,745 |
1,055 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
12 |
$14K |
| 81000 |
|
2,153 |
1,589 |
$10K |
| T1001 |
Nursing assessment / evaluation |
94 |
92 |
$9K |
| 76801 |
|
101 |
89 |
$9K |
| 99429 |
|
68 |
68 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
50 |
$5K |
| 81025 |
|
847 |
811 |
$3K |
| 99205 |
Prolong outpt/office vis |
55 |
51 |
$3K |
| S9470 |
Nutritional counseling, dietitian visit |
128 |
126 |
$3K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
92 |
89 |
$1K |
| 0500F |
|
156 |
151 |
$750.00 |
| S9437 |
Childbirth refresher classes, non-physician provider, per session |
30 |
26 |
$555.00 |
| G9920 |
Screening performed and negative |
23 |
22 |
$0.00 |