| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,318 |
8,577 |
$373K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
405 |
389 |
$225K |
| 76801 |
|
1,431 |
1,383 |
$123K |
| 59514 |
|
185 |
173 |
$108K |
| 59430 |
|
803 |
728 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
771 |
752 |
$57K |
| 81002 |
|
13,684 |
9,316 |
$37K |
| 99000 |
|
3,131 |
3,014 |
$21K |
| 81025 |
|
2,466 |
2,401 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
281 |
252 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
291 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |