| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,810 |
4,699 |
$238K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
405 |
390 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,517 |
3,333 |
$216K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
694 |
663 |
$56K |
| 59430 |
|
387 |
379 |
$33K |
| 59514 |
|
12 |
12 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
124 |
$7K |
| 99215 |
Prolong outpt/office vis |
35 |
24 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
13 |
$1K |
| 99072 |
|
170 |
129 |
$1K |