| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,414 |
3,029 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,251 |
1,563 |
$120K |
| 59025 |
Fetal non-stress test |
701 |
398 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
13 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
162 |
130 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
284 |
249 |
$7K |
| 99205 |
Prolong outpt/office vis |
55 |
43 |
$5K |
| 81002 |
|
2,089 |
1,810 |
$4K |
| 99459 |
|
272 |
222 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
24 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37 |
30 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
12 |
$813.92 |
| 81025 |
|
13 |
13 |
$85.25 |