| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
401 |
399 |
$114K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
3,191 |
2,031 |
$64K |
| Z1034 |
|
632 |
389 |
$35K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,364 |
835 |
$27K |
| 59514 |
|
57 |
55 |
$15K |
| 99243 |
|
292 |
285 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
153 |
145 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
401 |
377 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
196 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
443 |
432 |
$5K |
| 59430 |
|
179 |
179 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
56 |
55 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$661.60 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$74.82 |
| 99000 |
|
12 |
12 |
$21.78 |
| 59425 |
|
41 |
31 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
20 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |