| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
626 |
626 |
$271K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,423 |
6,737 |
$168K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,348 |
2,340 |
$77K |
| 59514 |
|
57 |
57 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
407 |
407 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
171 |
168 |
$11K |
| 99386 |
|
200 |
200 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
199 |
150 |
$4K |
| 59425 |
|
148 |
103 |
$4K |
| 88150 |
|
898 |
897 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
75 |
$2K |
| Z1034 |
|
19 |
13 |
$1K |
| 99070 |
|
222 |
221 |
$647.75 |
| 99236 |
Prolong inpt eval add15 m |
13 |
12 |
$495.90 |
| 99243 |
|
46 |
46 |
$166.60 |
| 81025 |
|
105 |
104 |
$114.52 |
| 88141 |
|
32 |
32 |
$20.84 |