| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
544 |
487 |
$18K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
155 |
149 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
55 |
53 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
83 |
58 |
$2K |
| 76818 |
|
49 |
37 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$395.45 |
| 59025 |
Fetal non-stress test |
40 |
26 |
$300.20 |