| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,346 |
18,768 |
$1.79M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,181 |
3,539 |
$519K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,363 |
2,759 |
$145K |
| H1000 |
Prenatal care, at-risk assessment |
3,443 |
2,920 |
$116K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
561 |
483 |
$60K |
| 36415 |
Collection of venous blood by venipuncture |
9,680 |
7,831 |
$21K |
| 99222 |
Initial hospital care, per day, moderate complexity |
161 |
130 |
$17K |
| 84703 |
|
2,312 |
1,727 |
$13K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$11K |
| 99219 |
|
82 |
72 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
118 |
102 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
91 |
88 |
$7K |
| 99221 |
|
68 |
51 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
24 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
299 |
216 |
$2K |
| 59430 |
|
27 |
13 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
12 |
$1K |
| 90685 |
|
76 |
70 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
84 |
75 |
$852.80 |
| 90686 |
|
43 |
39 |
$733.03 |
| 90715 |
|
15 |
12 |
$386.38 |
| 90674 |
|
15 |
13 |
$367.12 |
| 3008F |
|
63 |
57 |
$280.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
12 |
$220.65 |