| Code | Description | Claims | Beneficiaries | Total Paid |
| 59410 |
|
779 |
730 |
$705K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
148 |
142 |
$325K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,726 |
1,620 |
$179K |
| 99233 |
Prolong inpt eval add15 m |
1,232 |
753 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
756 |
725 |
$83K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,552 |
1,481 |
$80K |
| 76801 |
|
662 |
644 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,153 |
6,368 |
$60K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
837 |
820 |
$32K |
| 59425 |
|
17 |
17 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
44 |
41 |
$179.38 |