| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,807 |
2,120 |
$221K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
26 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
349 |
343 |
$43K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
97 |
96 |
$37K |
| 81002 |
|
1,714 |
1,298 |
$30K |
| 81025 |
|
1,681 |
1,582 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
79 |
76 |
$13K |
| 87210 |
|
221 |
218 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$1K |