| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
4,312 |
4,297 |
$3.29M |
| 59426 |
|
1,710 |
1,703 |
$1.15M |
| 59430 |
|
2,376 |
2,354 |
$357K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,500 |
6,022 |
$319K |
| 59425 |
|
855 |
842 |
$310K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,776 |
5,643 |
$196K |
| 59025 |
Fetal non-stress test |
10,076 |
5,983 |
$173K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,889 |
1,874 |
$116K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,530 |
1,310 |
$108K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,301 |
1,252 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,598 |
2,393 |
$42K |
| 58300 |
|
670 |
662 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
128 |
128 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
194 |
194 |
$14K |
| 59612 |
|
14 |
14 |
$13K |
| 99385 |
|
179 |
176 |
$12K |
| 58301 |
|
191 |
191 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
125 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
231 |
208 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
64 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
86 |
$796.16 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
13 |
$660.14 |
| 3351F |
|
1,195 |
1,192 |
$0.00 |
| 0500F |
|
65 |
64 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |
| 0502F |
|
524 |
412 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |