| Code | Description | Claims | Beneficiaries | Total Paid |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
201 |
187 |
$186K |
| 0502F |
|
2,070 |
1,086 |
$130K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,062 |
529 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
471 |
419 |
$24K |
| 59430 |
|
47 |
28 |
$6K |
| 0503F |
|
83 |
80 |
$5K |
| 54150 |
|
29 |
29 |
$2K |
| 0500F |
|
30 |
25 |
$2K |
| 90715 |
|
64 |
43 |
$2K |
| 99235 |
|
17 |
17 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
29 |
$2K |
| 81025 |
|
306 |
261 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$708.75 |
| 59025 |
Fetal non-stress test |
13 |
13 |
$94.80 |