| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
2,646 |
1,579 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,229 |
1,109 |
$34K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
449 |
432 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
26 |
26 |
$14K |
| Z1034 |
|
146 |
94 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
81 |
$6K |
| 88141 |
|
294 |
294 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
61 |
61 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28 |
24 |
$996.94 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$963.90 |