| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
5,092 |
3,780 |
$280K |
| Z1032 |
|
1,292 |
1,292 |
$166K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,177 |
1,009 |
$106K |
| J3490 |
Unclassified drugs |
461 |
403 |
$42K |
| 59514 |
|
107 |
107 |
$34K |
| 76813 |
|
321 |
308 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
218 |
$26K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
53 |
53 |
$26K |
| 59425 |
|
1,181 |
848 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
106 |
78 |
$16K |
| Z6400 |
|
1,101 |
976 |
$13K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
583 |
404 |
$8K |
| 99000 |
|
2,325 |
2,231 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
60 |
59 |
$5K |
| Z1038 |
|
39 |
39 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$2K |
| 81025 |
|
408 |
407 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
514 |
423 |
$756.73 |
| Z6204 |
|
72 |
56 |
$591.25 |
| Z6406 |
|
29 |
28 |
$230.14 |
| Z6304 |
|
29 |
28 |
$222.57 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
12 |
12 |
$152.64 |
| 97803 |
|
51 |
36 |
$33.64 |
| 96156 |
|
16 |
14 |
$25.23 |