| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,256 |
593 |
$94K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
345 |
196 |
$47K |
| J3490 |
Unclassified drugs |
191 |
97 |
$17K |
| Z1034 |
|
257 |
162 |
$14K |
| Z1032 |
|
64 |
64 |
$10K |
| Z6500 |
|
57 |
57 |
$7K |
| A4267 |
Contraceptive supply, condom, male, each |
514 |
512 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
46 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
179 |
179 |
$2K |
| 81025 |
|
718 |
718 |
$2K |
| Z6400 |
|
125 |
115 |
$1K |
| Z6406 |
|
61 |
59 |
$670.71 |
| Z6204 |
|
62 |
60 |
$480.71 |
| Z6304 |
|
52 |
51 |
$414.37 |
| S0197 |
Prenatal vitamins, 30-day supply |
116 |
58 |
$165.00 |
| Z6410 |
|
16 |
13 |
$121.12 |