| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
2,464 |
1,663 |
$135K |
| Z1032 |
|
177 |
177 |
$26K |
| Z6500 |
|
145 |
145 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
879 |
768 |
$16K |
| Z6406 |
|
643 |
583 |
$5K |
| Z6304 |
|
631 |
567 |
$5K |
| Z6204 |
|
618 |
560 |
$5K |
| Z6400 |
|
375 |
357 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
420 |
359 |
$2K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
463 |
311 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
62 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
110 |
$2K |
| 59425 |
|
120 |
64 |
$1K |
| 88150 |
|
130 |
130 |
$686.87 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
16 |
16 |
$30.39 |
| 81025 |
|
27 |
27 |
$29.12 |