| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
1,187 |
819 |
$65K |
| 59425 |
|
1,028 |
654 |
$55K |
| Z1032 |
|
251 |
251 |
$40K |
| Z6500 |
|
252 |
252 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
287 |
207 |
$24K |
| J3490 |
Unclassified drugs |
230 |
154 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
243 |
187 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
102 |
51 |
$14K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
24 |
24 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
20 |
$8K |
| Z6400 |
|
510 |
482 |
$7K |
| Z6406 |
|
458 |
367 |
$5K |
| 99401 |
|
404 |
270 |
$3K |
| Z6204 |
|
231 |
218 |
$3K |
| 99000 |
|
766 |
748 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
111 |
72 |
$2K |
| 81025 |
|
538 |
535 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
113 |
113 |
$1K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
91 |
62 |
$1K |
| Z6304 |
|
108 |
102 |
$991.69 |
| Z6410 |
|
97 |
61 |
$838.78 |
| 97803 |
|
13 |
12 |
$142.97 |