| Code | Description | Claims | Beneficiaries | Total Paid |
| Z1034 |
|
2,131 |
1,425 |
$121K |
| Z1032 |
|
137 |
137 |
$16K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
12 |
12 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
167 |
165 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
409 |
384 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
216 |
$2K |
| Z1038 |
|
25 |
25 |
$1K |
| 80055 |
|
77 |
76 |
$1K |
| 88150 |
|
736 |
736 |
$777.57 |
| 59430 |
|
41 |
41 |
$559.88 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$461.50 |
| 0500F |
|
77 |
76 |
$261.60 |
| 81025 |
|
89 |
89 |
$226.15 |
| 0503F |
|
38 |
38 |
$96.00 |