| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
2,929 |
1,678 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,185 |
2,589 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
858 |
799 |
$123K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
771 |
450 |
$66K |
| Z1032 |
|
154 |
154 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
244 |
244 |
$19K |
| 99215 |
Prolong outpt/office vis |
160 |
160 |
$11K |
| Z6204 |
|
781 |
541 |
$6K |
| Z6406 |
|
780 |
540 |
$6K |
| Z6500 |
|
47 |
47 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
25 |
$3K |
| 59430 |
|
14 |
13 |
$2K |
| 99401 |
|
94 |
80 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$785.64 |
| 59425 |
|
70 |
37 |
$710.64 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
14 |
$657.90 |
| 97803 |
|
61 |
41 |
$571.88 |
| Z6400 |
|
70 |
70 |
$529.16 |
| Z6208 |
|
13 |
13 |
$99.17 |
| Z6414 |
|
13 |
13 |
$99.17 |
| 81025 |
|
12 |
12 |
$50.76 |