| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
942 |
852 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,231 |
1,084 |
$155K |
| Z1034 |
|
1,072 |
708 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$9K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
249 |
150 |
$9K |
| 81025 |
|
2,647 |
2,474 |
$8K |
| 99402 |
|
131 |
128 |
$4K |
| Z6410 |
|
384 |
263 |
$4K |
| Z6400 |
|
237 |
200 |
$3K |
| J3490 |
Unclassified drugs |
37 |
25 |
$3K |
| Z1032 |
|
15 |
15 |
$2K |
| Z6406 |
|
243 |
205 |
$2K |
| 99000 |
|
450 |
441 |
$2K |
| Z6204 |
|
125 |
111 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$565.30 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
30 |
25 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
13 |
$0.00 |