| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
9,128 |
4,633 |
$555K |
| 59425 |
|
9,819 |
5,140 |
$485K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,452 |
1,289 |
$197K |
| Z1032 |
|
1,109 |
1,109 |
$167K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
331 |
329 |
$159K |
| Z6500 |
|
1,073 |
1,071 |
$132K |
| 99215 |
Prolong outpt/office vis |
710 |
647 |
$68K |
| 59514 |
|
122 |
122 |
$55K |
| Z6406 |
|
991 |
808 |
$18K |
| H2000 |
Comprehensive multidisciplinary evaluation |
208 |
200 |
$16K |
| 59430 |
|
241 |
227 |
$13K |
| 99205 |
Prolong outpt/office vis |
110 |
109 |
$9K |
| 81025 |
|
2,018 |
1,962 |
$9K |
| Z6400 |
|
1,092 |
1,090 |
$8K |
| Z6204 |
|
784 |
763 |
$8K |
| Z6304 |
|
749 |
732 |
$7K |
| 99401 |
|
377 |
326 |
$7K |
| Z1038 |
|
128 |
128 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158 |
138 |
$5K |
| Z6410 |
|
202 |
158 |
$4K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
38 |
38 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
504 |
472 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$3K |
| 57454 |
|
27 |
14 |
$2K |
| Z6414 |
|
89 |
89 |
$1K |
| 97803 |
|
158 |
154 |
$1K |
| 76801 |
|
15 |
13 |
$872.46 |
| Z6308 |
|
101 |
101 |
$782.75 |
| Z6208 |
|
89 |
89 |
$676.77 |
| 96151 |
|
74 |
72 |
$638.41 |
| 99402 |
|
30 |
30 |
$250.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$83.98 |