| Code | Description | Claims | Beneficiaries | Total Paid |
| Z1034 |
|
347 |
249 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
74 |
$11K |
| Z1032 |
|
65 |
65 |
$10K |
| Z6500 |
|
63 |
63 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
202 |
170 |
$5K |
| Z6400 |
|
168 |
158 |
$2K |
| 76801 |
|
32 |
31 |
$2K |
| Z6406 |
|
185 |
153 |
$2K |
| Z6204 |
|
180 |
147 |
$1K |
| 99000 |
|
500 |
452 |
$1K |
| Z6304 |
|
76 |
69 |
$607.87 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
16 |
14 |
$418.82 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
30 |
30 |
$216.24 |
| 81025 |
|
86 |
85 |
$177.31 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
32 |
30 |
$20.45 |
| 99401 |
|
110 |
77 |
$19.07 |
| 97803 |
|
82 |
65 |
$0.00 |
| 59425 |
|
195 |
115 |
$0.00 |
| 96151 |
|
14 |
13 |
$0.00 |