| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
2,448 |
1,546 |
$134K |
| Z1032 |
|
421 |
421 |
$67K |
| Z6500 |
|
417 |
417 |
$51K |
| 59425 |
|
614 |
375 |
$44K |
| H2000 |
Comprehensive multidisciplinary evaluation |
167 |
166 |
$23K |
| 99215 |
Prolong outpt/office vis |
180 |
177 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
444 |
292 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
170 |
149 |
$13K |
| Z6400 |
|
415 |
415 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
140 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
60 |
$7K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
152 |
151 |
$5K |
| Z1038 |
|
82 |
82 |
$4K |
| Z6208 |
|
51 |
51 |
$387.59 |
| Z6308 |
|
51 |
51 |
$387.59 |
| Z6414 |
|
51 |
51 |
$387.59 |
| 81025 |
|
94 |
94 |
$240.62 |