| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
315 |
189 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,114 |
1,704 |
$11K |
| 59425 |
|
1,036 |
612 |
$8K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,934 |
1,077 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
97 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
143 |
117 |
$1K |
| 81000 |
|
2,607 |
1,879 |
$1K |
| 81003 |
|
422 |
313 |
$273.35 |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$252.62 |
| 81025 |
|
102 |
97 |
$45.16 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
46 |
$36.60 |