| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
2,815 |
2,037 |
$154K |
| Z1032 |
|
609 |
609 |
$98K |
| Z6500 |
|
539 |
539 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
412 |
354 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
109 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
341 |
281 |
$30K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
671 |
410 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
418 |
361 |
$22K |
| 59425 |
|
706 |
453 |
$21K |
| Z6410 |
|
1,387 |
1,191 |
$11K |
| Z6400 |
|
1,218 |
1,184 |
$9K |
| J7301 |
Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg |
12 |
12 |
$9K |
| 99401 |
|
445 |
436 |
$8K |
| 81025 |
|
1,059 |
939 |
$5K |
| 90686 |
|
132 |
132 |
$3K |
| 99201 |
|
43 |
43 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
38 |
38 |
$2K |
| 58300 |
|
24 |
12 |
$2K |
| Z1038 |
|
29 |
29 |
$2K |
| 99000 |
|
359 |
353 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
182 |
131 |
$979.44 |
| Z6406 |
|
86 |
86 |
$657.10 |
| Z6204 |
|
86 |
86 |
$657.10 |
| Z6304 |
|
86 |
86 |
$657.10 |
| Z6308 |
|
29 |
29 |
$220.29 |
| Z6414 |
|
29 |
29 |
$220.29 |
| Z6208 |
|
29 |
29 |
$220.29 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
474 |
286 |
$211.38 |