| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,237 |
970 |
$113K |
| Z1034 |
|
1,623 |
1,063 |
$91K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
411 |
367 |
$80K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,869 |
1,279 |
$48K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
994 |
940 |
$41K |
| Z1032 |
|
186 |
186 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
218 |
$21K |
| 59514 |
|
123 |
123 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
458 |
458 |
$13K |
| J3490 |
Unclassified drugs |
99 |
81 |
$10K |
| 99000 |
|
1,289 |
1,215 |
$4K |
| 59425 |
|
358 |
256 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
114 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
82 |
82 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
169 |
169 |
$2K |
| Z6500 |
|
15 |
15 |
$2K |
| 81025 |
|
428 |
427 |
$1K |
| 99243 |
|
18 |
18 |
$595.00 |
| Z6400 |
|
15 |
15 |
$466.28 |
| 81000 |
|
63 |
57 |
$269.10 |
| Z6410 |
|
13 |
12 |
$199.84 |
| 99451 |
|
12 |
12 |
$124.56 |