| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
965 |
519 |
$53K |
| Z6410 |
|
303 |
291 |
$2K |
| 59425 |
|
2,347 |
1,385 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
12 |
$816.48 |
| Z6406 |
|
81 |
79 |
$620.77 |
| Z6204 |
|
78 |
76 |
$597.30 |
| Z6304 |
|
77 |
75 |
$589.73 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,018 |
931 |
$504.57 |
| 99233 |
Prolong inpt eval add15 m |
24 |
12 |
$140.14 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
886 |
665 |
$71.90 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$58.91 |
| 99401 |
|
324 |
307 |
$43.14 |
| 97803 |
|
224 |
212 |
$28.76 |
| 81025 |
|
12 |
12 |
$5.32 |
| 59430 |
|
12 |
12 |
$0.00 |
| 76801 |
|
45 |
39 |
$0.00 |
| 96151 |
|
183 |
171 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
13 |
$0.00 |