| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
853 |
774 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
867 |
812 |
$21K |
| Z1034 |
|
52 |
37 |
$3K |
| 81025 |
|
299 |
287 |
$698.01 |
| Z6410 |
|
52 |
37 |
$397.44 |
| 93000 |
|
13 |
13 |
$338.34 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
128 |
$283.00 |
| 99000 |
|
145 |
136 |
$277.61 |
| S0197 |
Prenatal vitamins, 30-day supply |
154 |
86 |
$191.22 |
| 59425 |
|
31 |
14 |
$119.76 |
| 85014 |
|
52 |
52 |
$89.10 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
31 |
14 |
$16.66 |
| 85018 |
|
36 |
36 |
$4.85 |
| 99173 |
|
40 |
40 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$0.00 |
| 82947 |
|
16 |
15 |
$0.00 |
| 97802 |
|
38 |
38 |
$0.00 |
| 2001F |
|
14 |
14 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
39 |
39 |
$0.00 |
| 88141 |
|
16 |
16 |
$0.00 |
| 3008F |
|
108 |
103 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |