| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96127 |
|
550 |
493 |
$22K |
| 59426 |
|
121 |
91 |
$19K |
| H1000 |
Prenatal care, at-risk assessment |
554 |
496 |
$14K |
| 59425 |
|
63 |
57 |
$10K |
| 59430 |
|
61 |
48 |
$3K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
557 |
499 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
57 |
$1K |
| H0046 |
Mental health services, not otherwise specified |
536 |
480 |
$124.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
24 |
$4.41 |