| Code | Description | Claims | Beneficiaries | Total Paid |
| Z1034 |
|
3,305 |
2,061 |
$182K |
| Z1032 |
|
543 |
543 |
$89K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,009 |
637 |
$78K |
| Z6500 |
|
551 |
551 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
308 |
289 |
$23K |
| Z6400 |
|
553 |
553 |
$17K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
128 |
111 |
$16K |
| 59425 |
|
192 |
121 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
149 |
$5K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
131 |
112 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
43 |
$3K |
| 59514 |
|
13 |
13 |
$3K |
| 81025 |
|
338 |
338 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$1K |