| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
3,555 |
2,094 |
$267K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,345 |
1,194 |
$84K |
| 59430 |
|
280 |
267 |
$74K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
167 |
153 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
277 |
236 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
76 |
$7K |
| H0049 |
Alcohol and/or drug screening |
19 |
17 |
$40.79 |
| 96127 |
|
12 |
12 |
$0.00 |
| 99000 |
|
75 |
20 |
$0.00 |