| Code | Description | Claims | Beneficiaries | Total Paid |
| Z1034 |
|
5,803 |
3,781 |
$317K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,166 |
2,825 |
$252K |
| 59425 |
|
2,823 |
1,726 |
$172K |
| Z1032 |
|
780 |
780 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,292 |
1,599 |
$87K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
124 |
124 |
$66K |
| Z6500 |
|
460 |
460 |
$56K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
312 |
312 |
$42K |
| 99215 |
Prolong outpt/office vis |
303 |
300 |
$34K |
| H1000 |
Prenatal care, at-risk assessment |
187 |
187 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
94 |
$14K |
| 99401 |
|
773 |
754 |
$7K |
| H2000 |
Comprehensive multidisciplinary evaluation |
43 |
43 |
$6K |
| 96156 |
|
724 |
721 |
$6K |
| 97803 |
|
718 |
713 |
$6K |
| Z6406 |
|
323 |
307 |
$2K |
| Z1038 |
|
41 |
41 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
261 |
231 |
$2K |
| Z6410 |
|
225 |
197 |
$2K |
| Z6204 |
|
224 |
223 |
$2K |
| Z6304 |
|
223 |
222 |
$2K |
| 59430 |
|
25 |
25 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$1K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
12 |
12 |
$100.92 |