| Code | Description | Claims | Beneficiaries | Total Paid |
| 99402 |
|
13,692 |
8,061 |
$1.12M |
| H2000 |
Comprehensive multidisciplinary evaluation |
872 |
871 |
$95K |
| 96167 |
|
491 |
230 |
$44K |
| T2022 |
Case management, per month |
306 |
306 |
$24K |
| 96154 |
|
217 |
78 |
$17K |
| H1000 |
Prenatal care, at-risk assessment |
159 |
158 |
$14K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
72 |
72 |
$6K |
| 99600 |
Unlisted home visit service or procedure |
58 |
48 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
21 |
21 |
$0.00 |