| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,251 |
1,238 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
902 |
899 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
311 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
72 |
$3K |
| 90715 |
|
173 |
173 |
$3K |
| 90734 |
|
375 |
372 |
$2K |
| 85018 |
|
819 |
787 |
$2K |
| 90710 |
|
74 |
73 |
$2K |
| 99188 |
|
35 |
35 |
$583.44 |
| 90688 |
|
76 |
76 |
$396.00 |
| 90649 |
|
48 |
48 |
$256.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$128.60 |
| 90648 |
|
25 |
24 |
$128.40 |
| 90633 |
|
13 |
13 |
$69.55 |