| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
755 |
484 |
$62K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
285 |
198 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
216 |
198 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
119 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
166 |
157 |
$6K |
| 99401 |
|
215 |
180 |
$2K |
| 99460 |
|
12 |
12 |
$623.04 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
14 |
14 |
$142.97 |
| 90670 |
|
13 |
13 |
$117.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
365 |
147 |
$0.00 |