| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 81025 |
|
2,706 |
2,421 |
$5.59 |
| 59425 |
|
1,220 |
813 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
415 |
411 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,304 |
1,215 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
54 |
54 |
$0.00 |
| 90715 |
|
78 |
77 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
152 |
152 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
18 |
18 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,342 |
1,601 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,608 |
1,300 |
$0.00 |
| J3490 |
Unclassified drugs |
278 |
278 |
$0.00 |
| 59430 |
|
71 |
54 |
$0.00 |
| 90674 |
|
38 |
38 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
13 |
12 |
$0.00 |