| Code | Description | Claims | Beneficiaries | Total Paid |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,387 |
880 |
$44K |
| T1016 |
Case management, each 15 minutes |
2,206 |
998 |
$39K |
| H1004 |
Prenatal care, at-risk enhanced service; follow-up home visit |
958 |
632 |
$28K |
| T1017 |
Targeted case management, each 15 minutes |
1,088 |
799 |
$26K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
359 |
264 |
$11K |
| H0033 |
Oral medication administration, direct observation |
445 |
91 |
$4K |
| 99401 |
|
120 |
82 |
$1K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
14 |
13 |
$634.27 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$444.40 |