| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,494 |
11,368 |
$3.81M |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
6,755 |
4,299 |
$509K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,681 |
1,633 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,962 |
1,751 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,473 |
2,151 |
$54K |
| 90834 |
Psychotherapy, 45 minutes with patient |
996 |
382 |
$34K |
| 59425 |
|
380 |
253 |
$23K |
| H1000 |
Prenatal care, at-risk assessment |
43 |
43 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
194 |
124 |
$2K |
| 59430 |
|
14 |
13 |
$2K |
| 90686 |
|
82 |
58 |
$1K |
| 90715 |
|
33 |
29 |
$767.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
30 |
$629.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
25 |
$449.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
52 |
$129.66 |
| 81025 |
|
15 |
13 |
$45.85 |
| 3078F |
|
58 |
51 |
$0.00 |
| Z1034 |
|
5,486 |
3,670 |
$0.00 |
| Z1032 |
|
44 |
44 |
$0.00 |
| 3074F |
|
15 |
12 |
$0.00 |
| 99459 |
|
12 |
12 |
$0.00 |