| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13,882 |
13,367 |
$218K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
215 |
210 |
$10K |
| 90715 |
|
400 |
400 |
$7K |
| 90710 |
|
291 |
289 |
$7K |
| 85018 |
|
2,871 |
2,828 |
$6K |
| 90696 |
|
188 |
186 |
$4K |
| 90734 |
|
559 |
556 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
379 |
368 |
$3K |
| 90686 |
|
497 |
497 |
$3K |
| 81025 |
|
410 |
392 |
$3K |
| 90619 |
|
291 |
290 |
$2K |
| 90633 |
|
310 |
307 |
$2K |
| 90649 |
|
186 |
184 |
$945.64 |
| 90670 |
|
107 |
102 |
$530.98 |
| 90651 |
|
59 |
59 |
$476.13 |
| 90620 |
|
69 |
69 |
$471.28 |
| 90698 |
|
12 |
12 |
$320.60 |
| 90716 |
|
20 |
20 |
$100.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
19 |
$60.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
12 |
$0.00 |