| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9470 |
Nutritional counseling, dietitian visit |
1,882 |
1,204 |
$51K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
200 |
199 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
261 |
176 |
$12K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
628 |
472 |
$9K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
161 |
159 |
$2K |
| 81002 |
|
494 |
370 |
$1K |