| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
1,269 |
992 |
$90K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,717 |
1,066 |
$35K |
| 99401 |
|
2,705 |
2,040 |
$34K |
| 96156 |
|
1,562 |
1,138 |
$20K |
| 97802 |
|
1,124 |
972 |
$14K |
| 96150 |
|
435 |
364 |
$5K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
53 |
40 |
$4K |
| Z1034 |
|
41 |
37 |
$2K |
| 97803 |
|
160 |
102 |
$2K |
| 99000 |
|
270 |
256 |
$1K |
| S9999 |
Sales tax |
106 |
88 |
$1K |
| Z6404 |
|
72 |
65 |
$543.15 |
| Z6302 |
|
55 |
50 |
$414.46 |
| 99403 |
|
34 |
29 |
$333.98 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
16 |
14 |
$292.65 |
| 96158 |
|
17 |
13 |
$232.08 |
| S9452 |
Nutrition classes, non-physician provider, per session |
13 |
13 |
$221.99 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
14 |
$192.60 |
| 99078 |
|
24 |
12 |
$117.95 |
| Z6202 |
|
15 |
13 |
$113.55 |