| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
933 |
501 |
$0.00 |
| 99401 |
|
81 |
69 |
$0.00 |
| 81003 |
|
994 |
565 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
21 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
43 |
$0.00 |
| 99173 |
|
19 |
19 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
379 |
343 |
$0.00 |
| 90686 |
|
373 |
360 |
$0.00 |
| 96156 |
|
63 |
55 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
285 |
162 |
$0.00 |
| 85018 |
|
330 |
312 |
$0.00 |
| 86580 |
|
134 |
132 |
$0.00 |
| 90688 |
|
30 |
30 |
$0.00 |
| 92551 |
|
19 |
19 |
$0.00 |
| 96151 |
|
19 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$0.00 |