| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
59,529 |
34,603 |
$9.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,845 |
4,831 |
$271K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,372 |
1,349 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,630 |
1,441 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
108 |
108 |
$6K |
| H1000 |
Prenatal care, at-risk assessment |
25 |
25 |
$2K |
| 81025 |
|
1,284 |
1,256 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
93 |
93 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
136 |
134 |
$1K |
| A4267 |
Contraceptive supply, condom, male, each |
54 |
54 |
$809.46 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$187.50 |
| 81001 |
|
1,863 |
1,221 |
$82.25 |
| 96156 |
|
12 |
12 |
$67.30 |
| Z1034 |
|
1,568 |
993 |
$0.00 |
| Z1032 |
|
159 |
159 |
$0.00 |