| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
4,011 |
2,505 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161 |
152 |
$11K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
55 |
53 |
$9K |
| 59430 |
|
117 |
109 |
$8K |
| 76801 |
|
24 |
24 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$251.90 |