| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
1,470 |
955 |
$15K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
5,008 |
3,219 |
$14K |
| Z1034 |
|
193 |
127 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,105 |
1,942 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
764 |
717 |
$6K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,529 |
1,727 |
$5K |
| J3490 |
Unclassified drugs |
358 |
338 |
$4K |
| 99401 |
|
2,811 |
2,448 |
$3K |
| 99215 |
Prolong outpt/office vis |
82 |
82 |
$3K |
| 97803 |
|
2,863 |
2,529 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
3,281 |
2,165 |
$3K |
| 96156 |
|
2,451 |
1,385 |
$2K |
| 96151 |
|
867 |
586 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
256 |
256 |
$2K |
| Z6400 |
|
90 |
69 |
$2K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
262 |
262 |
$1K |
| Z6410 |
|
92 |
79 |
$1K |
| H2000 |
Comprehensive multidisciplinary evaluation |
107 |
105 |
$522.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
124 |
124 |
$206.25 |
| 59430 |
|
83 |
73 |
$114.91 |
| 96152 |
|
29 |
28 |
$60.56 |
| 81025 |
|
31 |
31 |
$13.72 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$0.00 |