| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,137 |
1,590 |
$131K |
| H1000 |
Prenatal care, at-risk assessment |
194 |
187 |
$28K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,698 |
1,418 |
$20K |
| 59430 |
|
181 |
161 |
$14K |
| Z1034 |
|
166 |
110 |
$9K |
| H2000 |
Comprehensive multidisciplinary evaluation |
57 |
57 |
$8K |
| 59025 |
Fetal non-stress test |
215 |
94 |
$5K |
| 81025 |
|
369 |
333 |
$4K |
| 99401 |
|
295 |
285 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$2K |
| 96158 |
|
172 |
171 |
$2K |
| 97803 |
|
157 |
156 |
$1K |
| 85018 |
|
480 |
434 |
$941.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
66 |
$739.25 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
83 |
65 |
$706.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$550.75 |
| 90715 |
|
13 |
13 |
$521.30 |
| 96159 |
|
29 |
29 |
$249.05 |
| S9452 |
Nutrition classes, non-physician provider, per session |
29 |
29 |
$249.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$69.55 |
| 82947 |
|
21 |
12 |
$65.25 |