| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,352 |
1,683 |
$164K |
| Z1034 |
|
1,663 |
1,192 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
747 |
667 |
$73K |
| 59425 |
|
1,198 |
851 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
323 |
323 |
$66K |
| 99215 |
Prolong outpt/office vis |
454 |
453 |
$34K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
15 |
15 |
$12K |
| H1000 |
Prenatal care, at-risk assessment |
62 |
58 |
$8K |
| Z1032 |
|
26 |
26 |
$3K |
| 76801 |
|
14 |
14 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
12 |
12 |
$152.64 |