| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
2,475 |
1,691 |
$153K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
29 |
28 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
29 |
$4K |
| 59430 |
|
12 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 96127 |
|
499 |
374 |
$332.37 |
| 81025 |
|
87 |
80 |
$180.29 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
14 |
$50.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$0.00 |
| 81002 |
|
14 |
13 |
$0.00 |