| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,147 |
637 |
$90K |
| 59425 |
|
1,116 |
654 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,312 |
1,229 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
75 |
$4K |
| 81025 |
|
682 |
651 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$837.39 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
27 |
$423.37 |
| 90686 |
|
14 |
14 |
$281.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$80.28 |
| 81003 |
|
12 |
12 |
$25.08 |
| 3008F |
|
229 |
187 |
$0.00 |
| 1036F |
|
455 |
391 |
$0.00 |
| 1000F |
|
231 |
210 |
$0.00 |
| 3079F |
|
50 |
43 |
$0.00 |
| 2001F |
|
230 |
188 |
$0.00 |
| 3074F |
|
235 |
193 |
$0.00 |
| 2000F |
|
234 |
191 |
$0.00 |
| 1126F |
|
88 |
76 |
$0.00 |
| 2010F |
|
235 |
191 |
$0.00 |
| 3351F |
|
57 |
57 |
$0.00 |
| 3075F |
|
16 |
16 |
$0.00 |
| 4274F |
|
45 |
36 |
$0.00 |
| 1159F |
|
200 |
164 |
$0.00 |
| 1160F |
|
189 |
156 |
$0.00 |
| 98960 |
|
238 |
219 |
$0.00 |
| 3078F |
|
213 |
183 |
$0.00 |