| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
964 |
772 |
$47K |
| 59426 |
|
378 |
223 |
$32K |
| 59425 |
|
351 |
269 |
$29K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
125 |
119 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
109 |
87 |
$7K |
| 81025 |
|
711 |
603 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
61 |
42 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$2K |
| 76801 |
|
18 |
18 |
$2K |
| 80081 |
|
15 |
15 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
35 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27 |
27 |
$906.58 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
27 |
27 |
$906.58 |
| 82947 |
|
220 |
198 |
$697.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
90 |
64 |
$476.20 |
| 80061 |
Lipid panel |
29 |
27 |
$342.24 |
| 85014 |
|
64 |
53 |
$116.64 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
15 |
$99.60 |
| 82950 |
|
17 |
16 |
$79.05 |
| 85660 |
|
15 |
15 |
$68.00 |
| 85018 |
|
33 |
25 |
$60.72 |
| 81001 |
|
24 |
16 |
$56.48 |