| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,784 |
1,282 |
$81K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
937 |
813 |
$45K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
961 |
791 |
$40K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
946 |
784 |
$39K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
709 |
577 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
629 |
525 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
516 |
404 |
$27K |
| 76830 |
Ultrasound, transvaginal |
441 |
382 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
371 |
278 |
$17K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
16 |
13 |
$15K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
166 |
152 |
$10K |
| 76801 |
|
191 |
156 |
$9K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
201 |
122 |
$8K |
| 59514 |
|
17 |
12 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
49 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
76 |
$6K |
| 87481 |
|
69 |
39 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
152 |
128 |
$4K |
| 86780 |
|
168 |
152 |
$3K |
| 59025 |
Fetal non-stress test |
91 |
39 |
$2K |
| 87511 |
|
52 |
39 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
207 |
192 |
$1K |
| 81513 |
|
13 |
13 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
36 |
27 |
$962.43 |
| 87653 |
|
13 |
13 |
$571.47 |
| 81025 |
|
115 |
86 |
$462.95 |
| 86803 |
|
12 |
12 |
$202.20 |
| 87340 |
|
12 |
12 |
$162.00 |