| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
165 |
144 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
152 |
132 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
49 |
38 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
75 |
$3K |
| 87480 |
|
134 |
117 |
$3K |
| 87510 |
|
133 |
116 |
$3K |
| 87660 |
|
132 |
115 |
$2K |
| 90715 |
|
15 |
15 |
$563.36 |
| 87150 |
|
15 |
13 |
$533.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
28 |
$151.68 |
| 85018 |
|
16 |
12 |
$33.41 |