| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,292 |
801 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,098 |
893 |
$30K |
| 76830 |
Ultrasound, transvaginal |
359 |
335 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
646 |
574 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
279 |
267 |
$11K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
80 |
58 |
$10K |
| 81025 |
|
667 |
608 |
$4K |
| 59430 |
|
54 |
53 |
$3K |
| 87481 |
|
41 |
36 |
$2K |
| 99000 |
|
198 |
193 |
$2K |
| 59025 |
Fetal non-stress test |
47 |
27 |
$2K |
| 87529 |
|
55 |
49 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
21 |
20 |
$1K |
| 99385 |
|
12 |
12 |
$885.06 |
| 81002 |
|
630 |
450 |
$864.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$844.94 |
| 87640 |
|
56 |
51 |
$753.17 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
53 |
48 |
$699.40 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
53 |
48 |
$640.46 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
42 |
37 |
$638.97 |
| 87500 |
|
42 |
37 |
$609.49 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
55 |
49 |
$581.55 |
| 87511 |
|
55 |
49 |
$552.00 |
| 87653 |
|
40 |
35 |
$550.53 |
| 87641 |
|
42 |
37 |
$549.06 |
| 1036F |
|
68 |
68 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
71 |
62 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
15 |
15 |
$0.00 |