| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
124 |
$9K |
| 87480 |
|
227 |
202 |
$3K |
| 87660 |
|
227 |
202 |
$3K |
| 87510 |
|
227 |
202 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
81 |
65 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
79 |
64 |
$2K |
| 76830 |
Ultrasound, transvaginal |
15 |
15 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
193 |
173 |
$305.43 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24 |
24 |
$171.63 |
| 0500F |
|
28 |
26 |
$0.00 |